Republic of the Philippines

Department of Education
Region VIII
Division of Samar
Gandara II District
Gandara, Samar

AUTHORITY TO TRAVEL CONTROL

NO:
REGION: VIII
BUREAU/DIVISION/SCHOOL: HINOGACAN ELEMENTARY SCHOOL
DATE OF FILING
NAME
POSITION/DESIGNATION
PERMANENT STATION

PURPOSE OF TRAVEL

ACTIVITYORGANIZED/
SPONSORED BY

PERIOD COVERED
(Inclusive of Travel Time)

PLEASE CHECK Official Business Official Time

VENUE/DESTINATION
EXPENSES COVERED (subject to usual accounting and auditing rules and regulations)

FUND SOURCE
(Pap Code/ …)
Approved:

__________________________ MERCEDES B. SAISES

Signature of Requesting School Head

Date: __________________ Date:____________________