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J.H. CERILLES STATE COLLEGE J.H.

CERILLES STATE COLLEGE


CANUTO MS ENERIO CAMPUS CANUTO MS ENERIO CAMPUS
Poblacion, Lake Wood, Zamboanga del Sur Poblacion, Lake Wood, Zamboanga del Sur
BORROWER’S SLIP BORROWER’S SLIP
Name of Borrower:____________________________ Name of Borrower:____________________________
Date & Time:________________________________ Date & Time:________________________________
Course and Year:_____________________________ Course and Year:_____________________________
Subject: ____________________________________ Subject: ____________________________________
Qty. Apparatus/ Remarks Date Qty. Apparatus/ Remarks Date
Equipment Returned Equipment Returned

Name & Signature of Borrower:__________________ Name & Signature of Borrower:__________________


Instructor:___________________________________ Instructor:___________________________________
Laboratory In-charge:__________________________ Laboratory In-charge:__________________________

J.H. CERILLES STATE COLLEGE J.H. CERILLES STATE COLLEGE


CANUTO MS ENERIO CAMPUS CANUTO MS ENERIO CAMPUS
Poblacion, Lake Wood, Zamboanga del Sur Poblacion, Lake Wood, Zamboanga del Sur

BORROWER’S SLIP BORROWER’S SLIP


Name of Borrower:____________________________ Name of Borrower:____________________________
Date & Time:________________________________ Date & Time:________________________________
Course and Year:_____________________________ Course and Year:_____________________________
Subject: ____________________________________ Subject: ____________________________________
Qty. Apparatus/ Remarks Date Qty. Apparatus/ Remarks Date
Equipment Returned Equipment Returned

Name & Signature of Borrower:__________________ Name & Signature of Borrower:__________________


Instructor:___________________________________ Instructor:___________________________________
Laboratory In-charge:__________________________ Laboratory In-charge:__________________________

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