DECLARATION OF GADGETS / ELECTRONICS

Room No. ________

Name:

No. DESCRIPTION /TYPE of Gadget or Electronic device(State the Model if Possible) QTY
1
2
3
4
5
6
7
8
9
10

Note: All gadgets or any electronic devices within the premises of your room must be declared or listed above.
Each found undeclared gadgets or electronics during the inspection will be fine One Thousand Pesos
(P1,000.00). If new gadgets or electronics will be used in your room, please inform the land lady/lord.

I here by confirm, that I understand and aggree with each and all of the statements above regarding the
declaration of gadgets and electronics within the premises of my room.

Signature Above Printed Name Date

DECLARATION OF GADGETS / ELECTRONICS
Room No. ________
Name:

No. DESCRIPTION /TYPE of Gadget or Electronic device(State the Model if Possible) QTY
1
2
3
4
5
6
7
8
9
10
Note: All gadgets or any electronic devices within the premises of your room must be declared or listed above.
Each found undeclared gadgets or electronics during the inspection will be fine One Thousand Pesos
(P1,000.00). If new gadgets or electronics will be used in your room, please inform the land lady/lord.

I here by confirm, that I understand and aggree with each and all of the statements above regarding the
declaration of gadgets and electronics within the premises of my room.

Signature Above Printed Name Date