COMPLIANCE TO DILG MC 2004-118

IMPLEMENTATION OF RA 9262 (ANTI-VIOLENCE AGAINST WOMEN AND CHILDREN ACT OF 2004)

AS OF 20____
CITY / MUNICIPALITY:
CONGRESSIONAL DISTRICT:
BARANGAY:
TOTAL CASES REPORTED
Sexual
Abuse

Psychological
Emotional
Verbal
Abuse

Economic
Financial
Abuse

Referred
for Medical

Issued
BPO

Referred to
SSDD

Referred to
PNP

RESTORATIVE PROGRAMS
Referred to
COURT

Other Services
(Ex.
Counselling,
to Protection
Center)

Trainings

Counselling

IEC

Fund
Allocation

FEMALE
CHILDREN

MALE
CHILDREN

WOMEN

Physical
Abuse

TOTAL CASES ACTED UPON

OTHERS:
(Trafficking,
Prostitution,
Violation of
RA9208)

Prepared by:

Submitted by:

Noted by:

Received by:

____________________________
GAD FOCAL PERSON

____________________________
BARANGAY SECRETARY

____________________________
PUNONG BARANGAY

____________________________
DILG QUEZON CITY

Date: _______________________

Date: _______________________

Date: _______________________

Date: _______________________

Remarks