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Republic of the Philippines

Department of Education

AUTHORITY TO TRAVEL
NO. ____, s. 2019
REGION: III
BUREAU/DIVISION/SCHOOL: SOUTHERN LEYTE

Date of Filing
NAME
POSITION
PERMANENT STATION Pintuyan National High School
Purpose of travel

Activity Organized/ Sponsored


by
Period Covered

Please Check
Venue/Destination

Expenses Covered
Fund Source Local Fund/School/PTA Fund

Recommending Approval Approved:

__________________ MARIO T. ORIAS


Name and Signature Name and Signature

Date:_______________
Date: __________________

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