Republic of the Philippines

Tel: +63 [034] 4540-388

DEPARTMENT OF EDUCATION +63 [034] 4611-249
Region VI-Western Visayas Fax: +63 [034] 4610-568
DIVISION OF BAGO CITY Official Website: www.depedbago.info
Araneta St., Brgy. Poblacion, Bago City, Negros Occidental, 6101 Email Address: admin@depedbago.info

REQUEST FOR REPAIR OF ICT EQUIPMENT

To: RONIE C. GILLANG JR.

Information Technology Officer I

I would like to request for check -up\repair of ____________________________________

Located at____________________________ and issued to_____________________________
Complaints\Defects
1.________________________________________________________________________________
2.________________________________________________________________________________

Very truly yours,

_______________________
Requisitioning Personnel
Date: __________________

Approved by:

MA. LORLINIE M. ORTILLO, CESO VI

Schools Division Superintendent
___________________________________________________________________________________
PRE- REPAIR INSPECTION REPORT
Item/Description: _____________________________________________________________________
Property Number: __________________Property Accountability Receipt _________________________
Acquisition Cost: ________________ Acquisition Date: _________________________
Nature and scope of last repair if any: ______________________________________________________
____________________________________________________________________________________
Complaints/DEFECTS: ___________________________________________________________________
Parts/Components to be REPAIRED/Replaced:
__________________________________________________________________________________________________
_______________________________________________________
Findings/Observations: ________________________________________________________________

RONIE C. GILLANG JR.

Information Technology Officer I
___________________________________________________________________________________
POST REPAIR INSPECTION REPORT

Job order No.________ Amount: _________ Invoice No.______________ Amount: _____________

FINDINGS/COMMENTS: _______________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

RONIE C. GILLANG JR.

Information Technology Officer I
Property Inspector/ Date_______
ACCEPTANCE:

___________________________________
Requisitioning Personnel (End- User)