DOST FORM No.

PROJECT PROPOSAL OUTLINE FOR S&T PROMOTION AND LINKAGES

I. PROJECT PROFILE

A. Title of the Project

B. Proponent (The one in charge to take the lead in project implementation)

C. Project Site (The location of the project)

D. Project Duration ( The length of time in which the specific project activities shall be accomplished)

E. Total Project Cost

1. Amount Requested (amount of DOST assistance)
2. Agency Counterpart (agency's contribution to the project)
3. Others' Counterpart (contribution from other collaborators/agencies)

II. PROJECT PROPOSAL

A. Rationale (Brief background on the project and the significance of the project)

B. Project/Activity Description ( Necessary information on the project such as its nature and
description of the project site and beneficiaries)

C. Objectives (The general and specific objectives of the project)

D. Methodology (Discussion on the major activities of the project which the implementing agency
shall carry out.)

E. Activity Schedule (List of activities to be undertaken with the corresponding time frame e.g.,
Gant Chart)

F. Budget Breakdown (Work and financial plan including details of budget in accordance with NGAS)

G. Project Management (Includes the organization setup by which the project shall be implemented)

H. Monitoring and Evaluation (The monitoring scheme to be done by the project leader to ensure
that project objectives are attained)

III. ATTACHMENTS

A. Proponent's Profile
B. Proponent's SEC Registration (if applicable)
C. Accreditation Certificates (if any)
D. Names of the Members of the Project Team
General Instruction: Submit 6 copies of Project Proposal Outline for S&T Promotion and Linkages

DOST Form No. 1

General Instruction

Submit 6 copies of Project Proposal Outline for S&T Promotion and Linkages
Use separate sheets following the appropriate sequence of items

Operational Definition of Terms

Title of the Project

Proponent - The one in charge to take the lead in project implementation

Project Site - The location of the project

Project Duration - The length of time in which the specific project activities shall be accomplished

Total Project Cost

Amount Requested - amount of DOST assistance

Agency Counterpart - agency's contribution to the project

Rationale - Brief background on the project and the significance of the project

Objectives - The general and specific objectives of the project

Methodology - Discussion on the major activities of the project which the implementing agency shall
carry out.

Activity Schedule - List of activities to be undertaken with the corresponding time frame
(e.g., Gantt Chart)

Budget Breakdown - Work and financial plan including details of budget in accordance with NGAS

Project Management - Includes the organization setup by which the project shall be implemented

Monitoring and Evaluation - The monitoring scheme to be done by the project leader
to ensure that project objectives are attained
 DOST Form No. 1A Rev 0 / 1-02-08
CAPSULE RESEARCH & DEVELOPMENT PROPOSAL
(For the Whole Program)
(To be accomplished by the researcher)
(1) Title/Leader/Gender/Agency/Address/Telephone/Fax/Email

Program Title: Total Duration

Coordinator/ Gender:
Agency/Address:
Telephone/Fax/Email:
Project Title: Duration:
1 _____________________________________ ________________
2 _____________________________________ ________________
. _____________________________________ ________________
n. ____________________________________ ________________
(use separate page if necessary)
(2)Executive Summary (Significance, objectives, expected output, and methodology)

(use separate sheet if necessary)

(3) Budget Summary for the whole program

Total Budget
Source
of Fund PS MOE CO TOTAL
____________ __________________ _________________ _______________ _________________
____________ __________________ _________________ _______________ _________________

Total

Y1 Budget

Source
of Fund PS MOE CO TOTAL
____________ __________________ _________________ _______________ _________________
____________ __________________ _________________ _______________ _________________

Total

Yn Budget
Source
of Fund PS MOE CO TOTAL
____________ __________________ _________________ _______________ _________________
____________ __________________ _________________ _______________ _________________

(4) Submitted by Endorsed by

Signature
Name
Designation/Title:
Date
Note: To be submitted together with the detailed R & D Proposals of the component
projects. See guidelines/definitions at the back
 DOST Form No. 1B
CAPSULE R&D PROJECT PROPOSAL

General Instruction:

A.      Submit 6 copies of capsule R & D proposal for each of the component projects.
B.      Use separate sheets following the appropriate sequence of items.

Operational Definition of Terms

1.       Title -–consists
Program the identification of theor
of interrelated program and the component
complementing projects.
R & D projects on a multi-disciplinary approach to meet established
goals within a specific time frame.

Project – a set of interrelated studies to meet pre-determined objective within a specific time frame.

Leader –the one in charge to take the lead in project implementation.

Agency(ies) – the institution(s) of the coordinator/leader.

2.       Cooperating Agencies – agencies participating in the R & D work.

3.       R & D Station – station or unit where R & D will be actually conducted.
4.       Classification – indicates whether the program/project is research or development.
Basic research is an experimental or theoretical work undertaken primarily to acquire new knowledge of the underlying
foundations of phenomena and observable facts, without any particular or specific application or use in view.
Applied research is an original investigation undertaken in order to acquire new knowledge directed primarily towards a
specific aim or objective.
Developmental research is a systematic work, drawing on existing knowledge gained from research and/or practical
experience that is directed to producing new materials, products or devices, installing new processes, systems and
services and improving
Pilot Testing substantially
is an innovative work tothose already
confirm produced or installed.
and demonstrate the feasibility of actually using a technology; gauging end
user’s reaction to introduction of improved technologies and identifying potential problems related to wider dissemination,
utilization andpromotion/commercialization
Technology adoption so that these can be fed is anback to researchers.
activity involving application of technologies on a commercial scale by
an identified entrepreneur or user primarily to increase his income/profits and productivity; technologies utilized/produced
5.      onMode
a pre-commercial scale including
of Implementation – indicatemarket testing
whether the Rjointly undertaken
& D will with a by
be undertaken client.
one or more than one agency.
6.       Priority Areas/STAND Classification – iIdentify the classification of the R & D proposal in the S & T Agenda for
7.       Sector – indicate whether crops, livestock, forestry, agricultural resources or socio-economics; fisheries or aquatic
National Development.
resources; biotechnical, pharmaceutical, or health services; biotechnology, information technology, material science,
photonics
8. or space
       Discipline technology;
– The industry,
specific field to be energy, utilities
studied (e.g. or infrastructure.
plant breeding, taxonomy).
Nos. 9, 10, 11, 12, 13, 14, 15, 16 constitute the technical description of the R & D proposal. They should be written in
separate sheets. Guidelines are indicated in the form.
14.   Target Beneficiaries – who the clienteles are and what are the expected outcome/effects of the use of the project
outputs
15.   Implementing Schedule – The duration of the project in months including planned start date and expected completion
date.
16.   Estimated Annual Budget – The budget requirement for personal services (PS), maintenance and other operating
expenses (MOOE), capital outlay(CO) for the first of implementation and the total budget requirement by source of fund.
 DOST Form No. 2A
DETAILED R & D PROPOSAL
(For the Whole Program)

General Instruction:

A.      Submit 6 copies of detailed R & D proposal for the whole program together with the detailed proposal of the
component projects.
B.      Use separate sheets following the appropriate sequence of items.

Operational Definition of Terms

1.       Title- The identification of the program and the component projects.

Program- Consists of interrelated or complementing R & D projects on a multi- disciplinary approach to meet
established goals within a specific time frame.

Project- A set of interrelated studies to meet pre-determined objective within a specific time frame.

Coordinator- The overall in-charge of the program.

Leader- The one in charge to take the lead in project implementation.

Agency- The institution(s) of the coordinator/leader.

2.       Executive Summary- Brief overview of the program including the significance, objectives, methodology,
major activities and expected output.

3.       Budget Summary- Personal services (PS), maintenance and other operating expenses (MOE), and
equipment outlay (EO) requirement of the whole program by source for year 1 and
for the whole duration of the program.

Duration- Number of months the program will be implemented.

PS- Total requirement for wages, salaries, honoraria, additional hire and other personnel benefits.

MOE- Total requirement for supplies and materials, travel expenses, communication, and other services.

EO- Total requirement for facilities and equipment needed by the program.

4.       Personal Requirement- Number of full time and part time personnel to be involved in the program.

5.       Equipment- Existing equipment in the agency and equipment to be purchased by the program.

6.       Endorsed by- Authorized representative (e.g. agency head, consortium director) who recommends the
program.
 DOST Form No. 2B
DETAILED R & D PROPOSAL
(For the Component Project)

General Instruction:

A.       Submit 6 copies of detailed R & D proposal for the whole program together with the detailed proposal of the component
projects.
B.       Use separate sheets following the appropriate sequence of items.

Operational Definition of Terms

1.       Title – the identification of the program and the component projects.
Program - consists of interrelated or complementing R & D projects on a multi-disciplinary approach to meet established goals within a
specific time frame.

Project – a set of interrelated studies to meet pre-determined objective within a specific time frame.

Leader –the one in charge to take the lead in project implementation.

Agency(ies) – the institution(s) of the coordinator/leader.

2.       Cooperating Agencies – agencies participating in the R & D work.

3.       R & D Station – station or unit where R & D will be actually conducted.
4.       Site of Implementation – site where the project will be conducted. Indicate municipality, district, province and region.
5.       Classification – indicates whether the program/project is research or development.

Basic research is an experimental or theoretical work undertaken primarily to acquire new knowledge of the underlying foundations of
phenomena and observable facts, without any particular or specific application or use in view.

Applied research is an original investigation undertaken in order to acquire new knowledge directed primarily towards a specific aim or
objective.

Developmental research is a systematic work, drawing on existing knowledge gained from research and/or practical experience that is
directed to producing new materials, products or devices, installing new processes, systems and services and improving substantially
those already produced or installed.

Pilot Testing is an innovative work to confirm and demonstrate the feasibility of actually using a technology; gauging end user’s reaction
to introduction of improved technologies and identifying potential problems related to wider dissemination, utilization and adoption so that
these can be fed back to researchers.

entrepreneur or user primarily to increase his income/profits and productivity; technologies utilized/produced on a pre-commercial scale
including market testing jointly undertaken with a client.

6.       Mode of Implementation – indicate whether the R & D will be undertaken by one or more than one agency.
7.       Sector – indicate whether crops, livestock, forestry, agricultural resources or socio-economics; fisheries or aquatic resources;
biotechnical, pharmaceutical, or health services; biotechnology, information technology, material science, photonics or space technology;
industry, energy, utilities or infrastructure.

8.       Discipline – the specific field to be studied (e.g. plant breeding, taxonomy, communicable and degenerative diseases, drug
formulation, maternal and child health, process, food and feed, metals and engineering, etc.).

Nos. 9, 10, 11, 12, 13, 14, 15, 16 constitute the technical description of the R & D proposal. They should be written in separate sheets.
Guidelines are indicated in the form.

17.    Target Beneficiaries – who the clienteles are and what are the expected outcome/effects of the use of the project outputs

18.    Personnel Requirement – personnel requirement of the project indicating designation and percent time devoted to the project.

19.    Budget Breakdown ­– itemized budgetary requirement per quarter for the first year of implementation and annual budget in the
succeeding years. Form should be accomplished for each source and for total.

20.    Literature Cited – an alphabetical list of reference materials (books, journals and others) reviewed. Use standard system for citation.

Capsule Curriculum Vitae – one-page researcher’s information sheet indicating, among others relevant experiences in R & D activities.
 Rev 0 / 1-02-08

DOST Form No. 2B - 1

Workplan
Program Title:
Project Title:

Total Duration (in months): ____________ Planned Start: Month Year Planned End: Month Year

Y1 Y2 Y3 Y4 Y5
Objectives Expected Output * Activities or Workplan Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

* Quantify if possible, eg. improved yield (quantify/volume/unit area). Compare with existing technologies.
 Rev 0 / 1-02-08

DOST Form No. 2B - 2

Budget Breakdown By Source of Fund (use separate sheet for each source and for total)
Program Title:
Project Title:
Source of Fund Implementing Agency Research & Development Station

Year 1
ITEM 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Total Year 2 Year 3 Year 4 Year 5 Total
I. Personal Services
A. Direct Cost
1. Salaries (Indicate no., designation and rate)
2. Honoraria
Program Coordinator/Leader
Project Leader
B. Indirect Cost a/ (Separate amounts for implementing agency and coordinating agency)
1. Honoraria
Sub-Total
II. Maintenance and
Operating Expenses (Shall be itemized based on NGAS)
A. Direct Cost
1. Travel
2. Supplies & Materials
3. Communications
4. Other MOOE (Please itemize)
B. Indirect Cost a/ (Separate amounts for implementing agency and coordinating agency)
1. Travel
2. Supplies & Materials
3. Communications
Sub-Total
III. Equipment Outlay (Identify equipment item. Use separate sheet for description no. of units of equipment and capital item.)
Sub-Total
Total

This refers to the administrative cost representing 15% of the total project cost (excluding equipment) of which 7.5% goes to the implementing agency and the other 7.5% to the coordinating
agency.
 DOST From No. 2B- 3 Rev 0 / 1-02-08

DEPARTMENT OF SCIENCE AND TECHNOLOGY

Project Line-Item Budget
CY 200__

Period Covered :
Project Title :

Proponent :

Counterpart DOST-GIA
Funding Funding

I. PERSONAL SERVICES
Direct Cost
Salaries P P
Honoraria

Indirect Cost
Total for PS

II. MAINTENANCE AND OTHER OPERATING EXPENSES

Direct Cost
Traveling Expenses P P
Local and Foreign (Please indicate)
Communication Expenses (Shall be itemized based on NGAS)
Postage and Deliveries, Telephone Expenses, Internet Expenses, etc.
Repairs and Maintenance of Facilities (Shall be itemized based on NGAS)
Office Buildings, Office Equipment, Furniture and Fixtures, IT
Equipment and Software, Machineries and Equipment, etc.
Repairs and Maintenance of Vehicles
Transportation and Delivery Expenses
Supplies and Materials Expenses (Shall be itemized based on NGAS)
Office Supplies Expenses, Gasoline, Oil and Lubricants Expenses
Agricultural Supplies Expenses, etc.
Utility Expenses (Please indicate)
Water, Electricity and Cooking Gas Expenses
Training and Scholarship Expenses (Please indicate)
Membership Dues and Contributions to Organizations
Advertising Expenses
Printing and Binding Expenses
Rent Expenses
Representation Expenses (e.g. food for meetings, etc.)
Subscription Expenses
Survey Expenses
Professional Services
Legal Services, Auditing Services, Consultancy Services,
Other Professional Services etc.
Taxes, Insurance Premiums and Other Fees
Other Maintenance and Operating Expenses (Please itemize)

Indirect Cost

Total for MOOE P P

III. Equipment Outlay

Detailed List/ Breakdown of Equipment

Total for EO P P

GRAND TOTAL P P
 Form 2C
Project Proposal Format / Contents
(FOR SET-UP PROGRAM)

Project Title : ( Must already be able to reflect the goal of the project )
Proponent : (Company Name, Contact Person - position, Address, Tel/Fax, No., E-mail)
Project Cost : ( Total project cost including counterpart of the proponent )
Amount Requested : ( DOST counterpart or amount requested from DOST )
Objective/s

Background:
a. Company profile (other information – ownership, registration, type of business, capitalization, year
established, processes, business activity, no. of employees/skills/expertise, etc.)

b. Organizational structure
c.  Production site area / location
d. Products
e. Cost of production
f. Product selling price
g. Production volume
h. Production capacity of the plant/shop
I. Raw materials used
j. Source of raw material

Marketing Aspect:

a. Market Situation (status of the market / demand for products)

b. Current market outlets for the products (local/export)
c. Competitors
d. Existing problems (if any)
e. Market plans / strategies

Technological Aspect:

a. Production process/es
b. Existing equipment
c. Production capability
d. Technical constraints on production line
e. Personnel skills that are handicapped without the technology(ies)
f. Proposed technology and skills upgrading intervention
g. Equipment specifications (rated capacity, power supply, dimensions, drawings),
h. Cost of equipment
I. List of equipment fabricators (if any)
j. Importance of additional equipment and personnel’s training
k. DOST intervention / schedule of activities
l. Expected output / Impact results (measured results)
1.       contribution to the production line / process
2.       additional volume of products
3.       percentage decrease in rejects
4.       percentage increase in productivity
5.       percentage increase in sales
6.       Number of clients added
7.       improved quality / appearance of the product/s
8.       Others (please specify)

Waste Management / Disposal:

a. volume of waste generated monthly

b. kinds of wastes (plastics, paper, metals, chemicals, pollutants, etc.)
c. how they are disposed

Financial Aspects:
a. Financial capacity
b. Financial constraints
c. Cash Flow / Financial Statement
d. Proposed project budget / capital outlay (Line-item-budget)
CHECKLIST OF REQUIREMENTS

•    Full blown proposal

•    Endorsement of the Regional Director with Review and Technical Evaluation Committee (RTEC) Executive Report

•    Proponent’s
letter of interest to avail financial assistance and commitment to payback including their proposed
repayment schedule

•    Copy
of business permits and licenses and financial statements of at least the past three (3) years for the company/
beneficiary

•    Certificate of registration of business name with DTI, SEC or CDA

•    Board
resolution authorizing the borrowing and designating authorized signatories for the financial assistance
(if applicable)

•    Three (3) quotations from suppliers/ fabricators of the equipment to be purchased/fabricated

•    Complete technical design/drawing of the equipment to be purchased/fabricated

 DOST Form No. 3A
Rev 1 / 06/26/08
SEMI-ANNUAL PROGRESS REPORT
for the Period: Yr_______ Semi_______ (from ____________ to ____________)
(To be submitted by the researcher quarterly for project with 1 year duration while semi-annually for multi-year project )

(1) PROGRAM TITLE :

(2) PROJECT TITLE/DURATION :
(3) COORDINATOR/LEADER : (4) AGENCY:
(5) COOPERATING AGENCIES :

TARGET ACTIVITIES FOR (8) PERCENTAGE ACCOMPLISHMENT (9) PROJECT

THE PERIOD (7) ACTUAL ACCOMPLISHMENT FOR THE CUMMULATIVE EXPENDITURES (10) REMARKS
(RELATE TO FORM 2B-1) PERIOD (FROM START) FOR THE PERIOD

I CERTIFY, ON MY HONOR, TO THE CORRECTNESS OF THE ABOVE INFORMATION.

Coordinator/Leader Attested:

_____________________________________________
Date Agency Head or Authorized Representative
 DOST Form No. 3B Rev 0 / 1-02-08
ANNUAL PROGRESS REPORT

Project Year ___________ Period Covered ____________

(To be submitted by the researcher together with DOST Forms No. 4, 5, 6 & 7)
(1) Title/Coordinator/Leader/Gender/Agency/Address/Telephone/Fax/Email

Program Title:
Project Title:
Coordinator/Leader/Gender
Agency/Address Telephone/Fax/Email
(2) Cooperating Agencies (3) Site of Implementation/Municipality/District/
Province/Region

(4) Actual Start Date (5) Expected Completion Date (6) Duration (in Months)

(7) Financial Status Amount Spent

Source of Fund Amt Approved Amt Released Qtr 1 Qtr 2 Qtr 3 Qtr 4
_____________ _____________ _____________
_____________ _____________ _____________
_____________ _____________ _____________
Total
(8) Accomplishments
Target Activity Actual Accomplishment % Accomplishment Remarks
Q1
Q2
Q3
Q4
(9) Brief Summary of Findings (Use separate sheet)

(10) Brief Description of the Research & Development Breakthrough (if any)(Use separate sheet)

(11) Plans for the Succeeding Year Qtr 1 Qtr 2 Qtr 3 Qtr 4
Activity

(12) Proposed budget for the Succeeding Year Qtr 1 Qtr 2 Qtr 3 Qtr 4
(Specify Source)
Source I PS
MOE
EO
TOTAL
Source II
Source n
Grand TOTAL
(13) Problems Met/Suggested Solutions

(14) Personnel Complement (Use DOST Form No. 5)

(15) Equipment Purchased (Use DOST Form No. 6)

(16) Generated Income (Use DOST form No. 7)

Note: To be accomplished on a per project basis and for the whole program; see guidelines/definitions
at the back.

(1) PROGRAM TITLE/DURATION
(2) COORDINATOR/LEADER
(4) COOPERATING AGENCIES
DOST Form No. 3C - 1 Rev 0 / 1-02-08
PROJECT MONITORING AND FIELD EVALUATION REPORT FOR ONGOING R&D PROJECTS
for the Period: Yr_______ (from ____________ to ____________)
(To be accomplished by Monitoring Council/Agency)
:
: (3) AGENCY:
:

(5) Project Title/Leaders/ (6) Expected Output (7) Current Year (8) Accomplishment/Output (9) Workplan for (10) Issues/Problems and
Objectives/Duration Project End Current Year Activities Current Year Cumulative to date Succeeding Year Recommendations

Previous Year's Comments/Recommendations :

Actions Taken on Recommendations :

(11) Budget by Source Total Allocation Current Year Succeeding Year (12) Personnel Complement (13) Persons Interviewed: ____________________________________
DOST _____________ _____________ _____________ Male Female Designations: ___________________________________________
Agency (specify) _____________ _____________ _____________ Part time ______ ______ (14) Evaluators: ___________________________________________
_____________ ____________ _____________ _____________ Full time ______ ______ ___________________________________________
Total ______ ______ ___________________________________________
Place Visited: ___________________________________________
Date: ___________________________________________

(1) PROGRAM TITLE/DURATION
(2) COORDINATOR/LEADER
(4) COOPERATING AGENCIES
DOST Form No. 3C - 2
Rev 0 / 1-02-08
PROJECT MONITORING AND FIELD EVALUATION REPORT FOR COMPLETED R&D PROJECTS
for the Period: Yr_______ (from ____________ to ____________)
(To be accomplished by Monitoring Council/Agency)
:
: (3) AGENCY:
:

(5) Project Title/Leaders/ (6) Expected Output (7) Accomplishment (8) Issues/Problems
Objectives/Duration and Recommendations

(9) Budget by Source Total Allocation (10) Personnel Complement

DOST ________________ Male Female (11) Persons Interviewed:

Agency (Specify) __________________ Part time _______ Designations:
___________________ ________________ Full time _______
Total _______ (12) Evaluators:

Place Visited:
Date:
 DOST Form No. 4 Rev 1 / 06/26/08
SEMI-ANNUAL/ANNUAL FINANCIAL REPORT
(Should include DOST Form No. 7 for annual financial report and Form No. 8 both for quartely and annual financial report)
(To be submitted by accountant and researcher within one month after due date)
(1) Title (2) Coordinator/Leader/Gender Source of Fund
Program:
Project:
(3) Period Covered (4) Date when fund for quarter was (5) Implementing Agency/
received by implementing Agency Research & Development Station
(7) Total (8) Releases (9) Disbursements (10) (11) (12) (13)
Approved ___Year of Implementation ___Year of Implementation Accounts Total Unreleased Unexpended
(6) Particulars Budget for the Total Total Total Total Total Total Payable Expenditures Budget Budget
Year Previous This To Date Previous This To Date To Date To Date To Date To Date
Quarter Quarter Quarter Quarter
I. Personal Services
A. Direct Cost
1. Salaries/Wages
2. Year-end Bonus
3. Honoraria
B. Indirect Cost (Separate amounts for coordinating agency and implementing agency)
1. Honoraria
Sub-Total
II. Maintenance and Operating Expenses
A. Direct Cost
1. Travel
2. Supplies & Materials
3. Communications
4. Other Services
B. Indirect Cost (Separate amounts for coordinating agency and implementing agency)
1. Travel
2. Supplies & Materials
3. Communications
4. Other Services
Sub-Total
III. Equipment Outlay
Sub-Total
TOTAL
CERTIFIED CORRECT: VERIFIED: (For NGOs or Privately owned institutions) NOTED: APPROVED:

Chief Accountant Auditor Research Coordinator/Leader Agency Head or

PTR/License No.__ PTR/License No.__ Authorized Representative
 Rev 0 / 1-02-08

Form No. 4B
FIELD EVALUATION REPORT
As of ___________________________

(1) Title
Program:
Project:

(2) Coordinator/Leader

(3) Date of Travel (4) Place of Visit

(5) Persons Interviewed/Contacted Designation/Agency Signature

(6) Evaluator Designation/Agency Signature

(7) Highlights of Accomplishments

(8) Problems/Issues Raised by the Proponent/ Problems/Concerns Observed

Concerned Institution

(9) Recommendation

(10) Status of Equipment Remarks/Recommendation

 DOST Form No. 5 Rev 0 / 1-02-08
LIST OF PERSONNEL INVOLVED
(To be accomplished by the researcher for submission together with DOST Form No. 3B)

(1) Title (2) Coordinator/Leader/Gender (3) Implementing Agency

Program:
Project:
(4) (5) Designation (6) Remuneration (7) Percent Time (8) Highest
Personnel/Gender For This For This Educational
In Office Particular In Office Particular (a) This (b) Other Attainment/
Project (Salary) Project Project Project Discipline (Field of
Specialization)

CERTIFIED CORRECT: NOTED:

Coordinator/Leader Agency Head or

Authorized Representative
 DOST Form No. 6
Rev 0 / 1-02-08
LIST OF EQUIPMENT PURCHASED
(To be accomplished by property/supply officer, accountant and researcher together with DOST Form No. 3B)

(1) Title (2) Implementing Agency

Program:
Project:
(3) Coordinator/Leader/Gender (4) Report for:
Yr________Qtr_________Period Covered ___________________

(5) Location of (6) Proponent/ (7) Equipment Per LIB (8) Amount (9) Actual Equipment Purchased (10) Actual Amount (11) Serial (12) Date (13) Inventory
Equipment Accountable (a) Quantity (b) Description Per LIB (a) Quantity (b) Description (a) Unit Cost (b) Total Cost Number Acquired Control No. (14) Condition

(15) Total Amount ___________ ________

Prepared by: Certified by: Verified by: Noted by: Inventoried by:

____________________________ _______________________________ _____________________________ __________________________ _________________________

Property/Supply Officer Accountant Project Leader Agency Head DOST Inventory Team Leader
 Rev 0 / 1-02-08

DOST Form No. 7

REPORT OF INCOME/INTEREST GENERATED/EARNED
For the year starting _________ up to _________ (date)
(To be submitted by accountant and researcher together with DOST Form No. 4)

(1) Title
Program:
Project:

(2) Implementing Agency (3) Coordinator/Leader

(4) Beginning Balance of Income/Interest as of (date) _________ P

(5) Income/interest for this period

1. From Operation P

2. Others (Specify) P

Total Income/interest for the period P

Total Available Income/interest P

(beginning balance plus total income/interest for the period)

(6) Expenses (from the generated income/interest of the project as approved by DOST)

Particulars Amount

1. P

2.

3.

Total expenses P

(7) Ending Balance as of (date) __________ (Total available income/interest less total expenses) P

PREPARED BY: CERTIFIED CORRECT:

Accountant Coordinator/Leader

NOTED:

Agency Head
 Rev 0 / 1-02-08

DOST Form No. 8

SCHEDULE OF ACCOUNTS PAYABLE

As of _____________________
(To be submitted by accountant and researcher together with DOST Form No. 4)

(1) Title
Program:
Project:
(2) Coordinator/Leader (3) Implementing Agency

(4) Payee (5) Particulars (6) Amount (7) Remarks

CERTIFIED CORRECT: APPROVED:

Chief Accountant Coordinator/Leader

 Rev 0 / 1-02-08

DOST FORM 9A-1a

OUTLINE FOR PREPARING DOST-GIA PROJECT TERMINAL REPORT
(NON-R & D)

(1) Program Title (if any):

Project Tilte:

Coordinator/Project Leader:

Agency/Address: Telephone/Fax/Email:

(2)Cooperating Agencies (2)Site of Implementation/Municipality/District/

Province/Region(if there's any)

(4)Actual Duration (5)Completion Date

(6)Accomplishments
A. Actual accomplishment of the project (via-a-vis the objectives)

B. For projects with Equipment Outlay, please accomplish the DOST Form-List
of Equipment Purchased

C. Milestones accomplishment of the project

(7) Finding (please indicate problems/concerns met during project implementation)

(8)Suggested solutions to the above concerns

(9)List of personnel involved in the project, if there's any, please accomplish DOST Form-
List of Personnel Involved

(10)Income Generated and Mature Technologies for Dissemination (if there's any)

_____________________________________________________________________________________________
(11)Publications, report on proceeding/activities and other publishable reports
 Rev 0 / 1-02-08

DOST Form No. 9B

TERMINAL AUDITED FINANCIAL REPORT
(To be submitted by accountant and researcher together with personnel complement, equipment purchased and income generated using DOST Form Nos. 5, 6 and 7)
(1) Title (2) Coordinator/Leader/Gender (3) Duration
Program:
Project:
(4) Start Date (5) Completion Date (6) Implementing Agency/Research & Development Station

(7) (8) Total (9) Total (10) Total (11) Total (12) Unexpended
Particulars Approved Budget Releases Expenditures Unreleased Budget Balance
I. Personal Services
A. Direct Cost
1. Salaries/Wages
2. Year-end Bonus
3. Honoraria
B. Indirect Cost (Separate amounts for coordinating agency and implementing agency)
1. Honoraria
Sub-Total
II. Maintenance and Operating Expenses
A. Direct Cost
1. Travel
2. Supplies & Materials
3. Communications
4. Other Services
B. Indirect Cost (Separate amounts for coordinating agency and implementing agency)
1. Travel
2. Supplies & Materials
3. Communications
4. Other Services
Sub-Total
III. Equipment Outlay
Sub-Total

TOTAL

CERTIFIED CORRECT: VERIFIED: NOTED: APPROVED:

Chief Accountant Auditor Coordinator/Leader Agency Head or

PTR/License No.__ PTR/License No.__ Authorized Representative
 Inventory Report Form A
SPUD 10
INVENTORY REPORT OF EQUIPMENT UNDER DOST-GIA Rev 1 / 1-21-09

Agency:
Project Title:
Year Funded:

Location of Proponent/ Equipment Per LIB Amount Per Actual Equipment Purchased Actual Serial Date Inventory
Equipment Accountable Quantity Description LIB Quantity Description Amount Numbers Acquired Control No. Status

Prepared by: Verified by: Noted by:

____________________________ _________________________________ ___________________________________

Property/Supply Officer Project Leader Agency Head
 SPD 11
Rev 1/ 1-29-09

ACKNOWLEDGEMENT RECEIPT FOR EQUIPMENT

Agency

Quantity Unit Description Property No.

Received by: Received by:

______________________________ _____________________________
Signature over Printed Name Signature over Printed Name

_______________________________ ____________________________
Position/Office Position/Office

______________________________ ______________________
Date Date
 SPD 12
Revised January 1998 Rev 01/ 1-21-09

REPUBLIC OF THE PHILIPPINES

INVOICE RECEIPT FOR PROPERTY

DATE OF CLASSIFICATION UNIT TOTAL

QUANTITY UNIT NAME OF DESCRIPTION PURCHASE PROPERTY NUMBER NUMBER VALUE VALUE

INVOICE RECEIPT

I CERTIFY that upon authority of I CERTIFY that I have received from

DOST Secretary ESTRELLA F. ALBASTRO
I have transferred to ________________________ (Name & Designation)

(Name & Designation) the above listed articles for:

the above listed articles/property of

(Name of Agency) (Name of Agency)

(Name, Designation & Signature of Invoicing (Name, Designation & Signature of Receiving
Accountable Officer) Accountable Officer)

Date:_______________________________________ Date:_________________________________________