Appendix 11

OBLIGATION REQUEST AND STATUS Serial No. :

Date :
TESDA REGIONAL TRAINING CENTER I
Entity Name Fund Cluster :

Payee CHARLES JUDD V. GUZMAN

Office REGIONAL TRAINING CENTER I

Address San Fernando City, La Union

UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code

FULL PAYMENT OF HONORARIUM FOR

THE CONDUCT OF TRAINING FOR CSS
TESDA RTC I NC II @ TESDA RTC I, San Fernando 59,055.25
City, La Union For The Period Of 4,724
December 28, 2020 To February 11, 2021

TOTAL 59,055.25
A. B.
Certified: Charges to appropriation/alloment are Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : ______________________________ Signature : ______________________________

Printed Name: JOVENCIO F. PANIDA Printed Name: EVELYN C. RAMOS

Position : Sr., TESD Specialist/Admin. Officer Position : Sr. TESD Specialist/Financial Analyst

Head, Requesting Office/Authorized Representative Head, Budget Division/Unit/Authorized

Representative
Date : Date :

C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ Obligation Payable Payment Due and
Date Particulars Not Yet Due
ADA/TRA No. Demandable
(a) (b) (c) (a-b) (b-c)