Republic of the Philippines

DEPARTMENT OF EDUCATION
Regional Office No. 02 (Cagayan Valley)
Schools Division Office of Cauayan City
Brgy. Turayong, Cauayan City, Isabela 3305

2019-______ ____________
(Control Number) (Date)

AUTHORITY TO TRAVEL

NAME
POSITION
OFFICIAL STATION
DESTINATION
DATE OF TRAVEL (_/_) Inclusive of Travel Days
(__) Exclusive of Travel Days
PURPOSE
NATURE OF TRAVEL (_/_) Official Business
(__) Official Time
LEGAL BASIS (__) DepEd Memo
(_/_) Others: ___________________
FUND SOURCE (__) National Fund (__) Others: ______________
(_/_) Local Fund
USE OF VEHICLE (__) With Government Vehicle
(_/_) Without Government Vehicle
REGISTRATION FEE (__) With Registration
(_/_) Without Registration Fee

Requested by:

________________________

Recommending Approval:

MADELYN L. MACALLING, PhD, CESO VI

Assistant Schools Division Superintendent
Approved:

GILBERT NARAG TONG, PhD, CEO VI, CESO V

Schools Division Superintendent

(078) 652-1614 Sparkling and Resilient to

DepEd Cauayan BD#1 Document Code: FM-ORD-002
https://depedcauayan.co.nf Rev.: 00
https://depedcauayan.wordpress.co As of: 07-02-2018
m
cauayancity@deped.gov.ph