Appendix 11

OBLIGATION REQUEST AND STATUS

Serial No. : ______________________

Date : ____________________
MINISTRY OF BASIC, HIGHER & TECHNICAL EDUCATION - BARMM
Entity Name Fund Cluster : ___________________

Payee LAND BANK OR THE PHILIPPINES

Office
MBHTE-HIGHER EDUCATION
Address

UACS Object
Responsibility Center Particulars MFO/PAP Amount
Code

To Payment of AHME-SP Scholarship AHME-SP 50202020 00 1,800,000.00

Financial Assistance (Slot AY 2020-2021) for the 1st
Semester AY 2023-2024 of Sulu Province.

TOTAL 1,800,000.00
A. Certified: Charges to appropriation/allotment are B. Certified: Allotment available and obligated
necessary, lawful and under my direct supervision;and for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above

Signature : _______________________________________ Signature : ______________________________

Printed Name: MARJUNI M. MADDI Printed Name: TARHATA A. MLA
Position : Director General Position : Budget Officer III
Date : ___________________________________ Date : ____________________________
ORS Control No: HE-ORS-2021-07-209

C. STATUS OF OBLIGATION
Reference Amount
Balance
ORS/JEV/Check/ Obligation Payable Payment Due and
Date Particulars Not Yet Due
ADA/TRA No. Demandable
(a) (b) (c) (a-b) (b-c)