St.

Dominic College of Asia

MASTERLIST OF FORMS

Area: PROPERTY MANAGEMENT OFFICE

FORM NAME FORM NO.

F-PMO-100
MATERIAL REQUISITION SLIP F-PMO-101
GATE PASS F-PMO-102
CONSIGNMENT/ NON-CASH GIFT FORM F-PMO-103
ACCOUNTABILITY FORM F-PMO-104
REPORT OF TRANSFER FORM F-PMO-105
PROPERTY LOAN AGREEMENT AND RECEIPT FORM F-PMO-106
DISPOSAL ORDER FORM F-PMO-107

F-PMO-200
PHOTOCOPY/RISO REQUEST FORM F-PMO-201

Prepared By: ROLINO F. ANTONIO JR.

HEAD, PROPERTY MANAGEMENT OFFICE
College of Asia
ST OF FORMS

REVISION DATE
INITIAL ISSUE DATE
1 2 3 4 5

01-06-14
01-06-14
01-06-14
01-06-14
01-06-14
01-06-14
01-06-14

01-06-14

Approved By: MARIANO L. CHING

FINANCE DIRECTOR
 ST. DOMINIC COLLEGE OF ASIA
E. Aguinaldo Highway, Talaba, Bacoor, Cavite

MATERIAL REQUISITION SLIP

TO CENTRAL SUPPLY: Material Requisition Slip # _________________

Please furnish the following supplies for the use of
__________________________________ (Department) Date __________________________________

QTY UNIT ITEMS/ DESCRIPTION REMARKS

________ ________ ________________________________________ ______________________

________ ________ ________________________________________ ______________________
________ ________ ________________________________________ ______________________
________ ________ ________________________________________ ______________________
________ ________ ________________________________________ ______________________
________ ________ ________________________________________ ______________________
________ ________ ________________________________________ ______________________
________ ________ ________________________________________ ______________________
________ ________ ________________________________________ ______________________
________ ________ ________________________________________ ______________________
________ ________ ________________________________________ ______________________
________ ________ ________________________________________ ______________________
________ ________ ________________________________________ ______________________

Requisitioned by: Verified by:

_____________________________ _____________________________
Department Head Budget

F-PMO-101 (01-06-14)
 St. Dominic College of Asia
E. AGUINALDO HIGHWAY, TALABA IV, BACOOR, CAVITE

GATE PASS
Department/Company :
Date :

SERIAL#/PROP TAG # ITEM/DESCRIPTION QTY UNIT

Issued By: Checked By: Receive By:

Property Mgt Office Guard on duty /date Signature over Printed Na

1st Copy PMO 2nd Copy GUARD ON DUTY 3rdCopy RECEIV
F-PMO-102 (01-06-14)
 REMARKS

ature over Printed Name/Date

GUARD ON DUTY 3rdCopy RECEIVING DEPT/COMPANY.
 Consignment / Non-Cash Gift Form

Please check one: Gift (complete Section I Only) or Loan (Complete Section I and II)

SECTION I

Department_______________________________ Department Unit Code ______________ Department Contact __________________

Owner or Donor __________________________ Company Contact_____________________________________________________
Address__________________________________________________________________________________________________
Date Received on Campus __________ Where goods or services provided by SDCA in exchange for the gift? Yes
If yes describe: _______________________________________________________________________________________________
Description (If Equipment include model and serial number) ______________________________________________________________
_____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Purpose or use ______________________________________________________________________________________________
Estimated Value_________________________ If gift, supporting documentation or independent appraisal must be attached.
Date: _______________ Received : __________________________________________________________________
Department Custodian

Date: _______________ Approval : __________________________________________________________________

Property Officer
_________________________________________________________________________________________________________
SECTION II Complete for loans only

Period of Loan: From ________________________________ To ___________________________________

What is Department responsibility in case of damage loss, fire, or theft? ________________________________
________________________________________________________________________________________
Is Department responsible for repairs due to wear, etc? _____________________________________________
________________________________________________________________________________________
• When the loaned item is returned to the company, notify Property in writing.
• If the loaned item is purchased by SDCA inform Property Office of purchase order number.
• If the loan becomes a gift to SDCA completet a new consignment / Non-cash Gift Form.

FOR OFFICIAL USE ONLY

Processed by Property Office ______________________________
Audited by ______________________________
Property Code Number ______________________________

Routing:
Property
Audit
Acccounting
Department

F-PMO-103 (01-06-14)
______
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No
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____
__
_

__

_____
_

______
______
______
 ACCOUNTABILITY FORM

NAME: ____________________________________________________ DATE: _______________________

TRUCK NUMBER: _____________________________________________

ITEM DESCRIPTION QTY. REFERENCE VENDOR DATE PURCHASE DATE RECEIVED BY REMARKS /
PURCHASED COST RETURNED CONDITION

Received item(s) above to be under my accountability and agree to pay the cost of replacement due to lost or damage
because of my negligence.

Issued by: _________________________ Received by: ________________________________

PROPERTY MGT OFFICER EMPLOYEE SINATURE

F-LIM-101
___

REMARKS /
CONDITION
 PR O PE RTY C O NTR O L S E CTI O N
REPORT OF TRANSFER
(To be used in transfer of equipment between department/building)
The transferring Department is responsible for initiating form.
FROM: TO:
Company Name : __________________________ Company Name : __________________________
Code No. : __________________________ Code No. : __________________________
Department Name : __________________________ Department Name : __________________________
Code No. : __________________________ Code No. : __________________________

The following items of equipment have been permanently transferred as indicated:

PROPERTY CODE
VALUE FROM INVENTORY RECORDS
DESCRIPTION OF ITEM NUMBER DATE AQUIRED

ALL Computer equipment must have all licensed software including the operating system and sensitive data
removed to prior pick-up for supplies.
TRASNFERRING DEPARTMENT: RECEIVING DEPARTMENT:
Department : __________________________ Department : __________________________

by (Signature) : __________________________ by (Signature) : __________________________

Date : __________________________ Date : __________________________

____________________________________
Dean/Department Head (Signature)
Approved

NOTE: Fill in all columns by obtaining identification from your inventory records. Form must be signed by transferring and receiving
Department and approved by Dean or Department Head.

INITIATING OFFICE will retain a copy, and the Dean or Department Head will retain a copy.
INITIATING OFFICE will forward the original copy to the Property Office.
INITIATING OFFICE will acknowledge receipt (if in order), and forward the original copy to the Property Office.
F-PMO-105 (01-06-14)
_____
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_____

VENTORY RECORDS

ve data

_____

_____
_____

ceiving
 ST. DOMINIC COLLEGE OF ASIA
SDCA PLAR No.: _________________
PROPERTY LOAN AGREEMENT AND RECEIPT FORM
TO: FROM:

SIGNATURE OF AUTHORIZED OFFICAL

TITLE DATE

NAME AND ADDRESS OF BORROWER SHIPPING ADDRESS (If different from borrower)

DATE TO BE LOAN DATE TO BE RETURNED

EQUIPMENT TO BE LOANED
QUANTITY DESCRIPTION COST CONDITION

*N = NEW G = GOOD F = FAIR S = SCRAP*

PURPOSE OF LOAN

CONDITION OF LOAN
1 The borrower of the above equipment agrees to return same in like condition as received from SDCA Property Office, normal wear, and tear
accepted, on or before the above return date, unless the loan period is formally extended.
2 In case of loss or damage beyond repair the SDCA shall be reimbursed at the current price of replacement.
3 The equipment shall not be loaned or transferred to a third party without the written consent of the SDCA Property Office.
4 The borrower shall account for the equipment whenever requested.
5 The right is reserved to cancel the loan or recall the equipment upon __________ days notice.
6 Other Condition.

(Note: A Report of Change is Location of Equipment Form should be processed on all loans in excess of 60 days duration)
RECEIVED
APPROVED
(Please complete the information below and return original to the Property Office shown below)
LOANING ORGANIZATION BORROWING ORGANIZATION

SIGNATURE OF AUTHORIZED OFFICAL SIGNATURE OF AUTHORIZED OFFICAL

TITLE TITLE

DATE APPROVED DATE RECEIVED

F-PMO-106 (01-06-14)
 PR O PE RTY C O NTR O L S E CTI O N
DISPOSAL ORDER FORM
Item Qty. Unit Description Property Code Condition Code
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Condition Code: 1 =Excellent; 4 = Usable, 7 = Repairable; X = Salvage; S = Scrap
Disposal Type: Note:
Item No.: IF RECOMMENDATION IS TO SELL
For conversion to other uses Highes Bid : ___________________________
For Donation ___________________________
For sale to other parties ___________________________
Others (Pls. specify below) Note: Please attached Quotation from Bidders
_______________________________
_______________________________ ___________________________________
Person / Firm
Remarks: (Reasons for Disposal)

Prepared / Attested by: Review/Evaluated by: Audited by: Approved by:

Name/Signature/Date Name/Signature/Date Name/Signature/Date Name/Signature/Date

1st copy- Property Office 2nd copy - Accounting 3rd copy - Auditor
F-PMO-107 (01-06-14)
 Condition Code

S TO SELL
_________
_________
_________
om Bidders

_________

Approved by:

Name/Signature/Date

3rd copy - Auditor

 PHOTOCOPY/RISO REQUEST FORM PHOTOCOPY/RISO REQUEST FORM
Control no. Control no.
CHARGED TO DEPARTMENT: CHARGED TO DEPARTMENT:
Date requested: Date/Time needed: Date requested: Date/Time needed:

photocopy riso photocopy riso

Paper Size Manner of printing No. of pages No. of copies Paper Size Manner of printing No. of pages No. of copies
ITEMS/ DESCRIPTION/SUBJECT ITEMS/ DESCRIPTION/SUBJECT
short/long/A4 single/back to back (original) per page short/long/A4 single/back to back (original) per page

Remarks: Remarks:

INCOMPLETE DATA WILL NOT BE PROCESSED. INCOMPLETE DATA WILL NOT BE PROCESSED.

Requested by: Noted by: Checked by: Requested by: Noted by: Checked by:

___________________ ___________________ ___________________ ___________________ ___________________ ___________________

DEPARTMENT HEAD PROPERTY & SUPPLIES OFFICER DEPARTMENT HEAD PROPERTY & SUPPLIES OFFICER

F-PMO-201 (01-06-14) F-PMO-201 (01-06-14)

System Generated
System Generated