UNIFORM DISPATCHING REPORT

UDR 2018-001
Project Name Requisitioner Date
E. Samson 12-Jan-18

Quantity Quantity
Item Description Name Size Remarks
Requested Delivered
1 Safety Shoes Andro Mar Antig 12 1 1
Released by Received by Approved by
V. Nabor
 UNIFORM DISPATCHING REPORT

UDR 2018-002
Project Name Requisitioner Date
SEQUIOA A. Vivas 17-Jan-18

Quantity Quantity
Item Description Name Size Remarks
Requested Delivered
1 Hard Hart with Chin Belano, John Christopher M 1 1
Strap
Released by Received by Approved by
V. Nabor
 UNIFORM DISPATCHING REPORT

UDR 2018-003
Project Name Requisitioner Date
BDE E. Samson 1-Feb-18

Quantity Quantity
Item Description Name Size Remarks
Requested Delivered
1 Safety Shoes E. Samson 11 1 1
Released by Received by Approved by
M. E .Yu
 UNIFORM DISPATCHING REPORT

UDR 2018-004
Project Name Requisitioner Date
VSLC B. Pascual 1-Feb-18

Quantity Quantity
Item Description Name Size Remarks
Requested Delivered
1 Safety Shoes D. Carpentero 7 1 1
Released by Received by Approved by
M. E. Yu
 UNIFORM DISPATCHING REPORT

UDR 2018-005
Project Name Requisitioner Date
SM-CUBAO M. Caringal 1-Feb-18

Quantity Quantity
Item Description Name Size Remarks
Requested Delivered
1 Safety Shoes Marvie Acao 9 1 1
Released by Received by Approved by
M. E. Yu
 UNIFORM DISPATCHING REPORT

UDR 2018-006
Project Name Requisitioner Date
VSLC-Taganito B. Pascual 22-Feb-18

Quantity Quantity
Item Description Name Size Remarks
Requested Delivered
1 Safety Shoes A. Aberio 4 1 1
Released by Received by Approved by
M. E. Yu
 UNIFORM DISPATCHING REPORT

UDR 2018-007
Project Name Requisitioner Date
VSLC-Taganito B. Pascual 26-Feb-18

Quantity Quantity
Item Description Name Size Remarks
Requested Delivered
1 Safety Googles Dark B. Pascual 1 1
Released by Received by Approved by
M. E. Yu
 FUJI-HAYA INTERNATIONAL CORPORATION
3rd Floor Matrinco Bldg 2178 Chino Roces Avenue, Makati City

MEMORANDUM RECEIPT

I hereby acknowledge the receipt of the following uniforms and gadgets issued to me by the company and
held responsible to take care of the issued items, as follows:

Quantity Issued Remarks

Blue - Polo jacket 1 pc 2XL

Gray - Polo Shirt 2 pcs L

White - Polo Shirt 2 pcs L

Blue - Polo Shirt

Yellow - T-Shirt (FHI)

Blue - T-Shirt (TPI)

Safety Shoes

Clean Shoes

Safety Goggles

Safety Helmet

Others, if any : The safety shoes will be issued separately.

In the event of loss due to my negligence, I may not be allowed to request for a replacement unless there is
an approved letter signed by the authorized personnel for the re-issuance of the said uniforms and gadgets.

Received By:

Bartolome D. Hanginan Jr.

Signature Over Printed Name

Date : 30-Jan-18
Cc:201 File NE 2018-001
 FUJI-HAYA INTERNATIONAL CORPORATION
3rd Floor Matrinco Bldg 2178 Chino Roces Avenue, Makati City

MEMORANDUM RECEIPT

I hereby acknowledge the receipt of the following uniforms and gadgets issued to me by the company and
held responsible to take care of the issued items, as follows:

Quantity Issued Remarks

Blue - Polo jacket

Gray - Polo Shirt

White - Polo Shirt

Blue - Polo Shirt

Yellow - T-Shirt (FHI)

Blue - T-Shirt (TPI)

Safety Shoes 1 pair size 10

Clean Shoes

Safety Goggles

Safety Helmet

Others, if any :

In the event of loss due to my negligence, I may not be allowed to request for a replacement unless there is
an approved letter signed by the authorized personnel for the re-issuance of the said uniforms and gadgets.

Received By:

Bartolome D. Hanginan Jr.

Signature Over Printed Name

Date : 1-Feb-18
Cc:201 File NE 2018-002
 FUJI-HAYA INTERNATIONAL CORPORATION
3rd Floor Matrinco Bldg 2178 Chino Roces Avenue, Makati City

MEMORANDUM RECEIPT

I hereby acknowledge the receipt of the following uniforms and gadgets issued to me by the company and
held responsible to take care of the issued items, as follows:

Quantity Issued Remarks

Blue - Polo jacket

Gray - Polo Shirt

White - Polo Shirt

Blue - Polo Shirt

Yellow - T-Shirt (FHI)

Blue - T-Shirt (TPI)

Safety Shoes 1 pair size 7

Clean Shoes

Safety Goggles

Safety Helmet

Others, if any :

In the event of loss due to my negligence, I may not be allowed to request for a replacement unless there is
an approved letter signed by the authorized personnel for the re-issuance of the said uniforms and gadgets.

Received By:

Tolentino, Maximo
Signature Over Printed Name

Date :
Cc:201 File NE 2018-003
 FUJI-HAYA INTERNATIONAL CORPORATION
3rd Floor Matrinco Bldg 2178 Chino Roces Avenue, Makati City

MEMORANDUM RECEIPT

I hereby acknowledge the receipt of the following uniforms and gadgets issued to me by the company and
held responsible to take care of the issued items, as follows:

Quantity Issued Remarks

Blue - Polo jacket

Gray - Polo Shirt

White - Polo Shirt

Blue - Polo Shirt

Yellow - T-Shirt (FHI)

Blue - T-Shirt (TPI)

Safety Shoes 1 pair size 12

Clean Shoes

Safety Goggles

Safety Helmet

Others, if any :

In the event of loss due to my negligence, I may not be allowed to request for a replacement unless there is
an approved letter signed by the authorized personnel for the re-issuance of the said uniforms and gadgets.

Received By:

Tolentino, Elmer D.
Signature Over Printed Name

Date :
Cc:201 File NE 2018-004
 FUJI-HAYA INTERNATIONAL CORPORATION
3rd Floor Matrinco Bldg 2178 Chino Roces Avenue, Makati City

MEMORANDUM RECEIPT

I hereby acknowledge the receipt of the following uniforms and gadgets issued to me by the company and
held responsible to take care of the issued items, as follows:

Quantity Issued Remarks

Blue - Polo jacket

Gray - Polo Shirt

White - Polo Shirt

Blue - Polo Shirt

Yellow - T-Shirt (FHI)

Blue - T-Shirt (TPI)

Safety Shoes 1 pair size 7

Clean Shoes

Safety Goggles

Safety Helmet

Others, if any :

In the event of loss due to my negligence, I may not be allowed to request for a replacement unless there is
an approved letter signed by the authorized personnel for the re-issuance of the said uniforms and gadgets.

Received By:

Manalaotao, Zoilo M.
Signature Over Printed Name

Date :
Cc:201 File NE 2018-005
 FUJI-HAYA INTERNATIONAL CORPORATION
3rd Floor Matrinco Bldg 2178 Chino Roces Avenue, Makati City

MEMORANDUM RECEIPT

I hereby acknowledge the receipt of the following uniforms and gadgets issued to me by the company and
held responsible to take care of the issued items, as follows:

Quantity Issued Remarks

Blue - Polo jacket

Gray - Polo Shirt

White - Polo Shirt

Blue - Polo Shirt

Yellow - T-Shirt (FHI)

Blue - T-Shirt (TPI)

Safety Shoes 1 pair size 9

Clean Shoes

Safety Goggles

Safety Helmet

Others, if any :

In the event of loss due to my negligence, I may not be allowed to request for a replacement unless there is
an approved letter signed by the authorized personnel for the re-issuance of the said uniforms and gadgets.

Received By:

Esmana, Vergil A.
Signature Over Printed Name

Date :
Cc:201 File NE 2018-006
 FUJI-HAYA INTERNATIONAL CORPORATION
3rd Floor Matrinco Bldg 2178 Chino Roces Avenue, Makati City

MEMORANDUM RECEIPT

I hereby acknowledge the receipt of the following uniforms and gadgets issued to me by the company and
held responsible to take care of the issued items, as follows:

Quantity Issued Remarks

Blue - Polo jacket

Gray - Polo Shirt

White - Polo Shirt

Blue - Polo Shirt

Yellow - T-Shirt (FHI) 3 pcs

Blue - T-Shirt (TPI)

Safety Shoes

Clean Shoes

Safety Goggles

Safety Helmet

Others, if any :

In the event of loss due to my negligence, I may not be allowed to request for a replacement unless there is
an approved letter signed by the authorized personnel for the re-issuance of the said uniforms and gadgets.

Received By:

Eugenestor A. Bagalanon
Signature Over Printed Name

Date :
Cc:201 File NE 2018-007
 FUJI-HAYA INTERNATIONAL CORPORATION
3rd Floor Matrinco Bldg 2178 Chino Roces Avenue, Makati City

MEMORANDUM RECEIPT

I hereby acknowledge the receipt of the following uniforms and gadgets issued to me by the company and
held responsible to take care of the issued items, as follows:

Quantity Issued Remarks

Blue - Polo jacket

Gray - Polo Shirt

White - Polo Shirt

Blue - Polo Shirt

Yellow - T-Shirt (FHI) 3 pcs

Blue - T-Shirt (TPI)

Safety Shoes

Clean Shoes

Safety Goggles

Safety Helmet

Others, if any :

In the event of loss due to my negligence, I may not be allowed to request for a replacement unless there is
an approved letter signed by the authorized personnel for the re-issuance of the said uniforms and gadgets.

Received By:

Nicolas A. Gomez
Signature Over Printed Name

Date :
Cc:201 File NE 2018-008
 FUJI-HAYA INTERNATIONAL CORPORATION
3rd Floor Matrinco Bldg 2178 Chino Roces Avenue, Makati City

MEMORANDUM RECEIPT

I hereby acknowledge the receipt of the following uniforms and gadgets issued to me by the company and
held responsible to take care of the issued items, as follows:

Quantity Issued Remarks

Blue - Polo jacket

Gray - Polo Shirt

White - Polo Shirt

Blue - Polo Shirt

Yellow - T-Shirt (Long Sleeves) 3 pcs

Blue - T-Shirt (TPI)

Safety Shoes 1 pc Size 10

Clean Shoes

Safety Goggles

Safety Helmet

Others, if any :

In the event of loss due to my negligence, I may not be allowed to request for a replacement unless there is
an approved letter signed by the authorized personnel for the re-issuance of the said uniforms and gadgets.

Received By:

Signature Over Printed Name

Date : 10-May-18
Cc:201 File NE 2018-034
0
 PERSONALPROTECTIVE EQUIPMENT ISSUANCE FORM

Name of Worker:

Designation:

Date Hired/ Started:

Project Assignment:

Conditions:

1. Yellow Shirt Long Sleeve & Safety Goggles - Free of charge after (3) months from the date of
issuance. Salary deduction if not completed the three (3) months period. Cost as follows: Yellow
Shirt = Php 200.00, Safety Googles = Php 50.00

2. Safety Helmet, Safety Shoes & Safety Vest - Free of charge after six (6) months from the date of
issuance. Must surrender after finish contract or replace same item. In the absence of both, cost
of each items less the number of months usage will be deducted on final pay as folows: Safety
Helmet = Php 700.00, Satefy Shoes = Php 1,000.00, Safety Vest = Php 150.00. In case of lost or
damage, salary deduction applies under the same cost as stated.
 from the date of
t as follows: Yellow

nths from the date of

sence of both, cost
as folows: Safety
In case of lost or