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31 Master List of Qualified Agrarian Reform Beneficiaries
DAR form for the list of qualified agrarian reform beneficiaries approved by the PARO II
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CARPER LAD Form No. 31
(Revised CARP-LAD Form No. 33A)
Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Region No. ________
Province of ___________________________
Municipality of ________________________
MASTER LIST OF QUALIFIED AGRARIAN REFORM BENEFICIARIES (ARBs)
Landowner/s: (Write full names of all co-owners– Family Name, First Name, Middle Initial).
____________________________________________________________________________________________________________________________________
Location (Municipality,Barangay):___________________________________ OCT/TCTNo. ___________________________ TD No. ____________________ Total Area: ___________(has.)
Approved Survey No. ____________Crops Planted:____________________________________________________________________________________________
No.
Name of ARBs
(Last Name, First Name,
Middle Initial)
Address
Name of
Spouse
(Last Name, First
Name, Middle
Initial)
Present
Status1
Position/
Designation2
Length of
Tenure/
Service
(No. of Days)
Present Status (i.e., tenant, lessee, regular farmworker, seasonal farmworker, other farmworker, actual tillers or occupants of public lands, etc)
Position/Designation/Nature of Work (i.e., Laborer, Foreman, Supervisor, Kapatas, others, please specify, if applicable)
3 For Master list of Individual ARBs, place N/A (not applicable) on space for BSC.
**If list consists of several pages, MARO, PARO, and BARC Chairperson shall affix initials on all pages and sign only the last page on appropriate space for signature
1
2
CARPER LAD Form No. 31/ Page 1 of 3
Lot No. __________
Remarks
Downloadable Forms at: www.dar.gov.ph free of charge
No.
Name of ARBs
(Last Name, First Name,
Middle Initial)
Address
Name of
Spouse
(Last Name, First
Name, Middle
Initial)
Present
Status1
Position/
Designation2
Length of
Tenure/
Service
(No. of Days)
Remarks
Note: Put a big “X” in the row immediately after writing/typing/encoding the name of the last ARB in the list. Then put the words “NOTHING FOLLOWS”. Use additional sheet, if necessary
(Use additional sheet, if necessary)
Prepared by:
Reviewed by:
Agrarian Reform Technologist
Municipal Agrarian Reform Officer
Beneficiary Screening Committee - Chairperson
(Signature Over Printed Name)
(Signature Over Printed Name)
(Signature Over Printed Name)
Certified by: _______________________________________
Barangay Agrarian Reform Council Chairperson
or Authorized Representative
(Signature over Printed Name)
WITNESS:__________________________________
Signature over Printed Name
SUBSCRIBED and SWORN to before me, this ____ day of ________________, 20___ in _____________________, the certifying BARC Chairperson/Member having presented to
me his/her competent proof of Identification ________________________ .
Approved by: ________________________________
Provincial Agrarian Reform Officer II
(Signature over Printed Name)
______________________________________
Administering Officer
CARPER LAD Form No. 31/ Page 2 of 3
Downloadable Forms at: www.dar.gov.ph free of charge
CARPER LAD Form No. 31
(Revised CARP-LAD Form No. 33A)
ADDITIONAL SHEET FOR THE MASTERLIST OF QUALIFIED BENEFICIARIES
No.
Name of ARBs
(Last Name, First Name,
Middle Initial)
Address
Name of
Spouse
Present
Status1
Position/
Designation2
Length of
Tenure/
Service
Note: Put a big “X” in the row immediately after writing/typing/encoding the name of the last ARB in the list. Then put the words “NOTHING FOLLOWS”. Use additional sheet, if necessary
1 Present Status (i.e., tenant, lessee, regular farmworker, seasonal farmworker, other farmworker, actual tillers or occupants of public lands, etc)
2 Position/Designation/Nature of Work (i.e., Laborer, Foreman, Supervisor, Kapatas, others, please specify, if applicable)
3 For Masterlist of Individual ARBs, place N/A (not applicable) on space for BSC.
CARPER LAD Form No. 31/ Page 3 of 3
Remarks
