CERTIFICATE OF APPEARANCE

DATE

TO WHOM IT MAY CONCERN:

This is to certify that

of the University of the Philippines, Institute of Biology was here in

during the period covering to

in connection with the
as evidence
by travel order # attached hereto.

This certification is being issued in compliance with the provision of

Republic Act # 3847, otherwise known as the New Per Diem Law.

NAME

DESIGNATION
 TRAVEL ORDER

T.O. NO.

DATE
NAME:

DESIGNATION:

PURPOSE (5):

DATE OF TRAVEL:

EXPENSES:

SOURCE OF FUNDS:

REMARKS:

RECOMMENDED BY:

SIGNATURE OVER PRINTED NAME

DESIGNATION
APPROVED BY:

SIGNATURE OVER PRINTED NAME

DESIGNATION
 INSTITUTE OF BIOLOGY
College of Science
University of the Philippines
Diliman, Quezon City
No.
Date:
ITINERARY OF TRAVEL

Name:
Position: Monthly Salary:
Official Station.
Purpose of Travel:

Place to be Means of Allowable Expenses

DATE Time Allow- Total
Visited Departure Arrival Transpor- ances ) Amount
tation
—

TOTAL _
(2). 1 certify that (a) I have reviewed (1) Prepared by:
the foregoing itinerary (b) The
Travel is necessary to the service
The period covered is reasonable
The- expenses claimed are proper.
Official or Employee
(3) APPROVED:

Supervisor Director
 CERTIFICATE OF TRAVEL COMPLETED

UNIT

DATE

I certify that I have completed the travel authorized in itinerary of travel No.
dated under conditions indicated below:

Strictly in accordance with the approval itinerary

Cut short as explained below. Excess payment in the amount of
was refunded on O.R. No.
dated

Extended as explained below. Additional itinerary was submitted.

Other deviations as explain below.

Explanation of Justification

Evidence of travel attached hereto:

Respectfully Submitted:

(Officer or Employee)

Or evidence and information of which I have knowledge the travel was actually undertaken.

Signature over Printed Name