Republic of the Philippines

Department of Education
Region X – Northern Mindanao
DIVISION OF LANAO DEL NORTE
Gov. A. Quibranza Prov’l. Gov’t. Compound
Pigcarangan, Tubod Lanao del Norte
(063)227 – 6633, (063)341 – 5109
lanao.norte@deped.gov.ph

(District)

(Date)

CERTIFICATE OF TURN OVER

In behalf of the Department of Education, Lanao Del Norte, I _____(name of

principal)________, ______(designation)______________ of ___________(assigned
school)________ respectfully turned over all the schools physical property, plant and
equipment of ______(school)_________, Lanao del Norte to ______(name School
Property Custodian / School OIC)_______________ , ______(designation)________
of the school.

With regards to this matter, the undersigned expects the concerned

properties of the schools to upkeep and give extra care and attention until the
proper authorities assume to office.

______(name and signature of Principal)_____

(Designation)

TO

(name and signature School Property Custodian / School OIC)

(Designation)
(School)

Signed in the Presence of: (name and signature of the AO II and the other
witness/es)

__________________________
Administrative Officer II
(School)

___________(witness)___________
(Designation)
(School)

#GO100
 Republic of the Philippines
Department of Education
Region X – Northern Mindanao
DIVISION OF LANAO DEL NORTE
Gov. A. Quibranza Prov’l. Gov’t. Compound
Pigcarangan, Tubod Lanao del Norte
(063)227 – 6633, (063)341 – 5109
lanao.norte@deped.gov.ph

Good day! Please provide the following reports to

the Supply Office:

Must be signed by the District

Administrative Officer II

#GO100