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Republic of the Philippines

Department of Education

Region III – Central Luzon

SCHOOLS DIVISION OFFICE OF PAMPANGA

High School Blvd. Brgy. Lourdes, City of San Fernando

DISTRICT INSPECTORATE TEAM MONITORING FORM

School: ______________________________________________ Date of Inspection: __________________

Purchase Order No./Date:__________________ Actual Deliveries/Purchases


Descriptions/Specifications Quantities
Remarks (Indicate Remarks (Indicate
Descriptions/Specifications Quantities
☑ Complied non-compliance) ☑ Complied non-compliance)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

CERTIFICATION

This is to certify that the above-indicated purchases/deliveries were inspected by the District Inspectorate
Team and based on the physical counts (specifications and quantities), the items were true and correct.

_________________________________________
Faculty President
__________________________________________
Cluster Chairman
__________________________________________
Public Schools District Supervisor

Conformed: _____________________
BAC Chairman

_____________________
School Property Custodian

_____________________
School Head

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