REPORT ON THE PHYSICAL COUNT OF PROPERTY, PLANT AND EQUIPMENT

________________________________
(Type of Property, Plant and Equipment)
As at ________________________________

Fund Cluster : ________________________________

For which ___(Name of Accountable Officer)__, _ (Official Designation)___, _______(Entity Name)________ is accountable, having assumed such accountability on _(Date of Assumption).

QUANTITY QUANTITY
PROPERTY UNIT OF UNIT SHORTAGE/OVERAGE
ARTICLE DESCRIPTION REMAKS
NUMBER MEASURE VALUE per per
PROPERTY CARD PHYSICAL COUNT Quantity Value

Certified Correct by: Approved by: Verified by:

_______________________________
Signature over Printed Name of Signature over Printed Name of Head of Signature over Printed Name of COA
Inventory Committee Chair and Agency/Entity or Authorized Representative Representative
Members