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Republic of the Philippines

Department of Education
REGION XI
SCHOOLS DIVISION OF DAVAO OCCIDENTAL

No.: __________

TRAVEL AUTHORITY FOR OFFICIAL TRAVEL


NAME
Position/ Designation
Permanent Station
Purpose of Travel
Host of Activity
Inclusive Dates
Destination
Fund Source
I hereby attest that the information in this form and in the supporting documents attached hereto are true
and correct.

______________________________________ ________________
Name and Signature of Requesting Employee Date

This is to certify that the trip of the requesting employee satisfies all the minimum conditions for authorized
official travel and that the alternatives to travel are insufficient for purpose stated herein.

DR. ANTONIO P. DELOS REYES _______________


Name and Signature of Recommending Authority Date

APPROVED

DR. LORENZO E. MENDOZA, CESO VI _______________


Name and Signature of Approving Authority Date

“TURNING YOUR VISIONS INTO REALITIES”


Lacaron, Malita, 8012 Davao Occidental
T (639171141438) (+639632878013)
division.davaooccidental@deped.gov.ph
deped.davaooccidental.gov.ph

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