Republic of the Philippines

Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF BUKIDNON

CONTROL NO:

AUTHORITY TO TRAVEL
Date of Filing:
(Month day, year)
Name Position/Designation Signature/Remarks

Official Station:

Destination:
Date of travel:
(inclusive of travel time)

Purpose:

Activity organized/
sponsored by:

Travel is on: ☐Official Business ☐Official Time

☐ DepEd Memo ☐ DepED Advisory

Legal basis:
☐ Invitation Letter ☐ Others: _______________
Expenses covered:
(subject to the usual accounting
and auditing rules and
regulations)

☐ Local Funds ☐Sub-ARO No.: ______________

Fund source:
☐ HRTD ☐ Others: __MOOE__________
Check/Tick if applicable:

☐ With Government Vehicle ☐ With Registration Fee

Requesting Officer: Approved:

Date:
Date:

Address: Fortich St., Sumpong, Malaybalay City, Bukidnon

Telephone No: (088)-813-3634
Email Address: bukidnon@deped.gov.ph
Website: www.depedbukidnon.net.ph
USER:
Name, Position, Signature