Philippine Electronics and Communication
Institute of Technology
Capitol Bonbon Road, Imadejas Subd. Butuan City
______________________________________________________________________________
RECEIVING FORM
Name: ____________________________ Date: ______________
Course: ___________________________
Contact Number: ___________________
Item No. Description Quantity
1 Phillips Screwdriver 1 Piece
2 Standard Screwdriver 1 Piece
3 Side Cutting Plier 1 Piece
4 Diagonal Plier 1 Piece
5 Long nose Plier 1 Piece
6 Pull-Push Roll (3mtrs.) 1 Piece
7 Spirit Level 1 Piece
8 Electrician Knife 1 Piece
9 Wire Striper (Manual ) 1 Piece
10 Multi-Tester (Analogue ) 1 Unit
11 Bag 1 Piece
This is to certify that the tools and materials listed above has been received and found
satisfactory brand new.
Received by: _________________________
Date Received: _______________________