ANNEX C

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF BUDGET AND MANAGEMENT
REGIONAL OFFICE XI
Control No. RRF ___________
(for CRD use only)

RECORDS REQUEST FORM

BUREAU/SERVICE/OFFICE: DATE OF REQUEST: DATE NEEDED:

PURPOSE OF REQUEST:

TYPE OF REQUEST:

TEMPOARY WITHDRAWAL PERMANENT WITHDRAWAL REQUEST FOR CERTIFIED TRUE COPY

DOCUMENT DESCRIPTION
RTF NO. BOX NO.
NO.

** ATTACH ADDITIONAL SHEETS IF NECESSARY

SPECIAL INSTRUCTIONS:

DATE TRANSFERRED: RECORDS CONTROL COORDINATOR: DIVISION CHIEF:

TRANSACTION CONFIRMATION
RECEIVED BY:

RECORDS CENTER CHIEF ADMINISTRATIVE OFFICER CONFIRMATION DATE

DBM-AS-RRF-01.Rev.0