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Title of Activity Date of Activity Time of Activity Venue of Activity Project Head Mission Being Addressed/Fulfilled: Objectives: 1. 2. 3.

Description: Persons Responsible: Name Position Contact No./s

Project Plan: Target Date Output Person-in-Charge

Breakdown of Expenses Materials Quantity Unit Cost Total Cost

Total:

Source of Funds: Accumulated Operational Funds USG Office/Unit Projected Solicitations/Sponsorships Total Cash for Disbursement Less: Projected Expenses PXXX,XXX PXXX,XXX Total Projected Expenses Balance PXXX,XXX PXXX,XXX PXXX,XXX

Noted by: _______________________ Djon Nacario USG, Treasurer

Prepared by: _______________________ <Name> <Office/Unit, Position>

Noted By: _______________________ Robert Hechanova President College Government of Business

PROGRAM DESIGN (IF NECESSARY)

Time

Program

Materials Needed

Person-In-Charge

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