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35 Amended Master List of ARBs

DAR amendment list of qualified agrarian reform beneficiaries

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CARPER LAD Form No. 35
(New)

Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Region ________
Province of ___________________________
Municipality of ________________________
AMENDED MASTER LIST OF QUALIFIED AGRARIAN REFORM BENEFICIARIES (ARBs)
Landowner:
_________________________________________________________________________________________________________________________________________________
Location: ______________________________________________ OCT/TCT No. ________________________________________________ TD No. ______________________________
Total Area: __________________ (has.) Lot No. __________________ Approved Survey No. ______________________
Crops Planted: ______________________________________

No.

Name of ARBs
(Last Name, First Name, Middle Initial)

1

Address

Name of
Spouse
(Last Name, First Name,
Middle Initial)

Present Status1

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)
**If list consists of several pages, affix initials on all pages and sign only the last page on appropriate space for signature
2

CARPER LAD Form No. 35/Page 1 of 3

Position/
Designation2

Length of
Tenure/Service
(No. of Days)

Remarks

Downloadable Forms at: www.dar.gov.ph free of charge
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 wo rds “NOTHING FOLLOWS”. Use additional
sheet if necessary.
Prepared by:

Reviewed by:
Agrarian Reform Program Officer
Operations Division
(Signature over Printed Name)

Chief Agrarian Reform Program Officer
Operations Division
(Signature over Printed Name)

Approved by:
Provincial Agrarian Reform Officer II
(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/Authorized Representative having presented to me his/her Identification
no. ______________________as competent proof of his/her identity.

_________________________________

Administering Officer
(Signature over Printed Name)

CARPER LAD Form No. 35/Page 2 of 3

Downloadable Forms at: www.dar.gov.ph free of charge
CARPER LAD Form No. 35
(New)

ADDITIONAL SHEET FOR THE AMENDED MASTERLIST OF QUALIFIED ARBs
No.

Name of ARBs
(Last Name, First Name, Middle Initial)

Address

Name of
Spouse

Present Status3

Position/
Designation4

Length of
Tenure/Service
(No. of Days)

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.

3

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)
**If list consists of several pages, affix initials on all pages and sign only the last page on appropriate space for signature
4

CARPER LAD Form No. 35/Page 3 of 3

Remarks
 
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