UNIVERSITY OF SOUTHERN MINDANAO

Kabacan, Cotabato, Philippines

Office of Student Affairs
STUDENT DEVELOPMENT SERVICES
CAMPUS ORGANIZATION LIQUIDATION REPORT
Name of Organization Type of Organization(student government, Semester
FUTURE ELEMENTARY EDUCATORS’ academic, non-academic, frat/sor, religious, etc.) 1st SEMESTER 2022-2023
SOCIETY ACADEMIC ORGANIZATION

Name of Activity/ Project Duration/ Date of Activity Date of Approval of Activity Permit
N/A by OSA

Budget Allocation Fund Source(as reflected in the budget ordinance/ Resolution Number
resolution)

Liquidation Report
This liquidation report should be submitted to OSA a month after the completion of the activity. Submit digital copies of this report to
osa@usm.edu.ph

Item Nature Payee/ Merchant Amount Date Evidence Remarks

Number (as reflected in Number (OR
the receipt) #, RER #)

We hereby attest to the correctness of this liquidation report.

.
Prepared by: Audited by: Submitted by Noted:

GAUVIN ADLAON HASMIN M. JAPAR MOHALIDIN S. MAMA BAILYN M. MANTAWIL

Name and Signature of Name and Signature of Name and Signature of Name and Signature of
Organization Treasurer Org. Auditor Organization Head Adviser