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PROPOSAL EOR NEW OR EXPANDED IQCAILV - FUNDED PROJECT
                    ll. Proposal/Project N.mp
                    |2. Implementing          IllSUCst / IFUGAO STATE UNIVERSITV

                    13. Priority Ranlrino MoT  JL
                                                      New        Infrastructure
                     4. CMcgoiiation
                                               Expanded/Revised  Non-Infrastructure
                    15. NEDA Project IP:
                    |6. Total Propose! Cost
                     7. Description:
                     8. Purpose
                     9. Beneficiaries:
                     10. Implementation Period:  ORIGINAL
                                               Start Date:
                                               Finish Date:
                                               REVISED
                                               Start Date:
                                               Start Date:
                                               Approving Authoriti^s    Reviewed/Approved
                                                                                Not
                                                                   Yes   No           Remsria
                                                                              Applic^ble
                     11. Prerequisites:        NEDA Board                        ,  \
                                               NEDA Board-ICC
                                               DPWH CERTIFICATION         H      n
                                               DPWH MOA                   n      D
                                               DPWH COSTING                      n
                                               DENR CLEARANCE                    [ ;
                                               RDC CONSULTATION
                                                                                 :
                                               CSO CONSULTATION                  i
                                               LIST OF LOCATIONS          1*1
                                               LIST OF BENEFICIARIES      1J     _J
                                              OTHERS (Please Specify)
                     12. Financial (In P'000) 8e Physical Details
                     12.1. PAP ATTRIBUTION BY EXPENSE CLASS
                                PAP                FY 2019 TIER 2  2020  2021
                                (*)                    IB)         (O     (D)

                     GRAND TOTAL
                     12.2. PHYSICAL ACCOMPLISHMENTS 1 TARGETS
                     Physical Accomplishments              Taroets
                                                   FY 2019 TIER 2  2020  2021
                                (A)                    10)         10     (0)

                     12.3. TOTAL PROJECT COST
                             Expenses Class        Total Project Cost




                     GRAND TOTAL
                     12.4. RQUIREMENTS FOR OPERATING COST OF INFRASTRUCTURE PROJECT
                     For infrastructure projects, show the estimated ongoing operating costs to be included in forward estimate^
                                PAP20202021
                                (A)(B){Q



                     12.5. COSTING BY COMPONNT(S)S
                              Components               PS         MOOE    CO    FINEX  TOTAL
                                (A)                    (0)         (C)    (D)    (E)    (F)
                                              ll
                     GRAND TOTAL                        ||
                     12.6. LOCATION OF IMPLEMENTATION
                               Locetion                PS         MOOE    CO    FINEX  TOTAL
                                (A)                    IB)         (C)    <O)    (E)    IF)

                     GRAND TOTAL
                              Prepared BY.     Certified Correct


                     Budget Officer  Planning Officer  Chief Accountant  Heed of Agamy
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