Professional Documents
Culture Documents
4 NSBI Forms 2016 - Final 11262016
4 NSBI Forms 2016 - Final 11262016
IV-A CALABARZON
QUEZON
School ID :
School Name :
108680
DON SEVERO FELISMINO ELEMENTARY SCHOOL
Building/
Structure
Number1
Building/Structure Type2
Fund Source/s 3
Specific Fund
Source/s4
Building/Structure
Condition 5
Number of
Storeys6
Number of Rooms
by Design/Intent7
Col. 1
Col. 2
Col. 3
Col. 4
Col. 5
Col. 6
Col. 7
Year Completed8
(if not provided,
refer to building
type)
Classification of
Building/Structure9
Col. 8
Col. 9
Building/Structure
Dimension
(in Meters)10
Width
Length
Col. 10
Col. 11
PRE-FAB
DEPED
GOOD
1970 PERMANENT
8M
18 M
LGU
GOOD
1995 PERMANENT
9M
7M
MULTI-PURPOSE COURT
LGU
GOOD
2000 PERMANENT
11 M
25 M
DEPED FUND
GOOD
2013 PERMANENT
8M
10 M
DEPED FUND
1975 PERMANENT
7M
18M
COMFORT ROOM
LGU
2000 PERMANENT
2.79 M
5.5 M
PRE-FAB
DEPED FUND
GOOD
1995 PERMANENT
8M
12 M
DEPED FUND
GOOD
1994 PERMANENT
8M
12 M
DEPED FUND
GOOD
2000 PERMANENT
8M
12M
GOOD
1970 PERMANENT
8M
19M
GOOD
2014 PERMANENT
4.51 M
4.17 M
MOOE
FOREIGN FUND
10
PRE-FAB
COMFORT ROOM
DPWH
11
Prepared by:
JENETTE B. AGOJO
School Property Custodian/
School Engineering Facilities Coordinator
Validated by:
Department of Education
School Building Inventory Form
(as of December 31, 2016)
Region :
Division :
IV-A CALABARZON
QUEZON
School ID :
108680
School Name : DON SEVERO FELISMINO ELEMENTARY SCHOOL
Room Number11
Room Condition12
Number of
Concurrent
Usages14
Actual Usage/s15
Col. 1
Col. 2
Col. 3
Col. 4
Col. 5
Col. 6
Room Dimension
(in Meters)16
Width
Length
Col. 7
Col. 8
GOOD
NO
3 INSTRUCTIONAL
6M
8M
GOOD
NO
1 NON-INSTRUCTIONAL
7M
9M
11M
25M
GOOD
NO
1 INSTRUCTIONAL
10M
8M
NO
3 INSTRUCTIONAL
7M
7M
NO
2M
2M
GOOD
NO
2 INSTRUCTIONAL
6M
8M
GOOD
NO
2 INSTRUCTIONAL
6M
8M
GOOD
NO
6 INSTRUCTIONAL
8M
8M
10
GOOD
NO
3 INSTRUCTIONAL
6M
8M
11
GOOD
NO
3 INSTRUCTIONAL
1.5M
4M
NO
Prepared by:
JENETTE B. AGOJO
School Property Custodian/
School Engineering Facilities Coordinator
Validated by:
Department of Education
School Building Inventory Form
(as of December 31, 2016)
Region :
Division :
School ID :
School Name :
Building/
Structure
Number1
Male
Female
PWD
Col. 1
Col. 2
Col. 3
10
11
Prepared by:
JENETTE B. AGOJO
School Property Custodian/
School Engineering Facilities Coordinator
Number of Faucets23
Shared
Number of
Non-Functional
Toilet Bowls18
Number of
Sink/
Washbasin19
Number of
Urinals20
Number of
Urinal
Trough21
With
Septic Tank22
(Yes/No)
Col. 4
Col. 5
Col. 6
Col. 7
Col. 8
Col. 9
Col. 10
Col. 11
Col. 12
YES
YES
NO
YES
YES
YES
YES
YES
YES
With
Without Water
Water Supply
Supply
0 YES
0 YES
Validated by:
Department of Education
School Building Inventory Form
(as of December 31, 2016)
Region :
Division :
IV-A CALABARZON
QUEZON
School ID :
108680
School Name :
DON SEVERO FELISMINO ELEMENTARY SCHOOL
Kinder
Modular
Table24
Kinder
Chair25
Arm
Chair26
School
Desk27
Science
Laboratory
Table28
Science
Laboratory
Stool29
Workshop
Table30
Monobloc
Chair31
Monobloc
Stool32
Classroom
Table33
Classroom
Chair34
Behavioral
Chair35
Teacher's
Table36
Teacher's
Chair37
Col. 1
Col. 2
Col. 3
Col. 4
Col. 5
Col. 6
Col. 7
Col. 8
Col. 9
Col. 10
Col. 11
Col. 12
Col. 13
Col. 14
Col. 15
1
2
0
0
0
0
0
0
22
0
0
0
22
11
39
15
21
16
32
30
19
38
40
10
63
11
Prepared by:
JENETTE B. AGOJO
School Property Custodian/
School Engineering Facilities Coordinator
Validated by:
Department of Education
School Building Inventory Form
(as of December 31, 2016)
Present in Campus?
(Yes/No)
Other Facilities/Amenities
Col. 1
Col. 2
Concrete Quadrangle
Yes
Entrance Gate
Yes
No
Perimeter Fence
Yes
No
Playground
Yes
No
School Garden
Yes
No
Prepared by:
No
Validated by:
MARINA T. CASINAS
School Head
Department of Education
School Building Inventory Form
(as of December 31, 2016)
ANSWERING GUIDE
Building/Structure Number
Building/Structure Type
Start of Implementation
1957
1975
1975
2006
2005
2000
1920
2005
1983
2005
2007
1970
1950
2006
2011
2013
2006
2013
Page 7 of 18
Department of Education
School Building Inventory Form
(as of December 31, 2016)
ANSWERING GUIDE
2013
2013
2013
2013
2013
2013
2013
2013
Food Processing NC II Building
Shielded Metal Arc Welding NC II
Building
2013
Page 8 of 18
Department of Education
School Building Inventory Form
(as of December 31, 2016)
ANSWERING GUIDE
Foreign Funded Building Types
Start of Implementation
1985
1994
2013
2002
2011
1999-2006
1988
Others
Page 9 of 18
Department of Education
School Building Inventory Form
(as of December 31, 2016)
ANSWERING GUIDE
3
Fund Source/s
LGU Funded
Foreign Funded
House of Representative/Senate
Funded
DepEd budget
Alumini
JICA
Worldbank
AusAid
Coca-Cola Philippines
Others
Note: If building has multiple specific fund
source, specify in column 4.
In column 4 specify only for LGU funded,
foreign funded and private sector funded
Page 10 of 18
Department of Education
School Building Inventory Form
(as of December 31, 2016)
ANSWERING GUIDE
Page 11 of 18
Department of Education
School Building Inventory Form
(as of December 31, 2016)
ANSWERING GUIDE
Building/Structure Condition
Good Condition
Page 12 of 18
Department of Education
School Building Inventory Form
(as of December 31, 2016)
ANSWERING GUIDE
Needs Minor Repair
On-going Construction
For Completion
For Condemnation
Condemned/For Demolition
Number of Storeys
Year Completed
Classification of Building/Structure
Permanent
Page 13 of 18
Department of Education
School Building Inventory Form
(as of December 31, 2016)
ANSWERING GUIDE
Semi-Permanent
Makeshift
Page 14 of 18
Department of Education
School Building Inventory Form
(as of December 31, 2016)
ANSWERING GUIDE
10
12
Room Number
Room Condition
Good Condition
14
15
Actual Usage/s
Page 15 of 18
Department of Education
School Building Inventory Form
(as of December 31, 2016)
ANSWERING GUIDE
16
Instructional
Non-Instructional
Combination
18
19
Sink/Washbasin
20
Urinals
21
Urinal Trough
Page 16 of 18
Department of Education
School Building Inventory Form
(as of December 31, 2016)
ANSWERING GUIDE
22
Septic tank
23
Faucets
Page 17 of 18
Department of Education
School Building Inventory Form
(as of December 31, 2016)
ANSWERING GUIDE
25
Kinder Chair
26
Arm Chair
27
School Desk
28
29
30
Workshop Table
31
Monobloc Chair
32
Monobloc Stool
33
Classroom Table
34
Classroom Chair
35
Behavioral Chair
36
Teacher's Table
37
Teacher's Chair
Concrete Quadrangle
Entrance Gate
Perimeter Fence
Playground
School Garden
Page 18 of 18