Republic of the Philippines

Department of the Interior and Local Government

Regional Office No. IX

OFFICE PROJECT DEVELOPMENT SERVICES

CONFIRMATION OF PARTICIPATION
(To be accomplished by each agency/institution/organization)

LGU/DEPARTMENT: ________________________________________________________
TELEPHONE/FAX: ________________________________________________________

This is to acknowledge receipt of your letter and to confirm our participation/non-participation

in the Orientation on Policy Guidelines in Monitoring and Evaluation of Locally-Funded
Projects under FY 2019 Assistance to Municipalities (AM), Salintubig, and FY 2020
Programs on November 28, 2019 at Four Queens Resort, Pagadian City.

Please check the appropriate box marking the participation/non-participation of attendants

from your LGU.

/ Attending

[Note: By checking this box, you are certifying that the participants listed below are fit and
able to travel and attend the activity.]

POSITION/
NAME OF ATTENDING DEPARTMENT CONTACT NO. SEX
PARTICIPANT UNIT
1 VICENTE P. CAJETA Municipal Mayor Male
2 ENGR. ADRIANO L. ALCAZARIN Municipal Male
Engineer
3 EMELIA L. LONZAGA MPDC Female
4 RANULFO T. SALIOT
5

“Matino, Mahusay at Maaasahan”

A.T.D. Bldg., F.S. Pajares Avenue, San Jose District, Pagadian City
(062) 925 0258 (062) 925 0283 (062) 925 0252
www.region9.dilg.gov.phdilg_region9@yahoo.com