Name of Evacuation Center/Area – refers to the specific the name of the evacuation center. Example: Kibukay National High School. Location of Evacuation Center – refers to the specific address of the evacuation center/area. Place of Origin of IDPs (Barangay, Municipality/City, Province) – refers to the specific place where the IDPs came from. Total Number of Families Displaced – numerical representation of families displaced; data can be taken or requested from partner-sources. Total Number of Host Families - numerical representation of families hosting IDPs, which may be taken from partner-sources. Total Number of Persons Displaced - numerical representation of persons displaced which may be taken from partner-sources. Total Number of Children- numerical representation of children (as defined under RA 7610) who are displaced and who may be male or female which may be taken from partner-sources. If home-based, include the number of children of host families as possible intervention will be per household. Total Number of Adults- numerical representation of adult IDPs above eighteen years of age. Other Sector (specify) - refers to disaggregated data per sector if available from partner-sources. Source/s of Information – refers to agencies/entities from whom pertinent information/data were taken. Management – refers to the agency/entity running the affairs of the evacuation center. Multiple selection is allowed. Specify agency/organization, contact person, position and contact numbers. Prepared by and Date – refers to the name and signature of a member/s of the CHR Monitoring Team (COMT/RIT/RMT) who conducted and prepared the report. Date – refers to the date when the report was submitted. Verified by and Date – refers to the name and signature of the Monitoring Team leader (MT-leader) assigned to monitor displacement. Date – refers to the date when the MTleader verified the report. 16

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