Appendix 76

PROPERTY TRANSFER REPORT

Entity Name : _______________________________ Fund Cluster : _____________

From Accountable Officer/Agency/Fund Cluster : __________________________ PTR No. : ______________

To Accountable Officer/Agency/Fund Cluster : ____________________________ Date : _________________

Transfer Type: (check only one)

Donation Relocate
Reassignment Others (Specify) _________________
Condition of
Date Acquired Property No. Description Amount
PPE

Reason for Transfer:

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Approved by: Released/Issued by: Received by:

Signature :
Printed Name :
Designation :
Date :

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