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REQUEST FOR CCTV ACCESS
DEPARTMENT OF SCIENCE AND TECHNOLOGY
Regional Office No. IX
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* Required
Email
*
Your email
Full Name:
*
Your answer
Date of Request:
*
MM
/
DD
/
YYYY
Location of CCTV to access/view:
*
Choose
DOST-IX ZC
PSTC-ZDS
PSTC-ZDN
PSTC-ZS
Reason to access the CCTV:
*
Your answer
Date and Time of incident to access/view:
*
Your answer
Request a copy of video footage:
*
Please provide a USB Flash Drive or other storage media (CD, DVD, etc.)
Yes
No
Maybe, if video footage seen is of value.
Submit
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