Reference No.: BatStateU-FO-PMO-08 Effectivity Date: May 18, 2022 Revision No.

: 03

MATERIALS APPROVAL FORM

Control No.: Date: March 22, 2023
Name of Project: Renovation and Rehabilitation of Guidance Office
Location: BatStateU Lipa
Contractor: JVI Construction
SCOPE PURPOSE
Please check one: Please check one:
Architectural Testing of Materials
Structural/Civil Checking of Materials
Sanitary
Electrical
Mechanical
MATERIAL/S DETAILS
Accent Chair – Please see attached pictures below.

Requested by:

Jean Claire I. Untiveros

__________________________________
Signature over Printed Name of Contractor’s Representative
Date:March 13, 2023
--- to be filled-out by PMO/PFMO Staff only ---
Remarks/Recommendations:

Checked by: Noted by:

Received by:
Approved Disapproved

______________________
ENGR. GERALD FOLIENTE ENGR. RESHARNIE ARMIE BALIWAG
Signature over Printed Name of
PFMO Inspectorate Committee Head, Project and Facility Management
Project Engineer
Date:
Date: Date:
Required Attachments: 1) Request Letter for Material/s Testing/Approval,
2) Attachments i.e. specifications, manuals, brochures, etc. for approval,
3) Sample materials i.e. lighting fixtures, roofs, conduits, doors, knobs, etc. for approval
Comfortable Flannel Office Computer Chair Dining Chair Trend Net Red Chair Cosmetic Chair

Chair Size: 47cmx44cmx83cm

Specification
Assembly Assembly Required
Antique Collection No
Material Fabric, Metal, Plastic, Wood
Foldable Furniture No
Chair Type Dining Chair, Office Chair
Chair Back Height Mid Back
Stool Height Counter Height
Chair Arms Fixed Arms
Chair Design Arm Chair
Number of Seats 1
Dining chair study chair bench luxury learning gaming chair modern minimalist Nordic

Chair Size: 47cmx44cmx85cm

Specification
Assembly Assembly Required
Antique Collection No
Material Leather, Metal
Foldable Furniture No
Chair Type Dining Chair, Office Chair
Chair Back Height High Back
Stool Height Adjustable
Chair Arms Fixed Arms
Chair Design Love Chair
Number of Seats 1
Country of Origin China