Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
PROVINCIAL AGRARIAN REFORM OFFICE
6 Bldg. Brgy. Sampaguita, Catarman, Northern Samar
Telefax: (055) 500-9061
Date
ENGR. JOSE M. BALBERDE
Provincial Agrarian Reform Program Officer
Department of Agrarian Reform Provincial Office
Catarman, Northern Samar
Dear Sir:
Greetings of Peace!
Respectfully submitting the accomplishment of FVT-___ for the month of
__________, 20___ containing an area of ________________________ (Please indicate here
if the Accom. Is partial). The accomplishment includes the following TCT/OCT.
1.
2.
To wit:
TCT/OCT- ________



No. of ARBs in the CLOA
 Male
 Female
No. of Exclusion
 Male
 Female
No. of Inclusion
 Male
 Female
: _________
: _________
: _________
Area: ________
: _________
: _________
Area: _________
Area: _________
: _________
: _________
Area: _________
Area: _________
: _________
Area: ________
: _________
: _________
Area: _________
Area: _________
: _________
: _________
Area: _________
Area: _________
TCT/OCT- ________



No. of ARBs in the CLOA
No. of Exclusion
 Male
 Female
No. of Inclusion
 Male
 Female
Please acknowledge receipt hereof.
Thank you.
Very truly yours,
________________________
FVT-___ Legal Officer