Request Form for Vehicle Use

REQUEST FORM
(Request Use of Vehicle)

Date: ________________
Name of Requesting Personnel:

Travel Authority No:
Destination/Purpose:
Date and Duration of Travel:
Government Vehicle/Plate No. :
No. of Passengers:
Name of Passengers:
Requested by:
___________________________ Action Taken:
Approve
Disapprove due to _____________________________
SHERALYNE D. PEQUINA
Administrative Officer - V
REQUEST FORM
(Request Use of Vehicle)
Date: ________________
Name of Requesting Personnel:

Travel Authority No:
Destination/Purpose:
Date and Duration of Travel:
Government Vehicle/Plate No. :
No. of Passengers:
Name of Passengers:
Requested by:
__________________________ Action Taken:
Approve
Disapprove due to _____________________________
SHERALYNE D. PEQUINA
Administrative Officer - V
AUTHORITY TO TRAVEL
Control No.
REGION: CARAGA
BUREAU/DIVISION/SCHOOL: DIVISION OF DINAGAT ISLANDS
Date of Filing
NAME Karen L. Galanida, PhD, CESO VI
Position/Designation Schools Division Superintendent
Permanent Station Division of Dinagat Islands
Purpose of Travel
Activity Organized/
Sponsored By
Period Covered (Inclusive

Time of Travel)
Please Check Official Business Official Time
Venue/Destination
Expenses Covered
Fund Source (PAP

Code/…)
Recommending Approval: Approved:
LEONEVEE V. SILVOSA FRANCIS CESAR B. BRINGAS, CESO V

OIC - Assistant Schools Division Superintendent OIC - Regional Director
Date: _______________ Date: _______________

AUTHORITY TO TRAVEL
Control No.
REGION: CARAGA
Date of Filing
NAME Leonevee V. Silvosa
Position/Designation Assistant Schools Division Superintendent
Purpose of Travel
Activity Organized/
Sponsored By

Time of Travel)
Venue/Destination
Expenses Covered
Fund Source (PAP

Code/…)
LEONEVEE V. SILVOSA KAREN L. GALANIDA, PhD, CESO VI

OIC - Assistant Schools Division Superintendent Schools Division Superintendent
Date: _______________ Date: _______________

AUTHORITY TO TRAVEL
Control No.
REGION: CARAGA
Date of Filing
NAME Leonevee V. Silvosa
Position/Designation OIC - Assistant Schools Division Superintendent
Purpose of Travel
Activity Organized/
Sponsored By

Time of Travel)
Venue/Destination
Expenses Covered
Fund Source (PAP

Code/…)
KAREN L. GALANIDA, PhD, CESO VI FRANCIS CESAR B. BRINGAS, CESO V

Schools Division Superintendent OIC - Regional Director
Date: _______________ Date: _______________

AUTHORITY TO TRAVEL
Control No.
REGION: CARAGA
Date of Filing September 6, 2019
NAME Lope C. Papeleras, PhD
Position/Designation Chief ES, CID
To attend the conduct of Workshop for the Preparation and Submission of

Purpose of Travel
Inventory of DepEd Personnel
Activity Organized/
DepEd Regional (RM No. 495, s. 2019 dated August 30, 2019)
Sponsored By

September 12-13, 2019
Time of Travel)
Venue/Destination Butuan City
Expenses Covered Traveling expenses
Fund Source (PAP

Division Local Funds
Code/…)

Date: _______________ Date: _______________

AUTHORITY TO TRAVEL
Control No.
REGION: CARAGA
Date of Filing September 6, 2019
NAME Mila O. Geraldino, PhD
Position/Designation Chief ES, SGOD
To attend the conduct of Workshop for the Preparation and Submission of

Purpose of Travel
Inventory of DepEd Personnel
Activity Organized/
DepEd Regional (RM No. 495, s. 2019 dated August 30, 2019)
Sponsored By

September 12-13, 2019
Time of Travel)
Venue/Destination Butuan City
Expenses Covered Traveling expenses
Fund Source (PAP

Division Local Funds
Code/…)

Date: _______________ Date: _______________

AUTHORITY TO TRAVEL
Control No.
REGION: CARAGA
Date of Filing
Name/s &
Position/Designation
Purpose of Travel
Activity Organized/
Sponsored By

From To
Time of Travel)
Venue/Destination
Expenses Covered
Fund Source (PAP

Code/…)

Date: _______________ Date: _______________

AUTHORITY TO TRAVEL
Control No.
REGION: CARAGA
Date of Filing October 16, 2019
NAME Welfer L. Erno, Jr.
Position/Designation ADAS III
Purpose of Travel To deliver LDDAP-ADA and ACIC
Activity Organized/
Sponsored By

From October 17, 2019 To October 17, 2019
Time of Travel)
Please Check / Official Business Official Time
Venue/Destination DBP, Surigao City
Expenses Covered
Fund Source (PAP

Code/…)

Date: _______________ Date: _______________

Request Form for Vehicle Use

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Request Form for Vehicle Use

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REQUEST FORM

(Request Use of Vehicle)

Name of Requesting Personnel:

Name of Requesting Personnel:

BUREAU/DIVISION/SCHOOL: DIVISION OF DINAGAT ISLANDS

NAME Karen L. Galanida, PhD, CESO VI

Position/Designation Schools Division Superintendent

Permanent Station Division of Dinagat Islands

Period Covered (Inclusive

Please Check Official Business Official Time

Fund Source (PAP

Recommending Approval: Approved:

LEONEVEE V. SILVOSA FRANCIS CESAR B. BRINGAS, CESO V

Date: _______________ Date: _______________

BUREAU/DIVISION/SCHOOL: DIVISION OF DINAGAT ISLANDS

NAME Leonevee V. Silvosa

Position/Designation Assistant Schools Division Superintendent

Permanent Station Division of Dinagat Islands

Period Covered (Inclusive

Please Check Official Business Official Time

Fund Source (PAP

Recommending Approval: Approved:

LEONEVEE V. SILVOSA KAREN L. GALANIDA, PhD, CESO VI

Date: _______________ Date: _______________

BUREAU/DIVISION/SCHOOL: DIVISION OF DINAGAT ISLANDS

NAME Leonevee V. Silvosa

Position/Designation OIC - Assistant Schools Division Superintendent

Permanent Station Division of Dinagat Islands

Period Covered (Inclusive

Please Check Official Business Official Time

Fund Source (PAP

Recommending Approval: Approved:

KAREN L. GALANIDA, PhD, CESO VI FRANCIS CESAR B. BRINGAS, CESO V

Date: _______________ Date: _______________

BUREAU/DIVISION/SCHOOL: DIVISION OF DINAGAT ISLANDS

Date of Filing September 6, 2019

NAME Lope C. Papeleras, PhD

Position/Designation Chief ES, CID

Permanent Station Division of Dinagat Islands

To attend the conduct of Workshop for the Preparation and Submission of

Period Covered (Inclusive

Please Check Official Business Official Time

Venue/Destination Butuan City

Expenses Covered Traveling expenses

Fund Source (PAP

Recommending Approval: Approved:

LEONEVEE V. SILVOSA KAREN L. GALANIDA, PhD, CESO VI

Date: _______________ Date: _______________

BUREAU/DIVISION/SCHOOL: DIVISION OF DINAGAT ISLANDS

Date of Filing September 6, 2019

NAME Mila O. Geraldino, PhD

Position/Designation Chief ES, SGOD

Permanent Station Division of Dinagat Islands

To attend the conduct of Workshop for the Preparation and Submission of

Period Covered (Inclusive

Please Check Official Business Official Time

Venue/Destination Butuan City

Expenses Covered Traveling expenses

Fund Source (PAP

Recommending Approval: Approved:

LEONEVEE V. SILVOSA KAREN L. GALANIDA, PhD, CESO VI

Date: _______________ Date: _______________

Date: _ Date: _

Date: _ Date: _

Date: _ Date: _

Date: _ Date: _

Date: _ Date: _

Date: _ Date: _

Date: _ Date: _