Republic of the Philippines

Department of Education
MIMAROPA REGION
DIVISION OF PUERTO PRINCESA CITY
_____________________________________________________________________________________
Office of the School Principal

TABLET/LAPTOP BORROWER’S FORM

Name of Borrower: ____________________________________________________________________
(First Name) (M.I.) (Last Name)

Position/Designation: _____________________

Date Borrowed: _________________________ Date to be Returned: _____________________

(mm/dd/yyyy) (mm/dd/yyyy)

Device Description / Specifications (batch no., serial number, OS, capacity (HDD and RAM), brand model
and color):
_______________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________________________________________________
_____________________________________________________________________________________

I will return the device/s in good condition to the property custodian and accept full financial
liability for the equipment while it is in my possession.

________________________________
(Signature over printed name)

Prepared by:

________________________________
Property Custodian

Checked and verified by:

________________________________ _______________________________
ICT Coordinator E-Classroom in-Charge

Approved by:

________________________________, Date: ______________

School Head

*School info(footer)*
 Republic of the Philippines
Department of Education
MIMAROPA REGION
DIVISION OF PUERTO PRINCESA CITY
_____________________________________________________________________________________
Office of the School Principal

TABLET/LAPTOP RETURN SLIP

Name of Borrower: ____________________________________________________________________
(First Name) (M.I.) (Last Name)
Position/Designation: _____________________

Address:_____________________________________________________________________________

Date Borrowed: _________________________ Date Returned: _____________________

(mm/dd/yyyy) (mm/dd/yyyy)

Remarks (property custodian):

_______________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________________________________________________

______________________________________
(Signature over printed name of Borrower)

Checked and verified by:

________________________________ _______________________________
School Property Custodian School ICT Coordinator

Noted by:

________________________________
School Head

*please attach the borrower’s form

*School info(footer)*