12/22/21, 2:14 PM LGU-2228DAC5667179-12-22

ORIENTAL MINDORO, REGION IVB MIMAROPA

Date: December 22, 2021

Travel Coordination Permit

This travel coordination permit is granted to the person listed below to pass at the established Quarantine Control Points (QCPs),
Checkpoints, Seaports and Airports from point of origin to point of destination.

Name: Jasoel Joshua Glorioso Marino

Type of Traveller: Local Tourists

Date of Travel: December 28, 2021 to December 28, 2021

Place of Origin: PAGBILAO, QUEZON

Origin Barangay: Sitio Pinagpala Barangay Bigo

Place of Destination: PUERTO GALERA, ORIENTAL MINDORO

Destination Barangay: Rem's Virgin Island Hotel, White Beach, Puerto Galera 5203
Mode of Transportation: Land and Sea (public)
Additional Travel Details:

Remarks: NA

Last Update: 2021-12-22 14:04:36

WARNING: Falsification of S-PaSS travel documents, medical certificates, including COVID-19 test results and vaccination cards is punishable with imprisonment and
fines under the Revised Penal Code as well as Republic Act 11332 or the Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concern Act.

Vinscent B. Gahol
PDRRMO

LGU-2228DAC5667179-12-22

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