Appendix C

BE Form 05
Republic of the Philippines
Department of Education
Region IV - A CALABARZON
Division of Imus City
Toclong I-C, City of Imus, Cavite
IMUS NATIONAL HIGH SCHOOL - GREENGATE ANNEX
Malagasang II - A, City of Imus, Cavite
BRIGADA ESKWELA 2017
RECORD OF DONATION RECEIVED
(To be accomplished by Adapt School Program Coordinator)

ITEM/S OR MATERIALS Quantity DATE NAME OF DONOR ASSUMED COST OF ITEMS

RECEIVED PER UNIT TOTAL

0.00

Prepared by: Noted by:

SHANE ANN T. REGORGO AIDA C. BELLON

Adapt School Program Coordinator OIC/HT 6