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MT-Form - 1 DIVISION OF CAGAYAN DE ORO CITY COMMUNITY MAPPING TEMPLATE

Address: Iponan Cagayan de Oro Mis.Or 1


Purok Sitio St. Barangay Municipal Province Survey Sheet No.:

Birthday Occupation (Select only 1) Monthly Check if IP If IP what 4Ps? (Check)


Parent's/Guardian's Name (Last Name, First Name, MI, Ext) Educational Religion
dd/mm/yyyy Attainment Government Private Self-employed Income Yes No tribe? Yes No
Anay,Jefferso Aba(Father)
Aba,Richelle Bandibas(Mother)
Bequiso,Sheryl Namocot(Mother)
Studying?
Relationship to the Gender If not Studying With Disability
Name of Dependents head of the Family Birthday Civil (Check) Grade School and distance Kind of Check if Check if
(son, daughter,
Religion
(Last, First, Middle, Ext) dd/mm/yyyy Status Level from home Disability IP 4Ps
niece, nephew) M F Yes No Why? No

Anay,Dirk Uwe Aba grandson √ 02-28-2008 Single √ 6 IES 1km No Christianity

Bequiso,Titus Philip son √ 11/11/2007 Single √ 6 IES 1.5km No Christianity

Castillon,Jian Philippe Canasa son √ 12/9/2008 Single √ 6 IES 1km No Christianity

Gomera,Adrian Patotoy Son √ 4/4/2007 Single √ 6 IES 2km No Christianity

Gonzales,Ariston Angel Son √ 03-31-2007 Single √ 6 IES 1.5km No Christianity

Labrador,Mark Gil Awit Son √ 7/3/2008 Single √ 6 IES 1km No Christianity

Macabale,Gabriel Shane Vallec Son √ 12-20-2007 Singlle √ 6 IES 1km No Christianity

Mariano,Gabriel Andrei LabradoSon √ 02-18-2008 Single √ 6 IES 1km No Christianity

Nituda,Jeff Gerald Son √ 06-21-2008 Single √ 6 IES 1.5km Christianity

Obasa,John Clark Kint Miano Son √ 02-25-2008


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Name and Signature of Respondents Name of Enumerator Date
Monthly Income DISASTER PREPAREDNESS Grade Level
1 0 - 9,999.99 Para sa mga pangutana sa ( 1 - 8 ), Isulat lang ang 1-kung Oo, 0- kung Wala 1 Not in School Age
2 10,000 - 19,999.99 (1) Nahibalo ba ang panimalay sa mga emergency numbers sa lokal nga mga 2 Pre Kinder
3 20,000 - 29,999.99 ahensya sa pulis, bombero, ospital, og uban pa? 3 Grade 1
(2) Nahibalo ba ang panimalay kung asa ang pinakaduol nga luwas nga lugar
4 30,000 - 49,999.99 4 Grade 2
nga adtoan kung adunay mga kalamidad?
5 50,000 - 69,999.99 (3) Gatigom ba ang panimalay og supply sa tubig og pagkaon para sa possible 5 Grade 3
6 70,000 - 99,999.99 nga mga kalamidad nga moabot? 6 Grade 4
7 100,000 Up (4) Nahibalo ba ang panimalay kung unsaon pag dala sa mga bata, disabled, 7 Grade 5
og sa mga tigulang nga kauban sa panimalay kung adunay kalamidad? 8 Grade 6
(5) Nahibalo ba ang panimalay kung unsay buhaton kung adunay mga 9 JHS - G7
Religion kalamidad nga moabot? Pareho sa pag duck-cover-hold kung mag linog?
1 BUDDHISM (6) Nahibalo ba ang panimalay kung kanusa kinahanglan na mobalhin sa 10 JHS - G8
2 CHRISTIANITY pagabot sa mga kalamidad? 11 JHS - G9
3 HINDUISM (7) Aduna ba kamoy disaster preparedness kit? 12 JHS - G10

1- Naa Pila ni ka
4 INDIGENOUS RELIGION (8) Naa ba ang mga mosunod sa inyong disaster preparedness kit? 2- Wala adlaw ma 13 SHS - G11
hurot?
5 ISLAM 1. Tubig 14 SHS - G12
6 JUDAISM 2. Pagkaon (delata, biskwit, pan) 15 Vocational - ALS
7 NO RELIGION 3. Posporo o lighter 16 College Level
8 OTHERS 4. Flashlight/Emergency light 17 Graduate
9 SIKHISM 5. Radio/Transistor (de battery) 18 Post Grad Level
6. Kandila 19 Post Graduate
Educational Attainment 7. Kit sa tambal
1 Never been to School 8. Pito
2 Kindergarten 9. Sanina
3 Pre-School 10. Habol
4 Elem Primary (G1-G3) 11. Battery (cellphone, flashlight, radio)
5 Elem Primary (G4-G6) 12. Importanteng dokumento (titulo sa yuta, birth cert)
6 Elem Graduate 13. Uban pa, isulat
7 Junior High School Level
8 JHS Graduate
9 Senior High School Level
10 SHS Graduate
11 Vocational-ALS
12 College Level
13 College Graduate
14 Post Grad Level
15 Post Graduate
1 ABELING 38 BATAK 76 DIRERAYAAN 120 KALIBUGAN 175 NANENG
2 ABELLEN 39 BATANGAN 77 DULANGAN 121 KALIBUGAN/KOLIBUGAN 176 NEGRITO
3 ABELLING 40 BATANGAN MANGYAN 78 DUMAGAT-ALTA 122 KALINGA 177 OBU-MANUVU
4 ABERLING 41 BELWANG 79 DUMAGAT--REMONTADO 123 KAMAYO 178 PALA WAN
5 ABIYAN (AETA) 42 BIKOL/BICOL 80 ESCAYA 124 KAMIGIN 179 PALAWAN-O
6 ADSEN 43 BINONGAN 81 GADDANG 125 KAMIGUIN 180 PALAWANI
7 AETA 44 BISAYA/BINISAYA 82 GUBANG 126 KANKANAEY 181 PALAWANON
8 AGTA-AGAY 45 BLAAN 83 GUBATNON 127 KANKANAEY IBENGUET 182 PAN-AYANON
9 AGTA-CIMARON 46 BOHOLANO 84 GUBATNNON MANGYAN 128 KANKANAEY IYAPLAY 183 PANAY-BUKIDNON
10 AGTA-DUMAGAT 47 BONTOK 85 GUIANGAN 129 KAPAMPANGAN 184 PANGASINAN/[ANGGALATO
11 AGTA-TABANGNON 48 BUGKALOT 86 GUILAYON 130 KARINTIK 185 PARANANUM
12 AGAT-TABOY 49 BUHID 87 GUINAANG 131 KARULANO 186 PUGOT
13 AGUTAYNON 50 BUHID MANGYAN 88 HALAWODNON 132 KAUNANA 187 PULANGIEN
14 AKEANON 51 BUKIDNON 89 HANUNUO 133 KEN-EY 188 PULANGIYEN
15 ALAB 52 BUTBUT 90 HANUNUO MANGYAN 134 KIRENTEKEN 189 PULLON
16 ALANGAN 53 CAGALUAN 91 HENANGA 135 KLATA 190 RATAGNON
17 ALANGAN MANGYAN 54 CAGAYANEN 92 HIGAONON 136 KONGKING 191 RATAGNON MANGYAN
18 AMBALA 55 CALINGA 93 HILIGAYNON/ILONGGO 137 KOROLANON 192 REMONTADO
19 APAYAO 56 CAPIZEÑO 94 LABANAG 138 LAHITANEN 193 SADANGA
20 AROMANE-MANOBO 57 CAVITEÑO 95 IBALOY 139 LAMBANGIAN 194 SAKKI
21 AROMANON 58 CEBUANO 96 IBATAN 140 LANGILAN 195 SALEGSEG
22 ATA 59 CHAVACANO 97 IFUGAO 141 LIVUNGANEN 196 SAMA
23 ATA-MANOBO 60 CHINESE 98 IKALAHAN 142 ILONGOT 197 SAMA BADJAO
24 ATI 61 CIMARON 99 ILAUD 143 LUBO 198 SAMA BANGINGI
25 BADJAO 62 COTABATEÑO 100 ILIANEN 144 LUBUANGAN 199 SAMA LAUT
26 BADJAO, SAMA LAUT 63 COTABATEÑO-CHAVACANO 101 ILOCANO 145 MABAKA 200 SAMAL
27 BAGKALOT 64 CUYONEN 102 IRANON 146 MAENG 201 SANGIL
28 BAGOBO-TAGABAWA 65 CUYUNON 103 IRAVA 147 MAG-ANTI 202 SIBUYAN MANGYAN-TAGABUKID
29 BALATOC 66 DACALAN 104 IRAYA MANGYAN 148 MAG-ANTSI 203 SUBANEN
30 BALIWON 67 DAGAYNEN 105 ISAROG 149 MAG-INDI 204 SULOD/BUKIDNON
31 BALUGA 68 DANAK 106 ISINAI 150 MAGAHAT 205 SUMADEL
32 BANAO 69 DANANAO 107 ISOROKEN 151 MAGBEKIN 206 T-BOLI
33 BANGON 70 DAVAO-CHAVACANO 108 ITAWES 152 MAGBUKON 207 TABANGON
34 BANTOANON 71 DAVAWEÑO 109 ITAWIA 153 MAGKUNANA 208 TADYAWAN
35 BANWAON 72 DIANGAN 110 ITNEG 154 MAGUINDANAO 209 TADYAWAN MANGYAN
36 BARLIG 73 DIBABAWON 111 ITOM 155 MAJOKAYONG 210 TAGABAWA
37 BASAO 74 DIBABEEN MULITAAN 112 IVATAN 156 MALAWEG/MALAUEG 211 TAGAKAOLO
75 DIBABEN 113 JAMA MAPON 157 MALBONG 212 TAGALOG
114 KABAYUKAN 158 MAMANWA 213 TAGANUA
115 KABIHUG 159 MANDAYA 214 TAGAWAHANON
116 KADAKLAN/KACHAKRAN 160 MANDEK-EY 215 TAGBANUA
117 KAILAWAN/KAYLAWAN 161 MANDUKAYAN 216 TAGBANUA/KALAMIANEN
118 KALAGAN 162 MANGALI 217 TALAANDIG
119 KALANGUYA 163 MANGGUANGAN 218 TALAINGOD
164 MANBO 219 TALAIINGOD, LANGILAN
165 MANOBO B''LIT 220 TALOCTOK
166 MANABO-DULANGAN 221 TAO'T BATP
167 MANOBO-UBO 222 TAU-BUID
168 MANSAKA 223 TAUSUG
169 MARAANO 224 TAUT-BATO
170 MASADIIT 225 TBOLI
171 MASBATEÑO/MASBATENON 226 TEDURAY
172 MATIGSALOG 227 TIGWAHANON
173 MADUYAN 228 TINANANEN
174 MOLBON 229 TINGGLAN
230 TINGGUIAN
231 TINGLAYAN
232 TIRURAY
233 TONGLAYAN
234 TULGAO
235 UBO MANOBO
236 UBO-MANOBO
237 UMAYAMNON
238 WARAY
239 YAKAN
240 YAPAYAO
241 YBANAG
242 YOGAD
243 ZAMBAL