Registration Form

Select Barangay: Sitio Name: Precinct # : WHO IS YOUR SITIO LEADER? First Name FB Account Middle Name Nickname Last Name Age Contact # Address Occupation

Have you voted in the last 2023 Barangay Elections? YES NO

What organization are you a member of? Please check on the box that applies

ERPAT

KALIPI

PWD

SENIOR CITIZEN

Have you been a beneficiary of TUPAD, TAPAT, LIVELIHOOD PROGRAMS, etc.? YES NO

I hereby confirm and consent to being a member of YOGI CARES, acknowledging my willingness to participate and engage in the activities and services provided by the organization. I understand and accept the terms and conditions outlined in the membership agreement