Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya

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: ______________
Check/Tick if applicable:
☐ With Government Vehicle ☐ With Registration Fee
Recommending Approval: Approved:

School Head Schools Division Superintendent

Date:_____________ Date:_____________

Address: Quezon St., Don Domingo Maddela, Bayombong, Nueva Vizcaya

Telephone Nos.: (078) 362-0106, 09171589946
Email Address: nuevavizcaya@deped.gov.ph
Website: www.deped-nv.com.ph Doc Code:
As of:
FM-ORD-002
Sep 12, 2019
Rev:
Page:
00
1