Republic of the Philippines

City Government of Davao Republic of the Philippines

City Government of Davao
City Agriculturist's Office
City Agriculturist's Office
Agricultural and Biosystems Engineering Division
Agricultural and Biosystems Engineering Division
Borrower’s Slip
Borrower’s Slip
Control No.:
Control No.:
Borrower’s Profile: Date:
Borrower’s Profile: Date:
Name:
Name:
Home Address:
Home Address:
Contact No.:
Contact No.:
Farm Site:
Farm Site:
Type of Service/Machinery/Equipment Requested:
Type of Service/Machinery/Equipment Requested:
Tractor – Land Preparation
Tractor – Land Preparation
Backhoe - Rainwater Catchment
Backhoe - Rainwater Catchment
Water Pump; Serial No/s.:
Water Pump; Serial No/s.:
Power Sprayer; Serial No/s.:
Power Sprayer; Serial No/s.:
Others, please Specify:
Others, please Specify:
Period of Usage: from to
Period of Usage: from to
Where will the equipment be stationed?
Where will the equipment be stationed?

Borrower’s Commitment:
Borrower’s Commitment:
I will be accountable to any damage incurred in the equipment and will return
I will be accountable to any damage incurred in the equipment and will return
the equipment at the end of my borrow period in the same working condition it was
the equipment at the end of my borrow period in the same working condition it was
borrowed, normal wear and tear excepted. (Ako adunay tulubagon sa bisan unsang
borrowed, normal wear and tear excepted. (Ako adunay tulubagon sa bisan unsang
kadaot nga nahiaguman sa kagamitan ug ibalik ang kagamitan sa katapusan sa akong
kadaot nga nahiaguman sa kagamitan ug ibalik ang kagamitan sa katapusan sa akong
panahon sa pag- hulam sa parehas nga kahimtang sa paghulam niini, gawas sa natural nga
panahon sa pag- hulam sa parehas nga kahimtang sa paghulam niini, gawas sa natural nga
pagkadaot tungod sa kadaan.)
pagkadaot tungod sa kadaan.)
Borrower’s Signature over Printed Name
Borrower’s Signature over Printed Name
Approved by:
Approved by:

Machinery and Equipment In-Charge

Machinery and Equipment In-Charge
……………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………