Republic of the Philippines

DEPARTMENT OF EDUCATION
Region V
Division of Camarines Sur
SIRUMA NATIONAL HIGH SCHOOL
Poblacion, Siruma, Camarines Sur

ITINERARY OF TRAVEL
No.:
Date:
Name:
Position:
Official Station:
Monthly Salary:
Purpose of Travel:

TIME Means of Per Incidental Lodging

Date Places to be Visited Fare TOTAL
Departure Arrival Transportation Diem Expense Cost

GRAND TOTAL

I CERTIFY THAT:
1. I have received the foregoing itinerary Prepared by:
2. The travel is necessary to the service
3. The period covered is reasonable
4. The expenses claimed are proper

Approved by:
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
Division of Camarines Sur
Freedom Sports Complex, San Jose Pili, Camarines Sur

APPENDIX B
CERTIFICATION OF TRAVEL COMPLETED

LEO B. BOLALIN Siruma National High School

(Agency Head) (Station)

School Principal I
(Designation) (Date)

I CERTIFY THAT I have completed the tarvel authorized in itinerary of Travel No.
___________________________ dated _________________________ under the condition indicated below.

X Strictly in accordance with the approved itinerary.

Cut Short as explained below. Excess payment in the amount of

________________________ was returned per O.R. No. dated _______

Extended as explained below. Additional Itinerary was submitted.

Other deviation as explained below.

Explanation or Justification: ________________________________________

________________________________________________
________________________________________________

Evidence of travel attached hereto: :RER: certificate of appearance:ticket,memo.travel order.

____________________________________________________

Respectfully submitted:

On evidence and information of which I have knowledge,the travel was actuallly undertaken.

LEO B. BOLALIN
School Principal I