No. _________
University of the Philippines Los Baños
Pre-Post Repair Inspection Report
DESCRIPTION OF PROPERTY (vehicle / lab equipment etc.): _________________________________________
Property No. ______________
Brand/make/model _________
Plate No. _________________
Color ____________________
Motor No. _________________
Chassis No. _______________
Serial No. _________________
Acquisition Date ________________
Acquisition Cost ________________
Year of last registration __________
CERTIFIED THAT THE ITEM FOR REPAIR IS UPLB PROPERTY:
_
MARIA CIELO M. LAMPA ____
Chief, Supply and Property Management Office
A. Requesting Unit _______________ _____________
Date ____________________________
I certify under penalty of law that I have carefully examined the above mentioned property of the
University. That it can no longer be used for the purpose it was intended due to the following:
_____________________________________________________________________________
______________________________
Attested:
_________________________________________
Print Name/ Signature of end-user/ Property Officer
____________________________
Head of Office
PPMSO/Instrumentation Section CEAT/ICS
PRE-REPAIR INSPECTION
I certify under penalty of law that as _____________________________ (position) of UPLB, I have carefully examined
the above mentioned property of the University.
In my opinion, to make it useful again, the following should be done:
________________________________________________________________________________________
________________________________________________________________________________________
That the materials needed are as follows:
Materials
Quantity
Attested:
_________________________________
Print Name/Signature of Inspector
Date: _____________________
____________________________________
Printed Name/Signature of Office Head
POST-REPAIR INSPECTION
I hereby certify under penalty of law that all of the following materials were used for property No. _________________ covered by
approved PR and PO No. ______________________:
1.
2.
3.
I also certify that the said property is already in good working condition.
Attested:
_________________________________
Print Name/Signature of Inspector
Date: _____________________
Efcabrido2019
____________________________________
Printed Name/Signature of Office Head
Date: _____________________