Republic of the Philippines

Department of Education
REGION VIII - EASTERN VISAYAS
SCHOOLS DIVISION OF LEYTE
DULAG NATIONAL HIGH SCHOOL
DULAG, LEYTE

ACTIVITY REQUEST
Key Result Area:
Title of Activity:

Rationale/Background:

Activity Code: Fund Source:

Area of Installation: Date of Implementation:

Objectives: Outputs:

Total Budgetary Requirements:

Certified: Annexes Complete and within the

Approved Program per AIP/APP
Prepared by:

RUBEN O. MAGOS, MPRM

Proponent Administrative Officer I/Supply Officer I

Approved: Certified: Availability of Allotment

FLORA M. PICA, DM LINAMOR S. RAPADA

School Principal II Senior Bookkeeper

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - To be accomplished by Property and Supply Office- - - - - - - - - - - - - - - - -

Annexes:
 Activity/Training Design/Program of Activities
 List of Participants (If Applicable)
 *Purchase Request with Specifications and terms and conditions
 Detailed Financial Requirements

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