Republic of the Philippines

City of Cebu
DEPARTMENT OF SOCIAL WELFARE SERVICES
Lucio Java St, Labangon, Cebu City

To: ___________________________________ MO. No._________________

___________________________________ Date: ___________________
___________________________________
You are hereby directed to attend _________________________________________________________
(Activity to be performed or
__________________________________________________________________________________________
Task to be accomplished)
Furthermore, you are to accomplish the columns provided below thereof.
You are further directed to prepare and submit Accomplishment Report upon of the MO on the agreed form.
For strict compliance.
MARIVIC G. ALOLOD
Office Head or Authorized Representative
Mission Order Received by: Date and Time
____________________________ _____________________________
____________________________ _____________________________
____________________________ _____________________________
Check below:
Government Car PUJ Others, Specify Motorcycle

Time Destination Purpose Signature over Printed Name of

AM/PM Person Visited

Republic of the Philippines

City of Cebu
DEPARTMENT OF SOCIAL WELFARE SERVICES
Lucio Java St, Labangon, Cebu City

To: ___________________________________ MO. No._________________

___________________________________ Date: ___________________
___________________________________
You are hereby directed to attend _________________________________________________________
(activity to be performed or
__________________________________________________________________________________________
Task to be accomplished)
Furthermore, you are to accomplish the columns provided below thereof.
You are further directed to prepare and submit Accomplishment Report upon of the MO on the agreed form.
For strict compliance.
MARIVIC G. ALOLOD
Office Head or Authorized Representative
Mission Order Received by: Date and Time
________________________________ _____________________________
________________________________ _____________________________
________________________________ _____________________________
Check below:
Government Car PUJ Others, Specify Motorcycle

Time Destination Purpose Signature over Printed Name of

AM/PM Person Visited
 Republic of the Philippines
City of Cebu
APPENDIX A-ITINERARY OF TRAVEL
DEPARTMENT OF SOCIAL WELFARE SERVICES
CEBU CITY

___________________________
DATE

Name: ________________________________________________________ Position : ________________________________

Official Station : ________________________________________________ Monthly Salary : __________________________
Purpose of Travel : _________________________________________________________________________________ ___________
______________________________________________________
Date Place to be Visited TIME Means of Transportation Per Diem Daily Total
Departure Arrival Transportation Fare Allowance Amount

TOTAL PREPARED BY:

I certify that (1) I have reviewed the foregoing
itinerary (2) Travel is necessary to the services _________________________________
(3) The period covered is reasonable. (4) The Official / Employee
expenses claimed are proper. APPROVED BY:

__MARIVIC G. ALOLOD PORTIA C. BASMAYOR, RSW____

ECCD Program Head OIC, DSWS DEPT. HEAD