Appendix 45

ITINERARY OF TRAVEL

Entity Name :
Fund Cluster : No. :

Name : Date of Travel :

Position : Purpose of Travel :
Official Station :

Place to be Visited Means of

TIME Total
Date (Destination) Transportatio Transportatio Per Diems Others Amount
From To Departure Arrival n n

TOTAL - - - -

Prepared 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 & (4) the expenses claimed Signature over Printed Name
are proper.

Approved by:
 Appendix 45
Signature over Printed Name
Agency Head/Authorized Representative