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ANNEX B

Republic of the Philippines


Department of Education

LOCATOR SLIP
REGION: NATIONAL CAPITAL REGION
BUREAU / DIVISION / SCHOOL: DIVISION OF VALENZUELA
DATE OF FILING
NAME REGINE A. PAGLINAWAN
PERMANENT
STATION
POSITION / TEACHER 1
DESIGNATION
TRAINING WORKSHOP ON RAPID ASSESSMENT OF SDO VALENZUEL
PURPOSE
DEVELOPED SUPPLEMENTARY LEARNING REOURCES.
PLEASE CHECK Official Business Official Time
DATE AND TIME
DESTINATION THE SELAH GARDEN HOTEL
OF EVENT / MAY 23-24, 2022
TRANSACTION /
MEETING Approved:

REGINE A. PAGLINAWAN JEAN FRANCIS V. DELA CRUZ


Head of Office or Authorized
Requesting Official / Employee 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
ANNEX B

T OF SDO VALENZUELA
ING REOURCES.
Official Time
EL

S V. DELA CRUZ
e or Authorized
entative

ove purpose.
Date
ANNEX A

Republic of the Philippines


Department of Education

AUTHORITY TO TRAVEL CONTROL NO:

REGION: NATIONAL CAPITAL REGION 2022-06-002


BUREAU / DIVISION / SCHOOL: DIVISION OF VALENZUELA
Date of Filing 3-Jun-22
NAME REGINE A. PAGLINAWAN
Position/Designation PRINCIPAL I
Permanent Station SANTIAGO A. DE GUZMAN ELEMENTARY SCHOOL

Purpose of Travel TRAINING WORKSHOP ON RAPID ASSESSMENT OF SDO VALENZUELA


DEVELOPED SUPPLEMENTARY LEARNING REOURCES.
Activity Organized/ SDO VALENZUELA
Period Covered
Sponsored By
(Inclusive of Travel MAY 23-24,2022
Time)
Please Check Official Business Official Time
Venue/Destination THE SELAH GARDEN HOTEL
Expenses Covered Transportation and Per Deim
Fund Source
MOOE Fund
(Pap Code/…)
Recommending Approval: Approved:

JEAN FRANCIS V. DELA CRUZ


Principal 1
Date: May 23, 2022 Date: _______________
Appendix 45

ITINERARY OF TRAVEL

Entity Name : SANTIAGO A. DE GUZMAN ELEMENTARY SCHOOL


Fund Cluster: 01 No.: 02

Name : REGINE A. PAGLINAWAN Date of Travel : May 23-24, 2022


Position : TEACHER 1 Purpose of Travel :
TRAINING WORKSHOP ON RAPID ASSESSMENT OF SDO
VALENZUELA DEVELOPED SUPPLEMENTARY LEARNING
REOURCES.
Official Station : SANTIAGO A. DE GUZMAN ELEMENTARY SCHOOL

Places to be visited TIME Means of Transpor- Per Total


Date Others
(Destination) Departure Arrival Transportation tation Diem Amount

May 23, 2022


SADGES- GAMI Fatima trycycle 25.00 25.00
GAMI Fatima-
Monumento Jeep 9.00 9.00

Monumento LRT
Stattion- Gil Puyat
Station LRT 30.00 30.00
Gil Puyat Station -The
Selah Garden Hotel Jeep 9.00 9.00

May 24, 2022

The Selah Garden Hotel -


Gil Puyat LRT Station Jeep 9.00 9.00

Gil Puyat LRT Station -


Monumento LRT Station LRT 30.00 30.00
Monumento - GAMI
Fatima Jeep 9.00 9.00
GAMI Fatima -
SADGES trycycle 25.00 25.00

TOTAL 146.00 - 146.00


Prepared by :

I certify that : (1) I have reviewed the foregoing itinerary, (2) REGINE A. PAGLINAWAN
the travel is necessary to the service, (3) the period covered is Teacher 1
reasonable and (4) the expenses claimed are proper.
Approved by:
I certify that : (1) I have reviewed the foregoing itinerary, (2)
the travel is necessary to the service, (3) the period covered is
reasonable and (4) the expenses claimed are proper.

JEAN FRANCIS V. DELA CRUZ


Principal I
Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: DCS - VALENZUELA Fund Cluster: 01-REGULAR FUND

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel
Order/Itinerary of Travel No. ________ dated ________ under conditions indicated below:

Strictly in accordance with the approved itinerary.


Cut short as explained below. Excess payment in the amount of
______ was refunded under O.R. No. ________ dated _______.
Extended as explained below, additional itinerary was submitted
Other deviation as explained below.

Explanation or justifications:
______________________________________________________________________

Evidence of travel:
______________________________________________________________________

Respectfully submitted:

___________________________

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

Approved:

___________________________
Republic of the Philippines
Department of Education
National Capital Region
DIVISION OF CITY SCHOOLS- VALENZUELA
Pio Val. St., Marulas, Valenzuela City
sdovalenzuela2015@gmail.comtelefax: no. (02) 292-32-47
CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-01 dated June 19, 2017


Name of Employee
REGINE A. PAGLINAWAN 5920669
Employee No. 4233893
Office SANTIAGO A. DE GUZMAN ELEMENTARY SCHOOL
Division DepEd- Valenzuela
Particulars Amount

TOTAL 146.00
Purpose
TRAINING WORKSHOP ON RAPID ASSESSMENT OF SDO VALENZUELA DEVELOPED
SUPPLEMENTARY LEARNING REOURCES.

I hereby certify that the above expenses are incurred and necessary for the above cited purpose, that the above goods and
services were acquired from parties not issuing receipts. And that I am fully aware that the willful falsification of
statements is punishable by law.

Certified correct: Noted by:


Signature
Printed Name REGINE A, PAGLINAWAN

Public Schools District Supervisor

Date Date

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