Republic of the Philippines

Department of Education
Region III - Central Luzon
SCHOOLS DIVISION OF MEYCAUAYAN CITY
SCHOOL NAME: ___________________________

GATE PASS (INGRESS / EGRESS)

Control No._______________

NAME OF EMPLOYEE / GUEST _______________________________________________ Date:_____________________

Item # Item Description Serial # (if any) Quantity Remarks / Purposes

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Please Signed Over Printed Name
Submitted By: ______________________________________________________________
Employee / Guest

Recorded By: _______________________________________________________________

Supply Officer / Property Custodian

Approved By:_______________________________________________________________
AO V / School Head

Noted By:__________________________________________________________________
Division Office - SGOD School Copy

Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF MEYCAUAYAN CITY
SCHOOL NAME: ___________________________

GATE PASS (INGRESS / EGRESS)

Control No._______________

NAME OF EMPLOYEE / GUEST _______________________________________________ Date:_____________________

Item # Item Description Serial # (if any) Quantity Remarks / Purposes

1
2
3
4
5
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8
9
10
11
12
Please Signed Over Printed Name
Submitted By: ______________________________________________________________
Employee / Guest

Recorded By: _______________________________________________________________

Supply Officer / Property Custodian

Approved By:_______________________________________________________________
AO V / School Head

Noted By:__________________________________________________________________
Division Office - SGOD Employee copy
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region III – Central Luzon
SCHOOLS DIVISION OF CITY OF MEYCAUAYAN
City of Meycauayan

GATE PASS (INGRESS / EGRESS)

NAME OF EMPLOYEE : Control No. :
OFFICE/UNIT : Date :

Item Description Quantity Serial No. (if any) Remarks / Purposes

1
2
3
4
5
Please use another sheet if needed

Employee's Signature Over Printed Name Signature Over Printed Name

Office/Unit Head

Division Supply Officer - Signature Over Printed Name

Supply Office Copy

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region III – Central Luzon
SCHOOLS DIVISION OF CITY OF MEYCAUAYAN
City of Meycauayan

NAME OF EMPLOYEE : Control No. :

OFFICE/UNIT : Date :

Item Description Quantity Serial No. (if any) Remarks / Purposes

1
2
3
4
5
Please use another sheet if needed

Employee's Signature Over Printed Name Signature Over Printed Name

Office/Unit Head

Division Supply Officer - Signature Over Printed Name

COA Copy

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region III – Central Luzon
SCHOOLS DIVISION OF CITY OF MEYCAUAYAN
City of Meycauayan
GATE PASS (INGRESS / EGRESS)
NAME OF EMPLOYEE : Control No. :
OFFICE/UNIT : Date :

Item Description Quantity Serial No. (if any) Remarks / Purposes

1
2
3
4
5
Please use another sheet if needed

Employee's Signature Over Printed Name Signature Over Printed Name

Office/Unit Head

Division Supply Officer - Signature Over Printed Name

Employee's Copy
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region III – Central Luzon
SCHOOLS DIVISION OF CITY OF MEYCAUAYAN
City of Meycauayan

GATE PASS (INGRESS / EGRESS)

NAME OF EMPLOYEE : Control No. :
OFFICE/UNIT : Date :

Item Description Quantity Serial No. (if any) Remarks / Purposes

1
2
3
4
5
Please use another sheet if needed

Employee's Signature Over Printed Name Signature Over Printed Name

School Property Custodian

School Head - Signature Over Printed Name

Supply Office Copy

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region III – Central Luzon
SCHOOLS DIVISION OF CITY OF MEYCAUAYAN
City of Meycauayan

NAME OF EMPLOYEE : Control No. :

OFFICE/UNIT : Date :

Item Description Quantity Serial No. (if any) Remarks / Purposes

1
2
3
4
5
Please use another sheet if needed

Employee's Signature Over Printed Name Signature Over Printed Name

School Property Custodian

School Head - Signature Over Printed Name

School Property Custodian's Copy

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region III – Central Luzon
SCHOOLS DIVISION OF CITY OF MEYCAUAYAN
City of Meycauayan
GATE PASS (INGRESS / EGRESS)
NAME OF EMPLOYEE : Control No. :
OFFICE/UNIT : Date :

Item Description Quantity Serial No. (if any) Remarks / Purposes

1
2
3
4
5
Please use another sheet if needed

Employee's Signature Over Printed Name Signature Over Printed Name

School Property Custodian

School Head - Signature Over Printed Name

Employee's Copy