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Republic of the Philippines

Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BINMALEY SCHOOL OF FISHERIES
SAN ISIDRO NORTE, BINMALEY, PANGASINAN

LOG SHEET FOR SIGNING CERTIFICATION FOR 4Ps


BENEFICIARIES
Control No. __________________

Control No. Date Time Name of Client Contact Number Signature

Address: San Isidro Norte, Binmaley, Pangasinan Document Code: P1BIN1-FR-042


Telephone No.: (075)-523-2747 Revision No.: 00
Email: binmaleysof@gmail.com Page No.: Page 1 of 10
Website: binmaleysof.com Effectivity Date: 01-23-2020
Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BINMALEY SCHOOL OF FISHERIES
SAN ISIDRO NORTE, BINMALEY, PANGASINAN

Control No. Date Time Name of Client Contact Number Signature

Address: San Isidro Norte, Binmaley, Pangasinan Document Code: P1BIN1-FR-042


Telephone No.: (075)-523-2747 Revision No.: 00
Email: binmaleysof@gmail.com Page No.: Page 2 of 10
Website: binmaleysof.com Effectivity Date: 01-23-2020
Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BINMALEY SCHOOL OF FISHERIES
SAN ISIDRO NORTE, BINMALEY, PANGASINAN

Control No. Date Time Name of Client Contact Number Signature

Address: San Isidro Norte, Binmaley, Pangasinan Document Code: P1BIN1-FR-042


Telephone No.: (075)-523-2747 Revision No.: 00
Email: binmaleysof@gmail.com Page No.: Page 3 of 10
Website: binmaleysof.com Effectivity Date: 01-23-2020
Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BINMALEY SCHOOL OF FISHERIES
SAN ISIDRO NORTE, BINMALEY, PANGASINAN

Control No. Date Time Name of Client Contact Number Signature

Address: San Isidro Norte, Binmaley, Pangasinan Document Code: P1BIN1-FR-042


Telephone No.: (075)-523-2747 Revision No.: 00
Email: binmaleysof@gmail.com Page No.: Page 4 of 10
Website: binmaleysof.com Effectivity Date: 01-23-2020
Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BINMALEY SCHOOL OF FISHERIES
SAN ISIDRO NORTE, BINMALEY, PANGASINAN

Control No. Date Time Name of Client Contact Number Signature

Address: San Isidro Norte, Binmaley, Pangasinan Document Code: P1BIN1-FR-042


Telephone No.: (075)-523-2747 Revision No.: 00
Email: binmaleysof@gmail.com Page No.: Page 5 of 10
Website: binmaleysof.com Effectivity Date: 01-23-2020
Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BINMALEY SCHOOL OF FISHERIES
SAN ISIDRO NORTE, BINMALEY, PANGASINAN

Control No. Date Time Name of Client Contact Number Signature

Address: San Isidro Norte, Binmaley, Pangasinan Document Code: P1BIN1-FR-042


Telephone No.: (075)-523-2747 Revision No.: 00
Email: binmaleysof@gmail.com Page No.: Page 6 of 10
Website: binmaleysof.com Effectivity Date: 01-23-2020
Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BINMALEY SCHOOL OF FISHERIES
SAN ISIDRO NORTE, BINMALEY, PANGASINAN

Control No. Date Time Name of Client Contact Number Signature

Address: San Isidro Norte, Binmaley, Pangasinan Document Code: P1BIN1-FR-042


Telephone No.: (075)-523-2747 Revision No.: 00
Email: binmaleysof@gmail.com Page No.: Page 7 of 10
Website: binmaleysof.com Effectivity Date: 01-23-2020
Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BINMALEY SCHOOL OF FISHERIES
SAN ISIDRO NORTE, BINMALEY, PANGASINAN

Control No. Date Time Name of Client Contact Number Signature

Address: San Isidro Norte, Binmaley, Pangasinan Document Code: P1BIN1-FR-042


Telephone No.: (075)-523-2747 Revision No.: 00
Email: binmaleysof@gmail.com Page No.: Page 8 of 10
Website: binmaleysof.com Effectivity Date: 01-23-2020
Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BINMALEY SCHOOL OF FISHERIES
SAN ISIDRO NORTE, BINMALEY, PANGASINAN

Control No. Date Time Name of Client Contact Number Signature

Address: San Isidro Norte, Binmaley, Pangasinan Document Code: P1BIN1-FR-042


Telephone No.: (075)-523-2747 Revision No.: 00
Email: binmaleysof@gmail.com Page No.: Page 9 of 10
Website: binmaleysof.com Effectivity Date: 01-23-2020
Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
BINMALEY SCHOOL OF FISHERIES
SAN ISIDRO NORTE, BINMALEY, PANGASINAN

Control No. Date Time Name of Client Contact Number Signature

Address: San Isidro Norte, Binmaley, Pangasinan Document Code: P1BIN1-FR-042


Telephone No.: (075)-523-2747 Revision No.: 00
Email: binmaleysof@gmail.com Page No.: Page 10 of 10
Website: binmaleysof.com Effectivity Date: 01-23-2020

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