Republic of the Philippines

Department of Education
Region I

PANGASINAN DIVISION II
Brgy. Canarvacanan, Binanlonan Pangasinan 2436

Authority to Travel
CONTROL NO:
Region: 1
Bureau/Division/School: DEPED Pangasinan Division II/Pindangan NHS Sison
Date of Filing December 13, 2019
NAME Pauline R. Intia
Position/Designation SHS Teacher II
Permanent Station Pindangan National High School
Purpose of Travel Division Training Workshop on Research Writing for Selected
Senior High School Teachers
Activity organized/Sponsored By
Period Covered December 17-19, 2019
(Inclusive of Travel Time)
Please Check Official Business Official Time
Venue/Destination Cozy Place Resort, Rosales, Pangasinan
Expenses Covered
Fund Source
(Pap Code/…)
Recommending Approval: Approved:

ROWENA G. LALATA
Name and Signature Name and Signature

Date: Date: December 13, 2019

CERTIFICATION

This is to certify that the above employee appeared in this Office for the above purpose.

Signature over Printed Name Position Date

(Note: This portion shall be filled out by the Official/Authorized personnel of the Office Visited)
 Republic of the Philippines
Department of Education
Region I

PANGASINAN DIVISION II
Brgy. Canarvacanan, Binanlonan Pangasinan 2436

Locator Slip
CONTROL NO:
Region: 1
Bureau/Division/School: DEPED Pangasinan Division II/Pindangan NHS Sison
Date of Filing August 1,2022
NAME Vivian Gladys V. Basto
Position/Designation SHS Teacher II
Permanent Station Pindangan National High School
Purpose of Travel To Submit a Report
Activity organized/Sponsored By School
Period Covered August 1,2022
(Inclusive of Travel Time)
Please Check Official Business Official Time
Venue/Destination SDO Pangasinan II, Binalonan
Expenses Covered
Fund Source
(Pap Code/…)
Approved:

VIVIAN GLADYS V. BASTO

Signature of Requesting Official/Employee Head of Office or his/her Authorized Representative

Date:
Date:

CERTIFICATION

This is to certify that the above employee appeared in this Office for the above purpose.

Signature over Printed Name Position Date

(Note: This portion shall be filled out by the Official/Authorized personnel of the Office Visited)