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 Acq'd Property No. Description Amount
PPE

Reason for Transfer:

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Approved by: Released/Issued by: Received by:

Signature :
Printed Name :
Designation :

NIA-AFS-ADM-PPD-INT-Form18 Rev.00
Date :

NIA-AFS-ADM-PPD-INT-Form18 Rev.00