1. DILG - NBOO
BDMS-BOPS Form 01
PHOTO
Name: _____________________________________________________________ Nickname: _____________
(Last) (First) (Middle) (Suffix)
Position:_______________________ Newly Elected ( ) Re-elected ( ) Re-Appointed ( ) Newly-Appointed ( )
Date of Assumption/Appointment: _____________________________________________________________
Sex:_____________ Civil Status: _____________________ Religion:_________________________________
Date of Birth: ________________________ Place of Birth: _________________________________________
(mm/dd/yy) (City/Municipality) (Province)
Address: __________________________________________________________________________________
(Street) (Barangay) City/Municipality) (Province) (ZIP Code)
Monthly Income: below P5000 ( );P5,000-9,999( ); P10,000-14,999 ( ); P15,000-19,999 ( )P20,000 & above ( )
Highest Educational Attainment: _______________________________________________________________
Telephone No./Cellphone No./E-Mail Address:____________________________________________________
Spouse Name: ______________________________________________________________________________
Previous Position/s in the Barangay
Inclusive Years
Position From To
Dependents: (Children below 21 years old)
Name Date of Birth Name Date of Birth
Training Attended Relevant to Barangay Governance:
Inclusive Dates
Title Conducted by From To
_______________________________
Signature
________________________
Date Accomplished