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CLARK COLLEGE OF SCIENCE & TECHNOLOGY

Dau, Mabalacat, Pampanga

INCIDENT REPORTING 2018-2019

REF No. A – Property P0120 -0 -00


B – General G0120 -0 -00

1. What is the subject?

2. When it happened?

3. When it was reported?

4. Who are the involved?

5. Who did the reporting?

6. Location of incident

NARRATION OF WHAT HAPPENED

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ACTION TAKEN:

1. Point of Contact:

2. Immediate Head

3. Human Resource

4. Administrator:

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