a? DSWD © GENERAL SERVICES Daprmentt Saal War rd Developmen SECTION Serbisyong Oragon sa ahat ag Panahon FIELD OFFICE V DSWD-AS-GFA27 | REV 02/07 OCT 2022 REQUEST FOR USE OF VEHICLE Note: Request for use of vehicle shall be made at least two (2) days from the intended date of use. Failure to use the vehicle at the given date/time forfeits one’s right to use the vehicle assigned, 1. REQUESTING OFFICE/UNIT : Building & Grounds Management Section . 2. PURPOSE OF TRIP Site Monitoring & Inspection 3. NAME OF PASSENGER/S Engr Irene lonie S. Rarangol, Engr Nazar Q. Soledad 4. PLACE OF TRAVEL RRCY Sorsogon 5. DATE NEEDED November 24, 2022 6. TIME NEEDED 8:00 AM- 5:00 PM. RECEIVED BY: | Eng®‘Irene lonie\S, Rarangol SIGNATURE OVER PRINTED NAME. SIGNATURE OVER PRINTED NAME DATE REQUESTED: | 11/21/2022 ‘DATE RECEIVED: | TO BE FILLED OUT BY DISPATCHER TICKET NO: VEHICLE ASSIGNMENT DRIVER ASSIGNED VEHICLE TYPE: NAME: [PLATE NO CONTACT NO.: REMARKS: ‘CHECKED BY: DATE: DISPATCHER, GSO-TRANSPORTATION MANAGEMENT Tact ‘SECTION / GENERAL SERVICES SECTION TO BE FILLED OUT BY THE ADMINISTRATIVE SERVICE - GENERAL SERVICES DIVISION/SECTION DAVAILABLE CI NOTAVAILABLE CAPPROVED DISAPPROVED IF DISAPPROVED, PASSENGER TO USE PUBLIC TRANSPORTATION, SUBJECT TO REIMBURSEMENT { IN ACCORDANCE WITH RELEVANT GUIDELINES. i CHIEF, GENERAL SERVICES DIVISIONT DIRECTOR, ADMINISTRATIVE SERVICET HEAD, GENERAL SERVICES SECTION ‘ADMINISTRATIVE DIVISION CHIEF PAGE tof ‘DSWD Field Oise V Regional Government Center Se Rants, Cegargi Ci Priippines 4500 ‘Website: pms snph Cliphone No 0963-698-4404