Annex H

DILG E-CLIP Form 001

2020

ENDORSEMENT LETTER
_________________
Date

(PROVINCIAL DIRECTOR)
Provincial Director
Department of Interior and Local Government
(Address of Provincial Office)

Dear Dir. Villaseñ or:

We are submitting hereunder is/are the name(s) of FR E-CLIP beneficiaries for

funding allocation:

REQUESTING PROVINCE: ______________________

TYPE OF
TYPE OF
NO. NAME OF FR ADDRESS ASSISTANCE AMOUNT
FR
REQUESTED

TOTAL

I hereby certify that the list is a full, true and correct statement of beneficiaries
and this is in support of the liquidation of financial assistance to be grant to the FRs.

Very truly yours,

ALEX C. ROLDAN, CESO V

DILG Regional Director
THIS IS A SYSTEM GENERATED LIST OF FR ECLIP BENEFICIARY/IES CULLED FROM THE ECLIP-INFORMATION SYSTEM
Date Generated: _____________