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Republic of the Philippines

QUIRINO STATE UNIVERSITY


Diffun, 3401, Quirino
Tel No. 0998 982 2400 email: quirinostateuniversity@yahoo.com.ph

Project: ____________________________ Cost: _________________________


Location: ___________________________ Fund Source/s: _________________

Implementing Agency/ies: _____________________________________________________________


Development Partner/s: _______________________________________________________________
Contractor / Supplier: _________________________________________________________________
Brief Description of Project: ____________________________________________________________

Project Details:

PROJECT DATE PROJECT STATUS


TARGET PERCENTAGE
COST
DATE OF OF AS OF DATE REMARKS
DURATION STARTED INCURRED
COMPLETIO COMPLETIO (DATE) COMPLETED
TO DATE
N N

For particulars of complaints about this project, please contact the Regional Office or Cluster which has
audit jurisdiction on this project:

COA Regional Office No./Cluster: _________________________________


Address: _____________________________________________________
Contact No.: _________________ or Text COA Citizen’s Desk at 0915-5391957

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