ANNEX A

Republic of the Philippines

Department of Education

AUTHORITY TO TRAVEL Control No.

REGION: 10
BUREAU/DIVISION/SCHOOL: DEPED - BUKIDNON/CANANGA-AN ES
Date of Filing
NAME JUPITER J. PENSAHAN
Position/Designation School Principal-I
Permanent Station CANANGA-AN ES

Purpose of Travel

Activity Organized/
Sponsored By
Period Covered
(Inclusive of Travel Time)
Please Check Official Business Official Time
Venue/Destination
Expenses Covered (subject to the usual accounting and auditing rules and regulations)

Fund Source
(Pap Code/…)
Recommending Approval: Approved:

__________________ __________________
Name and Signature Name and Signature
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.)
 Republic of the Philippines
Department of Education

LOCATOR SLIP
REGION: 10
BUREAU/DIVISION/SCHOOL:
DATE OF FILING
NAME
Position / Designation
Permanent station
Purpose of travel ( must be
supported by attachments)
Please Check Official Business Official Time
DATE AND TIME
OF EVENT/
TRANSACTION/
MEETING
Destination
Approved:

____________________________ ELIZABETH S. GAN-IB

Signature of Requesting School Principal I
Official/Employee
Date: _________________ Date: _________________

CERTIFICATION

To the concerned:

This is to certify that the above-named DepED official/personnel has visited or appeared in this Office/place for the
purpose and during the date and time stated above..

________________________

Office:
 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.)