Forms Design-PIM

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ASPFORM:PIM-SCH

QUARTERLY REPORT Year 2011

Third Quarter (July-September) Deadline of Submission Otober 5, 2011

School
Complete Address
School ID
District(For Elementary)
Division
Name of School Head/Principal/OIC

Breakdown of Stakeholders' Contribution ( PRIVATE SECTOR)

Infrastructure/Physical Facilities PhP


Learning Support PhP
Health and Nutrition PhP
Reading Program PhP
Technology Support PhP
Direct Assistance PhP
Training and Development PhP
Assistive Learning Device for Students PhP
Pupils with Special Needs
TOTAL PhP

Prepared By Designation
Print Name & Signature
Contact Details
Cel Phone Date Submitted
Landline
E-mail
Supporting Documents to be Submitted to Division and District office:
1. Photocopies of Memorandum of Agreement
2. Photocopies of Deed of Donation
3. Photocopies of Certificate of Acceptance

Send e-copy to [email protected]


*legal size/word format
*FN for Elementary:District-School-ASP 2011 3rd Quarter
*FN for Secondary:-School-ASP 2011 3rd Quarter
ASPFORM:PIM-DIV
QUARTERLY REPORT Year

First Quarter (January-March) Deadline of Submission Every 30th of April of the same year
Second Quarter (April-June) Deadline of Submission Every 31st of July of the same year
Third Quarter (July-September) Deadline of Submission Every 31st of October of the same year
Fourth Quarter ( October-December) Deadline of Submission Every 31st of January of the following year

DIVISION

Complete Address

Region

Infrastructure Learning Health and Reading Technology Direct Training and Real
Support Nutrition Program Support Assistance Development Estate Total
District 1
School A
School B
School C
Total

District 2
School D
School E
School F
Total

District 3
School G
School H
School I
Total

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ASPFORM:PIM-DIV
Infrastructure Learning Health and Reading Technology Direct Training and Real
Support Nutrition Program Support Assistance Development Estate Total
District 4
School J
School K
School L
Total

District 5
School M
School N
School O
Total

District 6
School P
School Q
School R
Total

District 7
School S
School T
School U
Total
GRAND TOTAL

Prepared By Designation
Print Name & Signature
Contact Details
Cel Phone Date
Landline
E-mail

Supporting Documents to be Submitted Regional office:


1. Photocopies of Memorandum of Agreement
2. Photocopies of Deed of Donation
3. Photocopies of Certificate of Acceptance
4. Photocopies of Quarterly Report of Schools(FORM:PIM-SCH)

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ASPFORM:PIM-REG
QUARTERLY REPORT Year

First Quarter (January-March) Deadline of Submission Every 15th of MAY of the same year
Second Quarter (April-June) Deadline of Submission Every 15th of AUGUST of the same year
Third Quarter (July-September) Deadline of Submission Every 15th of NOVEMBER of the same year
Fourth Quarter ( October-December) Deadline of Submission Every 15th of FEBRUARY of the following year

Region
Complete Address
Infrastructure Learning Health and Reading Technology Direct Training and Real
Support Nutrition Program Support Assistance Development Estate Total
Division 1
Division 2
Division 3
Division 4
Division 5
Division 6
Division 7
Division 8
Division 9
Division 10
Division 12

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ASPFORM:PIM-REG
Infrastructure Learning Health and Reading Technology Direct Training and Real
Support Nutrition Program Support Assistance Development Estate Total
Division 13
Division 14
Division 15
Division 16
Division 17
Division 19
Division 20
Division 21
Division 22
Division 23
Division 24
TOTAL

Prepared By Designation
Print Name & Signature
Contact Details
Cel Phone Date
Landline
E-mail

Supporting documents to be submitted Central office:


1. Photocopies of Memorandum of Agreement
2. Photocopies of Deed of Donation
3. Photocopies of Certificate of Acceptance
4. Photocopies of Quarterly Report of Schools (FORM:PIM-SCH)
5. Photocopies of Quarterly Report of Divisions (FORM:PIM-DIV)

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