Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Division of Cauayan City
Office of the Schools Division Superintendent
2020-0596 AUTHORITY TO TRAVEL
Date of Filing: December 28, 2021
(Month day, year)
Name Position/Designation Signature/Remarks
MICHAEL P. BATERIZA ADAS III

JAY AR R. ABAT ADA I

Official Station: SDO Cauayan

Destination: DEPED RO2

Date of travel: December 28, 2021
(inclusive of travel time)

Purpose: To submit reports and get Pay slip (December 2021)

Activity organized/
N/A
sponsored by:

Travel is on: ☒Official Business ☐Official Time

☐ DepEd Memo ☐ DepED Advisory

Legal basis:
☐ Invitation Letter ☐ Others: _______________
Expenses covered: Travel expenses
(subject to the usual accounting
and auditing rules and
regulations)
☒ Local Funds ☒Sub-ARO No.: ______________
Fund source:
☐ HRTD ☐ Others: ______________
Check/Tick if
applicable:
☒ With Government Vehicle ☐ With Registration Fee
Recommending Approval: Approved:

ADONIS C. CEPEREZ, EdD, CESE ALFREDO B. GUMARU JR., EdD., CESO VI

OIC, Assistant Schools Division Superintendent Schools Division Superintendent

Date: _____________

Date:________________

Address: Barangay Turayong, Cauayan City, Isabela 3305

Telephone Nos.: (078) 652-1614
Email Address: cauayancity@deped.gov.ph
Website: depedcauayan.wordpress.com Doc Code: FM-ORD-002 Rev: 01
As of: Sep 12, 2019 Page: 1