Authority to Travel

SAN GABRIEL SENIOR

HIGH SCHOOL
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
LA UNION SCHOOLS DIVISION OFFICE
San Gabriel District
SAN GABRIEL SENIOR HIGH SCHOOL

AUTHORITY TO TRAVEL
CONTROL NO: ____________

REGION: I
BUREAU/DIVISION/SCHOOL: DEPED/LA UNION/ SAN GABRIEL DISTRICT
Date of Filing

GERTRUDES L. TANGALIN
NAME & SIGNATURE
Position/Designation Principal I
Permanent Station San Gabriel Senior High School
Purpose of Travel
Activity Organized/
Sponsored by
Period Covered
(Inclusive of Travel Time)
Please Check Official Business Official Time
Venue/Destination
Expenses Covered (subject to the usual accounting and auditing rules and regulations)
Fund Sources
(Pap Code/…)
Recommending Approval: Approved:

MARCIANO U. SORIANO, JR., Ph.D.

_____________________________ ATTY. DONATO D. BALDERAS, JR.
_________________________________
Name and Signature Name and Signature

Date: _________________ Date: __________________________

 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
LA UNION SCHOOLS DIVISION OFFICE
San Gabriel District
SAN GABRIEL SENIOR SCHOOL

AUTHORITY TO TRAVEL
CONTROL NO: ____________

REGION: I
BUREAU/DIVISION/SCHOOL: DEPED/LA UNION/ SAN GABRIEL SENIOR HIGH SCHOOL

Date of Filing
NAME
Position/Designation TEACHER
Permanent Station
Purpose of Travel
Activity Organized/
Sponsored by
Period Covered
(Inclusive of Travel Time)
Please Check ⁄ Official Business Official Time
Venue/Destination
Expenses Covered (subject to the usual accounting and auditing rules and regulations)
Fund Sources
(Pap Code/…)
Recommending Approval: Approved:

_____________________________
GERTRUDES L. TANGALIN ATTY. DONATO D. BALDERAS, JR.
_________________________________
Name and Signature Name and Signature

Date: _________________ Date: __________________________

 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
LA UNION SCHOOLS DIVISION OFFICE
San Gabriel District
SAN GABRIEL SENIOR HIGH SCHOOL

LOCATOR SLIP
REGION: I
BUREAU/DIVISION/SCHOOL: DEPED/LA UNION/ SAN GABRIEL SENIOR HIGH SCHOOL

DATE OF FILING
NAME
PERMANENT STATION
POSITION/DESIGNATION
PURPOSE
PLEASE CHECK Official Business Official Time
DESTINATION
DATE AND TIME OF
EVENT/TRANSACTION/
MEETING
Approved:

___________________________ _________________________________
Signature of Requesting Head of Office or his/her Authorized
Official/Employee Representative

Date: ___________________ Date: ____________________

CERTIFICATION

This is to certify that the above employee appeared in this Office for the above purpose.

_______________________ _____________________ ______________

Signature over printed name Position Date
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
LA UNION SCHOOLS DIVISION OFFICE
Bacnotan District
BACNOTAN CENTRAL SCHOOL
 CERTIFICATION

This is to certify that the above employee appeared in this Office for the above purpose.

CRISTETA A. BADUA
_______________________ _____________________ ______________
Signature over printed name Position Date

CERTIFICATION

This is to certify that the above employee appeared in this Office for the above purpose.

_______________________ _____________________ ______________

Signature over printed name Position Date
 CERTIFICATION

This is to certify that the above employee appeared in this Office for the above purpose.

_______________________ _____________________ ______________

Signature over printed name Position Date