Department of Education

School Building Inventory Form

(as of December 31, 2016)
Region : VI School ID: 115470
Division: Capiz School Name: Aglanot Elementary School

Table 1. Summary of Existing Building/Structure

Year Completed8 Building /Structure
Building Dimension
Specific Fund Building/Structure Number of Number of rooms by (If not provided, Classification of
/Structure Building/Structure Type2 Fund Source/s (in meters)10
Source/s4 Condition5 Storeys6 Design/Intent7 Refer to building Building/Structure9
Number 1
type) Width Length
Col 1 Col.2 Col.3 Col.4 Col.5 Col.6 Col.7 Col.8 Col.9 Col.10 Col.11

Prepared by: Certified True and Correct by: Validated by:

RONILO P. DAGUMAMPAN__________ DOROTEO G. GEDOR_______________ __________________________________________

School Property Custodian School Head Schools Division Office
School Engineering Facitlities Coordinator
 Department of Education
School Building Inventory Form
(as of December 31, 2016)
Region : VI School ID: 115470
Division: Capiz School Name: Aglanot Elementary School

Table 1. Existing Rooms per Building

Building Have undergone major Number of Room Dimension
/Structure Room Number11 Room Condition12 Repair for the last 5 Concurrent Actual Usage (in meters)16
Number1 Years13(yes/no) Usage/s14 Width Length
Col.1 Col.2 Col.3 Col.4 Col.5 Col.6 Col.7 Col.8

Prepared by: Certified True and Correct by: Validated by:

RONILO P. DAGUMAMPAN__________ DOROTEO G. GEDOR_______________ __________________________________________

School Property Custodian School Head Schools Division Office
School Engineering Facitlities Coordinator
 Department of Education
School Building Inventory Form
(as of December 31, 2016)
Region : VI School ID: 115470
Division: Capiz School Name: Aglanot Elementary School

Table 3. Existing Number of Water and Sanitation Facilities

Building/ Number of Functional Toilet Bowls17 Number of Non- With Number of Faucets23
Structure Number of Sink/ Number of Number of Urinals
Functional Septic Tank22 Without Water
Number1 Male Female PWD Shared Washbasin19 Urinals20 Through21 With Water supply
ToiletBowls18 (Yes/No) Supply

Prepared by: Certified True and Correct by: Validated by:

RONILO P. DAGUMAMPAN__________ DOROTEO G. GEDOR_______________ __________________________________________

School Property Custodian School Head Schools Division Office
School Engineering Facitlities Coordinator
 Department of Education
School Building Inventory Form
(as of December 31, 2016)
Region : VI School ID: 115470
Division: Capiz School Name: Aglanot Elementary School

Table 4. Existing Number of Usable Furnitures

Building/ Kinder Science Science
Kinder Arm School Workshop Monobloc Monobloc Classroom Classroom Behavioral Teachers Teachers
Structure Modular Laboratory Laboratory
Chair25 Chair26 Desk27 Table30 Chair31 Stool32 Table33 Chair34 Chair 35 Table36 Chairs
Number1 Table 24 Table25 Stool29
Col.15
Col.1 Col.2 Col.3 Col.4 Col.5 Col.6 Col.7 Col.8 Col.9 Col.10 Col.11 Col.12 Col.13 Col.14

Prepared by: Certified True and Correct by: Validated by:

RONILO P. DAGUMAMPAN__________ DOROTEO G. GEDOR_______________ __________________________________________

School Property Custodian School Head Schools Division Office
School Engineering Facitlities Coordinator
 Department of Education
School Building Inventory Form
(as of December 31, 2016)
Region : VI School ID: 115470
Division: Capiz School Name: Aglanot Elementary School

Table 5. Other Facilities

Present in Campus?
Other Facilities
(yes/No)
Col. 1 Col.2

Yes No
Concrete Quadrangle

Yes No
Entrance Gate

Yes No
Perimeter Fence

Yes No
Playground

Yes No
School Garden

Prepared by: Certified True and Correct by:

RONILO P. DAGUMAMPAN__________ DOROTEO G. GEDOR_______________

School Property Custodian School Head
School Engineering Facitlities Coordinator

Validate by:

_________________________________________
Schools Division Office