REQUIREMENTS CHECKLIST FORM ***KINDLY

COMPLETE ALL
Limitless Konstraq Inc. THE DETAILS
NEEDED!

Name: ________________________________________________________________________
LAST NAME FIRST NAME MIDDLE NAME

Position: __________________ Technician 1 Technician 2

Contact Number: __________________________________________________________________
Email Address: ________________________________________________________________
Civil Status: ________________________

Mandatory Requirements:

SSS ____________________________
Philhealth ___________________________
PagIbig (HDMF) ___________________________
TIN ___________________________
Drug Test ___________________________
Driver's License ___________________________
Certificate of Employment (COE) ___________________________

Other Requirements:
1x1 picture
2x2 picture
Photocopy of 2 valid ID's (with same address, for atm purposes)
NBI
Police Clerance

Details needed for ID;

Name of Contact Person incase of emergency (relative *NAME) __________________________

Contact number (relative) ______________________________________________________
Address ______________________________________________________

SAFETY TRAINING DATE:

START DATE (Day 1):

Remarks:
 PURCHASE
REQUEST
Limitless Konstraq Inc.
284 Paquito Ochoa St. Sto. Cristo, Pulilan Bulacan
0919-079-0977/044-761-0538

Supplier RAM AUTO SUPPLY Date: November 3, 2022

Address TARCAN, BALIWAG BULACAN PO number:
Contact Number

Qty. Description Service No. Amount

1pc pressure plate 10
1pc release disc 10
1pc release bearing 10
1pc pilot bearing 10
1pc sand paper 10
1pc brake cleaner 10
Requested by: Prepared by:

JAYSON PILE IGNACIO, PAMELA IRISH M.

Service Mechanic Bookkeeper
 PURCHASE
REQUEST
Limitless Konstraq Inc.
284 Paquito Ochoa St. Sto. Cristo, Pulilan Bulacan
0919-079-0977

Qty. Description Size Amount

1 Ablaza, John Patrick 42 ₱ 1,200.00
1 Adriano, Laurence 42 ₱ 1,200.00
1 Aramburo, Bryan 42 ₱ 1,200.00
1 Arela, John Carlo 42 ₱ 1,200.00
1 Balmores, Kim Vincent 40 ₱ 1,200.00
1 Bernardo, Randolph 42 ₱ 1,200.00
1 Birosel, Christian 44 ₱ 1,200.00
1 Callangan, Jake 42 ₱ 1,200.00
1 Canlas, Jay Mark 42 ₱ 1,200.00
1 Castillo, Jomari 40 ₱ 1,200.00
1 De Guzman, Joseph 42 ₱ 1,200.00
1 De Guzman, Romil 42 ₱ 1,200.00
1 Del Poso, Jeffrey 45 ₱ 1,200.00
1 Doblada, Marlon 41 ₱ 1,200.00
1 Eztares, Rogel 42 ₱ 1,200.00
1 Francisco, John Michael 42 ₱ 1,200.00
1 Mendoza, Hubert 42 ₱ 1,200.00
1 Mallari, Jollie 40 ₱ 1,200.00
1 Nolasco, Jemar 41 ₱ 1,200.00
1 Pascual, Regie 41 ₱ 1,200.00
1 Perez, Arturo 41 ₱ 1,200.00
1 Pile, Jayson 42 ₱ 1,200.00
1 Quintana, Manuel 40 ₱ 1,200.00
1 Rivera, Jun Jun 43 ₱ 1,200.00
1 Royol, Rey Mark 44 ₱ 1,200.00
1 Salonga, Samuel 42 ₱ 1,200.00
1 Santiago, Rechie 42 ₱ 1,200.00
1 Valendez, Francisco 42 ₱ 1,200.00
1 Zapanta, Adrian 43 ₱ 1,200.00
1 Zapanta, Albert 45 ₱ 1,200.00
Total Amount: ₱ 36,000.00

Requested by: Prepared by: Approved by:

VICTORIANO DUE IGNACIO, PAMELA IRISH M. ROMERO, FELICITO JR.

Safety Officer Bookkeeper Project Manager
 Vehicle Maintenance Record

Date Service No. Repair Description QTY. Unit Price Supplier

Checked by:
 Warranty[if
OR number/Check No. Address Phone Number Labor Cost Material Cost Total Cost
any]

Total Repair Expenses

Approved by:

HRGA Staff
 CLAIM STUB CLAIM STUB

DATE: DATE:
NAME: NAME:
TOOLS: TOOLS:
QUANTITY: QUANTITY:
SERIAL NUMBER: SERIAL NUMBER:
SIGNATURE: SIGNATURE:

APPROVED BY: APPROVED BY:

MITRA, ROANN C. MITRA, ROANN C.

CLAIM STUB CLAIM STUB

DATE: DATE:
NAME: NAME:
TOOLS: TOOLS:
QUANTITY: QUANTITY:
SERIAL NUMBER: SERIAL NUMBER:
SIGNATURE: SIGNATURE:

APPROVED BY: APPROVED BY:

MITRA, ROANN C. MITRA, ROANN C.

CLAIM STUB CLAIM STUB

DATE: DATE:
NAME: NAME:
TOOLS: TOOLS:
QUANTITY: QUANTITY:
SERIAL NUMBER: SERIAL NUMBER:
SIGNATURE: SIGNATURE:

APPROVED BY: APPROVED BY:

MITRA, ROANN C. MITRA, ROANN C.

CLAIM STUB CLAIM STUB

DATE: DATE:
NAME: NAME:
TOOLS: TOOLS:
QUANTITY: QUANTITY:
SERIAL NUMBER: SERIAL NUMBER:
SIGNATURE: SIGNATURE:

APPROVED BY: APPROVED BY:

MITRA, ROANN C. MITRA, ROANN C.
 TOOLS REQUEST FORM

EMPLOYEE NAME:
REQUEST DATE:
TOOLS:

REASON FOR REPLACEMENT:

LAST DATE ISSUED:

Name and Signature of Requestor

Approved by: Released by:

Ronaldo S. Villegas Romero, Felicito Jr. Darwin Mananghaya

Project Supervisor Project Manager Logistics Assistant

TOOLS REQUEST FORM

NAME:
REQUEST DATE:
TOOLS:

REASON FOR REPLACEMENT:

LAST DATE ISSUED:

Name and Signature of Requestor

Approved by: Released by:

Ronaldo S. Villegas Romero, Felicito Jr. Darwin Mananghaya

Operation Supervisor Project Manager Logistics Assitant