*put LOGO of ISO CERTIFIED once

certified.
FIELD OFFICE I But you can also put here the document
FO1-GF-0009 | REV 00 / 01 JAN 2020 barcode, if there is.

DRN:

[ TITLE OF ACTIVITY ]
[ Inclusive Date(s) ] | [ Time Scheduled ]
[ Venue ]

SUMMARY OF AGREEMENTS

RESPONSIBLE
AGREEMENTS/ DELIVERABLES DEADLINE
PERSON/OFFICE

Prepared by: Concurred by:

JUANITA DE LA CRUZ JOSE ERNESTO B. GAVIOLA

Administrative Officer V Undersecretary
Office of the Undersecretary, General Administration and Support
General Administration and Support Services Group
Services Group

PAGE 1 of 1
Change the address,
DSWD Central Office, IBP Road, Batasan Pambansa Complex, Constitution Hills, Quezon City, Philippines 1126 website, and phone
Website: http://www.dswd.gov.ph Tel Nos.: (632) 8 931-8101 to 07 Telefax: (632) 8 931-8191
numbers.