Infrastructure Pre-Assessment Form
Infrastructure is a critical foundation for the development of our communities. Taking the initiative to strengthen your community is commendable; we are here to make the implementation as simple as possible! Please fill out the information below and we'll get back to you upon completion. 
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Name of Individual or Organization
Contact Number
Email
County Assessment Will Be Conducted
Which district will the assessment be conducted?
Name of Village, Town, or Communities the assessment be conducted.

Name of the Town Chief or the Community Chairman in the selected places with their contact number.

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