3rd Floor Carolina Mall tagaytay sta rosa road Silang cavite
ACCOUNTABILITY FORM
I acknowledge to have received from IT Department and HR the following properties which I am
accountable.
QTY UNIT NAME AND DESCRIPTION
1 1 (2nd Hand) Plantronics Headset
ACKNOWLEDGEMENT This is to acknowledge that I am accountable for the above items. I understand
that I will pay ( ₱ 2375 ) or replace the same unit in case of loss or damage due to my fault or negligence. If
replacement is not given or paid, I hereby authorize the IT department to deduct equivalent amount of the
item/s from my salary.
In case of resignation, seperation or transfer, I will turnover these items before issuance of my clearance.
Issued this __ of _January 2023_
Issued by: Noted by:
John Albert Raquid __
Signature Over Printed Name Signature Over Printed Name
Received by:
Signature Over Printed Name
2F Building 8, Embarcadero de Legazpi, Victory Village, Legazpi City, Albay Philippines 4500
ACCOUNTABILITY FORM
I acknowledge to have received from IT Department and HR the following properties which I am
accountable.
QTY UNIT NAME AND DESCRIPTION
1 1 Laptop - Lenovo Ideapad 5 Pro
SN: YX02LDY9
1 1 Lenovo Laptop Charger 8SSA10E75866C2TJ16K02TW
1 1 Lenovo Laptop bag
1 1 A4tech mouse SL2101004278
1 1 USB Ethernet connector
ACKNOWLEDGEMENT This is to acknowledge that I am accountable for the above items. I understand
that I will pay ( ₱ 64,995.00 ) or replace the same unit in case of loss or damage due to my fault or
negligence. If replacement is not given or paid, I hereby authorize the IT department to deduct equivalent
amount of the item/s from my salary.
In case of resignation, seperation or transfer, I will turnover these items before issuance of my clearance.
Issued this __ of ________
Issued by: Noted by:
Jonas Ben Go __ Ofelia Magsino
Signature Over Printed Name Signature Over Printed Name
Date: ______________ Date: ____________
Received by:
________________________
Signature Over Printed Name
Date: _____________
2F Building 8, Embarcadero de Legazpi, Victory Village, Legazpi City, Albay Philippines 4500
ACCOUNTABILITY FORM
I acknowledge to have received from IT Department and HR the following properties which I am
accountable.
QTY UNIT NAME AND DESCRIPTION
1 1 Laptop - Lenovo Ideapad 5 Pro
SN: YX02LE3N
1 1 Lenovo Laptop Charger 8SSA10E75866C2TJ16K0E84
1 1 Lenovo Laptop bag
1 1 A4tech mouse SL2101004253
1 1 USB Ethernet connector
ACKNOWLEDGEMENT This is to acknowledge that I am accountable for the above items. I understand
that I will pay ( ₱ 64,995.00 ) or replace the same unit in case of loss or damage due to my fault or
negligence. If replacement is not given or paid, I hereby authorize the IT department to deduct equivalent
amount of the item/s from my salary.
In case of resignation, seperation or transfer, I will turnover these items before issuance of my clearance.
Issued this __ of ________
Issued by: Noted by:
Jonas Ben Go __ Ofelia Magsino
Signature Over Printed Name Signature Over Printed Name
Date: ______________ Date: ____________
Received by:
______________________
Signature Over Printed Name
Date: _____________
