Republic of the Philippines

Department of Education

Region V

SCHOOLS DIVISION OF SORSOGON

Sorsogon

______

(Date)

ACTIVITY REQUEST (AR)

AR No. ______(to be supplied by Planning Service/Unit)

FOR : LOIDA N. NIDEA, Ed.D., CESO V

Schools Division Superintendent

FROM :Name of Proponent

Through: (the Immediate Head)

SUBJECT:Activity Request

Name of Program(s)/Project(s) / Name/Title of the Program/Project as reflected in the WFP (e.g. Revision of Manual of Operation for Private Schs
Output Code(s) and Outputs to be Produced / State the “Output Code(s)” and the corresponding final output (s) to be produced as reflected in the WFP. (e.g.OC-17-BCD-CSDPF-BEC-oo1 – Revised Manual of Operation for Private School)
Specific Activities to be Undertaken to Produce the Output / Specific activities to be undertaken in order to produce the output. It may be a series of workshops, trainings, writeshop, conferences, research initiatives, studies, etc. (e.g. for the Revised Manual of Operations for Private Schools:
  1. Policy Analysis Workshop
  2. Regional Consultations in 3 clusters
  3. Writeshop
  4. Field Testing
  5. Workshop on the revision
  6. Presentation of the draft manual
  7. Printing of the manual
  8. Distribution of the revised manual

Activity Code(s) / State the “Activity Code(s)” (which are reflected in the WFP) for each activity mentioned in the above-section.
(e.g.AC-17-BCD-CSD-PF-BEC-001,02,03, 04)
Financial Requirements / Amount being requested (must reflect the amount indicated in the WFP). Attach the detailed computation for pre-audit, per activity showing the grand total.
Source of Funds / Indicate if the amount required will be charged against what budget items and whether current or continuing
Administrative Arrangements / Articulation of administrative arrangements (participants, date and venue, special disbursing officer of the activity, and other relevant information per activity, and other relevant information per activity including cost-sharing arrangements, if necessary)
Annexes /
  1. Activity Design/Program of Activities
  2. List of participants
  3. Detailed Financial Requirements
  4. Specialty Clearance, if needed in the activity
  5. Accomplished Purchase Request (PR)

All expenses incurred in this activity is subject to usual accounting and auditing rules and regulations

Republic of the Philippines

Department of Education

Region V

SCHOOLS DIVISION OF SORSOGON

Sorsogon

______

(Date)

MEMORANDUM

ATC – FA – 2017 - ______

FOR : / LOIDA N. NIDEA, Ed.D., CESO V
Schools Division Superintendent / Approved/Disapproved:
THRU: / Immediate Head / Recommending Approval:
FROM: / Proponent / Signature:
SUBJECT: / AUTHORITY TO CONDUCT THE ______
NAME OF ACTIVITY: / ______
OBJECTIVES: / The objective of the ______are:
1)
2)
EXPECTED OUTPUTS: / 1)Reviewed, renewed, refined, etc.
Administrative Arrangements / Articulation of administrative arrangements (participants, date and venue, special disbursing officer of the activity, and other relevant information per activity, and other relevant information per activity including cost-sharing arrangements, if necessary)
AMOUNT BEING REQUESTED (for initial of BO & A) / PhP
SOURCE OF FUNDS
JUSTIFICATION
1)Deviated from the WFP
Annexes /
  1. Activity Design/Program of Activities
  2. List of participants
  3. Detailed Financial Requirements
  4. Specialty Clearance, if needed in the activity
  5. Accomplished Purchase Request
  6. Reference Document/s (Memo, Letter, Order, Advisory, etc)

All expenses incurred in this activity is subject to usual accounting and auditing rules and regulations