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Republic of the Philippines

AKLAN STATE UNIVERSITY

Physical Plant & Development Services


Banga, Aklan

BuildingandOtherStructuresPreventiveandCorrectiveMaintenanceCard
(TwiceaMonthActivity)
NameofBuilding:
Activity:
Month

January

February

March

April

May

June

July

August

_______________________________________________________________________________________
_______________________________________________________________________________________

PersonsInvolved
PCMPersonnel
Date
1 Signature
Name
Date
2 Signature
Name
Date
1 Signature
Name
Date
2 Signature
Name
Date
1 Signature
Name
Date
2 Signature
Name
Date
1 Signature
Name
Date
2 Signature
Name
Date
1 Signature
Name
Date
2 Signature
Name
Date
1 Signature
Name
Date
2 Signature
Name
Date
1 Signature
Name
Date
2 Signature
Name
Date
1 Signature
Name
Date
2 Signature
Name

Acknowledgement

Remarks

September

October

November

December

Date
1 Signature
Name
Date
2 Signature
Name
Date
1 Signature
Name
Date
2 Signature
Name
Date
1 Signature
Name
Date
2 Signature
Name
Date
1 Signature
Name
Date
2 Signature
Name

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