For projects with more than 6 Months Implementation Period Attachment C

Republic of the Philippines

Province of ___________
CITY/MUNICIPALITY OF __________

Physical and Financial Accomplishment Report

For the Quarter ending ______________

Project Title ____________________________________________________________________

Project Description ________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Total Project Cost ______________________
Date Start of Project ____________________ Estimated Date of Project Completion _____________
No. and Type of Beneficiaries _______________________

Physical Financial
Major Activities Remarks (Indicate
Other Source, if reasons for delay, if
% of PCF (per activity) % of Utilization % of Utilization any)
any (per activity)
Planned Actual Accomplishment

Certified by: Approved by:

_________________________ ________________________ ________________________

Local Engineer Local Accountant Local Chief Executive
 Attachment D

Republic of the Philippines

Province of ______________
CITY/MUNICIPALITY OF ____________

PERFORMANCE CHALLENGE FUND-SUPPORTED PROJECT

Report of Disbursement
As of ______________

Amount received per Check/Official Receipt No. __________________

Less: Disbursement: _____________________

Payee Nature of Payment Check No. Date Amount Remarks

Certified Correct: Approved by: Verified and Found correct by:

_______________________ _________________________________ ___________________________

Accountant Local Chief Executive Local COA Auditor
 Attachment E

PERFORMANCE CHALLENGE FUND-SUPPORTED PROJECT

Quarterly Physical and Financial Accomplishment Report
For the Quarter ending _______________

Region _____
Beneficiaries Total Project Cost Status of Implementation
Estimated Date Remarks
Title of Date Start LGU
LGU of Project PCF (indicate
Project of Project Number Type Counterpart, Total Physical Financial
Completion Subsidy reasons for
if any
delay, if any)
$ of
% of
Utilization of
Utilization of
Major Activities PCF
LGU
Counterpart,
Subsidy
if any

% of
Planned Actual Accomplish
ment

Submitted by: Noted by:

___________________________________ ___________________________________
Regional PCF Focal Person Regional Director