Annie Marie Dimal

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FORM TYPE: Travel Coordination Permit

QR: LGU-E6EDC335355567-08-17

NAME: Annie Marie Dimal

Traveller Type: Returning Residents

Origin: CITY OF PASIG, CITY OF PASIG

Origin BRGY: MANGGAHAN

STATUS: APPROVED Destination: SAN JOSE, OCCIDENTAL MINDORO

Destination BRGY: MAGBAY

Date of Travel: 2022-08-17

Date of Expected Arrival: 2022-08-18

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OCCIDENTAL MINDORO, REGION IVB MIMAROPA

Date: August 17, 2022

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: Annie Marie Semillano Dimal

Type of Traveller: Returning Residents

Date of Travel: August 17, 2022 to August 18, 2022

Place of Origin: CITY OF PASIG, CITY OF PASIG

Origin Barangay: MANGGAHAN

Place of Destination: SAN JOSE, OCCIDENTAL MINDORO

Destination Barangay: MAGBAY

Mode of Transportation: Land and Sea (public)

Additional Travel Details:

Remarks: NA

Last Update: 2022-08-17 19:41:16

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.

B. Gadiano
Eduardo
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LGU-E6EDC335355567-08-17

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