UPC Obligation Request and Disbursement Voucher

UNIVERSITY OF THE PHILIPPINES CEBU

Lahug, Cebu City, Cebu, VII VAT Reg. TIN 000-864-006-00001
Obligation Request and Disbursement Voucher
OBR Number
DV Number
Name of Preparer*

First NameLast Name
UP Mail of Preparer or Requesting Unit*
example@up.edu.ph
Date

YearMonthDay
Payee*
Payee is a Regular Supplier?

YESNO
Office of Payee
Address of Payee*
Responsibility Center*
Particulars*
Gross Amount (for the OBR)*
Gross Amount
Net Amount (for the DV)
you may leave this blank if you do not know the amount after withholding tax
Net Amount
Net Amount in Words (for the DV)
Name of Head of Requesting Unit*
Position of Head of Requesting Unit or Authorized Representative*
ex. Dean, College of Science
Upload all necessary and required attachments to your request*

you can upload multiple files
Cancelof
Google Drive Link for Attachments (PR, PO, . . .) if Payee is a Regular Supplier
ex. https://drive.google.com/file/d/1ebaxiK7kbuU1asLK7rEjeDzZ1C5zvyD6/view?usp=drive_link
Click this GUIDE for creating a google drive link to help you in filling up the field above.

Share a link to your google drive folder, and not for an individual file, for multiple attachments.
Head of Budget Office
Position of Head of Budget Office
Head of Accounting Office
Position of Head of Accounting Office
Name of Chancellor
Chancellor
Should be Empty:

Obligation Request and Disbursement Voucher