REPUBLIC OF THE PHILIPPINES

SORSOGON STATE UNIVERSITY

Magsaysay Street, Sorsogon City

BS EN ISO 9001:2015

EXTENSION PROJECT ACCOMPLISHMENT REPORT

Program Title:

NAME OF EXTENSIONISTS Faculty Rank ACCOMPLISHED ROLE Remarks

IN THE EXTENSION
(Pls. insert more rows if needed)
PROJECT

Program Leader

Program Asst. Leader

PROJECT LOCATION:

PROJECT DURATION Start Date Date of Completion Percentage of

Completion

Budget Utilization : Proposed SSC (Php) Partner Agency (Php)

Obligated

ACCOMPLISHED FOR THE YEAR

No. ___________________and ___________________Type of Target Beneficiaries:

Total Actual No. of Beneficiaries (based on the Attendance Sheet) :

No of Persons Trained Weighted by the Length of Training

No. of Clients provided Technical Services /Advice

% of beneficiaries who rated the training course / advisory service as satisfactory or higher in terms of
quality and relevance

No of adopters engaged in profitable enterprise

Document Code: FM-BUC-EXS-014 Effectivity Date: August. 15, 2021

Revision Number: 00 Page 1 of 2
 REPUBLIC OF THE PHILIPPINES
SORSOGON STATE UNIVERSITY
Magsaysay Street, Sorsogon City

BS EN ISO 9001:2015

Photo documentation follows with a caption. ( Please submit Soft and Hard Copies of the
Photos for documentation purposes)

Prepared By:

Project Leader
Certified Correct:

Campus Extension Coordinator

For Endorsement:

Program Dean Campus Administrator

College- OES

OES Director Received Date:

Document Code: FM-BUC-EXS-014 Effectivity Date: August. 15, 2021

Revision Number: 00 Page 2 of 2