You are on page 1of 2

Authority to Travel

Name of Official/Employee: Dra.Marie Jo C.Gatmaitan,Dr.Chito L. Mariano,Dra Analyn


G.Lopez,Belinda Macapagal,Rosemarie Aquino,Criselda Ariel,Marivic Paulino,Charlotte
Miguel,Myra Mactal,Millicent Marie Subia,Robert Jayson Olanda,Felix Pascasio.
Official Station:
Destination LAZARO FRANCISCO INTEGRATED SCHOOL
Purpose of Travel: To monitor and assist in Period of Travel: April 22-30,2019
Medical and Laboratory examination of Reference (Please check):
Teaching and non-teaching personnel. Div. Memo. No. _________________
Reg. Memo No. _________________
Please check: DepED Memo. No. ______________
Official Business Submit report/minutes of the meeting
Official Time Only upon return to your station.
Estimated Expenses Please check:
Reg. Fee Transpo Per Diem Total Cash Advance
Amount Reimbursement

Requested by: Recommending Approval: Approved:


DRA.MARIE JO C.GATMAITAN
(NAME) DR. FERNANDINA P. OTCHENGO RHODA T. RAZON, Ed. D., CESO V
(Designation) Asst. Schools Div. Supt. School Div. Superintendent

Authority to Travel
Name of Official/Employee: Employee: Dra.Marie Jo C.Gatmaitan,Dr.Chito L. Mariano,Dra
Analyn G.Lopez,Belinda Macapagal,Rosemarie Aquino,Criselda Ariel,Marivic
Paulino,Charlotte Miguel,Myra Mactal,Millicent Marie Subia,Robert Jayson Olanda,Felix
Pascasio.
Official Station:
Destination::LLLL LAZARO FRANCISCO INTEGRATED SCHOOL
Purpose of Travel: To monitor and assist in Period of Travel: April 22-30,2019
Medical and Laboratory examination of Reference (Please check):
Teaching and non-teaching personnel. Div. Memo. No. _________________
Reg. Memo No. _________________
Please check: DepED Memo. No. ______________
Official Business Submit report/minutes of the meeting
Official Time Only upon return to your station.
Estimated Expenses Please check:
Reg. Fee Transpo Per Diem Total Cash Advance
Amount Reimbursement

Requested by: Recommending Approval: Approved:


DRA.MARIE JO C.GATMAITAN
(NAME) DR. FERNANDINA P. OTCHENGO RHODA T. RAZON, Ed. D., CESO V
(Designation) Asst. Schools Div. Supt. School Div. Superintendent

You might also like