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Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL
REGION: VI
BUREAU/DIVISION/SCHOOL: DAVID MOISES MEMORIAL HIGH SCHOOL
Date of Filling JUNE 15, 2023

NAME NILDA D. GALLARDO

Position/ Designation TEACHER III

Permanent Station David Moises Memorial High School

Purpose of Travel To attend NLCA orientaton

Activity Organized/ Division Office


Sponsored By
Period Covered JUNE 16, 2023
( Inclusive of Travel Time ) X Official Business Official Time
Please Check

Venue/Destination Banica, Roxas City

Expenses Covered (subject to the usual accounting and auditing rules and regula1tions)

Fund Source
Recommending MOOE
Approval:
( Pap Code/...)

Approved:
_______________________
Name and Signature

Date: _________________ RIZALINA L. BARRUELA


Principal II
Name and Signature
Date: _________________
Republic of the Philippines
Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL
REGION: VI
BUREAU/DIVISION/SCHOOL: DAVID MOISES MEMORIAL HIGH SCHOOL
Date of Filling March 30, 2023

NAME HANNAH GRACE J. PAGAYONAN

Position/ Designation Administrative Assistant III

Permanent Station David Moises Memorial High School

Purpose of Travel To submit SALN 2022 and justification letter

Activity Organized/ Division Office


Sponsored By
Period Covered March 30, 2023
( Inclusive of Travel Time ) X Official Business Official Time
Please Check

Venue/Destination Banica, Roxas City

Expenses Covered (subject to the usual accounting and auditing rules and regula1tions)

Fund Source
Recommending MOOE
Approval:
( Pap Code/...)

Approved:
_______________________
Name and Signature

Date: _________________ RIZALINA L. BARRUELA


Principal II
Name and Signature
Date: _________________

Republic of the Philippines


Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL
REGION: VI
BUREAU/DIVISION/SCHOOL: DAVID MOISES MEMORIAL HIGH SCHOOL
Date of Filling March 29, 2023

NAME HANNAH GRACE J. PAGAYONAN

Position/ Designation Administrative Assistant III

Permanent Station David Moises Memorial High School

Purpose of Travel To participate in the training for the preparation of 1st qtr financial
reports

Activity Organized/ Division Office


Sponsored By
Period Covered March 29, 2023
( Inclusive of Travel Time ) X Official Business Official Time
Please Check

Venue/Destination Banica, Roxas City

Expenses Covered (subject to the usual accounting and auditing rules and regula1tions)

Fund Source
Recommending MOOE
Approval:
( Pap Code/...)

Approved:
_______________________
Name and Signature

Date: _________________ RIZALINA L. BARRUELA


Principal II
Name and Signature
Date: _________________

Republic of the Philippines


Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL
REGION: VI
BUREAU/DIVISION/SCHOOL: DAVID MOISES MEMORIAL HIGH SCHOOL
Date of Filling March 20, 2023

NAME HANNAH GRACE J. PAGAYONAN

Position/ Designation ADMINISTRATIVE ASSISTANT III

Permanent Station DAVID MOISES MOISES MEMORIAL HIGH SCHOOL

Purpose of Travel TO SUBMIT DTR SHS AND FARS FOR THE MONTH OF MARCH
2023

Activity Organized/ DIVISION OFFICE


Sponsored By
Period Covered April 18, 2023
( Inclusive of Travel Time )  Official Business  Official Time
Please Check

Venue/Destination BANICA, ROXAS CITY, DIVISION OFFICE

Expenses Covered (subject to the usual accounting and auditing rules and regula1tions)

Fund Source
Recommending MOOE
Approval:
( Pap Code/...)

Approved:
_______________________
Name and Signature

Date: _________________ RIZALINA L. BARRUELA


Principal II
Name and Signature
Date: _________________
Republic of the Philippines

Department of Education
CONTROL NO:

AUTHORITY TO TRAVEL
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling March 17, 2023
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MOISES MEMORIAL HIGH SCHOOL
Purpose of Travel TO SUBMIT FAR 4 FOR THE MONTH OF FEBRUARY 2023
Activity Organized/ DIVISION OFFICE
Sponsored By
Period Covered March 17, 2023
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination BANICA, ROXAS CITY, DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
Recommending Approval:
( Pap Code/...)

Approved:

Name and Signature


Date: _____________ RIZALINA L. BARRUELA
Principal II
Name and Signature
Date: _________________
Republic of the Philippines

Department of Education
CONTROL NO:

AUTHORITY TO TRAVEL
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling March 8, 2023
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MOISES MEMORIAL HIGH SCHOOL
Purpose of Travel TO SUBMIT RECOMMENDATION FOR TEACHER I AND TEACHER II
Activity Organized/ DIVISION OFFICE
Sponsored By
Period Covered March 8, 2023
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination BANICA, ROXAS CITY, DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
Recommending Approval:
( Pap Code/...)

Approved:

Name and Signature


Date: _____________ RIZALINA L. BARRUELA
Principal II
Name and Signature
Date: _________________
Republic of the Philippines

Department of Education
CONTROL NO:

AUTHORITY TO TRAVEL
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling February 23, 2023
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MOISES MEMORIAL HIGH SCHOOL
Purpose of Travel TO SUBMIT DOCUMENTS
Activity Organized/ DIVISION OFFICE
Sponsored By
Period Covered February 23, 2023
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination BANICA, ROXAS CITY, DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
Recommending Approval:
( Pap Code/...)

Approved:

Name and Signature


Date: _____________ RIZALINA L. BARRUELA
Principal II
Name and Signature
Date: _________________
Republic of the Philippines

Department of Education
CONTROL NO:

AUTHORITY TO TRAVEL
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling February 27, 2023
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MOISES MEMORIAL HIGH SCHOOL
Purpose of Travel TO SUBMIT 1604E FOR THE YEAR 2022
Activity Organized/ BUREAU OF INTERNAL REVENUE
Sponsored By
Period Covered February 27, 2023
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination MCKINLEY ST., ROXAS CITY, BIR OFFICE RDO 72

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
Recommending Approval:
( Pap Code/...)

Approved:

Name and Signature


Date: _____________ RIZALINA L. BARRUELA
Principal II
Name and Signature
Date: _________________
Republic of the Philippines

Department of Education
CONTROL NO:

AUTHORITY TO TRAVEL
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling March 3, 2023
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MOISES MEMORIAL HIGH SCHOOL
Purpose of Travel TO REMIT COLLECTION FOR THE MONTH OF FEBRUARY 2023
Activity Organized/ CHINA BANK SAVINGS
Sponsored By
Period Covered March 4, 2023
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination CITY MALL ROXAS AVENUE, ROXAS CITY

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
Recommending Approval:
( Pap Code/...)

Approved:

Name and Signature


Date: _____________ RIZALINA L. BARRUELA
Principal II
Name and Signature
Date: _________________
Republic of the Philippines

Department of Education
CONTROL NO:

AUTHORITY TO TRAVEL
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling March 3, 2023
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MOISES MEMORIAL HIGH SCHOOL
Purpose of Travel TO REMIT COLLECTION FOR THE MONTH OF FEBRUARY 2023
Activity Organized/ CHINA BANK SAVINGS
Sponsored By
Period Covered March 4, 2023
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination CITY MALL ROXAS AVENUE, ROXAS CITY

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
Recommending Approval:
( Pap Code/...)

Approved:

Name and Signature


Date: _____________ RIZALINA L. BARRUELA
Principal II
Name and Signature
Date: _________________
Republic of the Philippines

Department of Education
CONTROL NO:

AUTHORITY TO TRAVEL
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling February 5, 2023
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MOISES MEMORIAL HIGH SCHOOL
Purpose of Travel TO SUBMIT FINANCIAL ACCOUNTABILITY REPORT 4, 2023
JANUARY
Activity Organized/ DEPED DIVISION OF CAPIZ
Sponsored By
Period Covered February 6, 2023
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
Recommending Approval:
( Pap Code/...)

Approved:

Name and Signature


Date: _____________ RIZALINA L. BARRUELA
Principal II
Name and Signature
Date: _________________
Republic of the Philippines

Department of Education
CONTROL NO:

AUTHORITY TO TRAVEL 2021-11-


REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 11/3/2021
NAME NILDA D. GALLARDO
Position/ Designation TEACHER 3
Permanent Station DAVID MOISES MHS
Purpose of Travel TO FOLLOW-UP ENROLLMENT WITH GAP IN THE LEARNERS
INFORMATION SYSTEM TO THE PLANNING OFFICE
Activity Organized/ DEPED DIVISION OF CAPIZ
Sponsored By
Period Covered 11/4/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
Recommending Approval:
( Pap Code/...)

Approved:

Name and Signature


Date: _____________ RIZALINA L. BARRUELA
Principal II
Name and Signature
Date: _________________
Republic of the Philippines

Department of Education
CONTROL NO:

AUTHORITY TO TRAVEL 2021-


REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 10/6/2021
NAME ARLENE A. LUCES
Position/ Designation MASTER TEACHER 1
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT LEARNER RESOURCES INVENTORY REPORT
Activity Organized/ DEPED DIVISION OF CAPIZ
Sponsored By
Period Covered 10/8/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
Recommending Approval:
( Pap Code/...)

Approved:

Name and Signature


Date: _____________ RIZALINA L. BARRUELA
Principal II
Name and Signature
Date: _________________
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 9/27/2021
NAME NILDA D. GALLARDO
Position/ Designation TEACHER 3
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT BEIS - BASIC EDUCATION INFORMATION SYSTEM
(GOVERNMENT SENIOR HIGH SCHOOL PROFILES) GOVERNMENT
JUNIOR HIGH SCHOOL PROFILES) GSHJP & GJHSP) SY 2021-2022
Activity Organized/ DEPED DIVISION OF CAPIZ
Sponsored By
Period Covered 9/27/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 9/15/2021
NAME RONALD D. ARTILLERO

Position/ Designation TEACHER 1


Permanent Station DAVID MOISES MHS
Purpose of Travel TO GET THE RESULT OF CHEMICAL PHYTOCHEMICAL ANALYSIS
(SIP COMPLIANCE) SAMPLE B
Activity Organized/ DEPED DIVISION OF CAPIZ
Sponsored By
Period Covered 9/16/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 9/22/2021
NAME RONALD D. ARTILLERO

Position/ Designation TEACHER 1


Permanent Station DAVID MOISES MHS
Purpose of Travel TO GET THE RESULT OF CHEMICAL PHYTOCHEMICAL ANALYSIS
(SIP COMPLIANCE) SAMPLE B
Activity Organized/ DEPED DIVISION OF CAPIZ
Sponsored By
Period Covered 9/16/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 9/15/2021
NAME RONALD D. ARTILLERO

Position/ Designation TEACHER 1


Permanent Station DAVID MOISES MHS
Purpose of Travel TO GET THE RESULT OF CHEMICAL PHYTOCHEMICAL ANALYSIS
(SIP COMPLIANCE) SAMPLE B
Activity Organized/ DEPED DIVISION OF CAPIZ
Sponsored By
Period Covered 9/16/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL
2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 9/10/2021
NAME RONALD D. ARTILLERO

Position/ Designation TEACHER 1


Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT FOR CHEMICAL FOR PHYTOCHEMICAL ANALYSIS (SIP
COMPLIANCE)
Activity Organized/ DEPED DIVISION OF CAPIZ
Sponsored By
Period Covered 9/11/2021
( Inclusive of Travel Time )
Please Check
 Official Business  Official Time
Venue/Destination DIVISION

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 9/16/2021
NAME HANNAH GRACE J. PAGAYONAN

Position/ Designation ADAS 3


Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT PLANTILLA
Activity Organized/ DEPED DIVISION OF CAPIZ
Sponsored By
Period Covered 8/12/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
( Pap Code/...)

Recommending Approval: Approved:

VICTORIA E. LATA
Head Teacher II
Name and Signature Name and Signature
Date: _____________ Date: _________________
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 7/5/2021
NAME NILDA D. GALLARDO
Position/ Designation TEACHER 3
Permanent Station DAVID MOISES MHS
Purpose of Travel TO UPDATE LIS BALIK ARAL
Activity Organized/ DIVISION
Sponsored By
Period Covered 7/6/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 7/5/2021
NAME NILDA D. GALLARDO
Position/ Designation TEACHER 3
Permanent Station DAVID MOISES MHS
Purpose of Travel TO UPDATE LIS BALIK ARAL
Activity Organized/ DIVISION
Sponsored By
Period Covered 7/6/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 6/29/2021
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADAS 3
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT REQUEST FOR CHANGE STATUS & FORM 6
Activity Organized/ DIVISION
Sponsored By
Period Covered 6/30/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination PRC ILOILO CITY

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 6/29/2021
NAME MARIMAR B. ARANZADO
Position/ Designation TEACHER 1
Permanent Station DAVID MOISES MHS
Purpose of Travel TO GET AUTHENTICATED PRC LICENSE
Activity Organized/ PRC
Sponsored By
Period Covered 6/30/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination PRC ILOILO CITY

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source
( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________

Republic of the Philippines


Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 03/08/2021
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADAS 2
Permanent Station DAVID MOISES MHS
Purpose of Travel TO REMIT PREMIUM PAYMENTS & REMIT LOAN PAYMENTS
Activity Organized/ GSIS
Sponsored By
Period Covered 3/9/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________

Republic of the Philippines


Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 03/08/2021
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADAS 2
Permanent Station DAVID MOISES MHS
Purpose of Travel TO REMIT PREMIUM PAYMENTS & REMIT LOAN PAYMENTS
Activity Organized/ GSIS
Sponsored By
Period Covered 3/9/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________

ANNEX A
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 06/11/2021
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADAS 3
Permanent Station DAVID MOISES MHS
Purpose of Travel TO RECEIVED DOCUMENTS (ERF)
Activity Organized/ DIVISION
Sponsored By
Period Covered 6/14/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________ ANNEX A

Republic of the Philippines


Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 05/28/2021
NAME JOEFRE V. GALLANO
Position/ Designation TEACHER 3 & DESIGNATED PROPERTY CUSTODIAN
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT GOVERNMENT JUNIOR HIGH SCHOOL PROFILE & GSHP
Activity Organized/ DIVISION
Sponsored By
Period Covered 5/31/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________ ANNEX A

Republic of the Philippines

Department of Education
CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 05/27`/2021
NAME JOEFRE V. GALLANO
Position/ Designation TEACHER 3 & DESIGNATED PROPERTY CUSTODIAN
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT GOVERNMENT JUNIOR HIGH SCHOOL PROFILE & GSHP
Activity Organized/ DIVISION
Sponsored By
Period Covered 5/27-28/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________

ANNEX A
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 05/20/2021
NAME JOEFRE V. GALLANO
Position/ Designation TEACHER 3 & DESIGNATED PROPERTY CUSTODIAN
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT GOVERNMENT JUNIOR HIGH SCHOOL PROFILE & GSHP
Activity Organized/ DIVISION
Sponsored By
Period Covered 5/24-26/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________

ANNEX A

Republic of the Philippines


Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 05/20/2021
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADMIN. ASSISTANT 3
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT BIR FORMS FOR THE MONTH OF APRIL 2021
Activity Organized/ BIR
Sponsored By
Period Covered 5/17/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
ANNEX A

Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 04/30/2021
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADMIN. ASSISTANT 3
Permanent Station DAVID MOISES MHS
Purpose of Travel TO
Activity Organized/ DIVISION OFFICE
Sponsored By
Period Covered 5/3/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
ANNEX A

Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 04/30/2021
NAME SHEILA A. ANOCHE
Position/ Designation ADMIN. ASSISTANT 2
Permanent Station DAVID MOISES MHS
Purpose of Travel TO
Activity Organized/ DIVISION OFFICE
Sponsored By
Period Covered 4/30/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
ANNEX A

Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 04/12/2021
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADAS 3
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT LIST OF SENIOR HIGH SCHOOL TEACHERS
APPLICATION
Activity Organized/ DIVISION OFFICE
Sponsored By
Period Covered 4/12/2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
ANNEX A

Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2021-01-01
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling ‘01/11/2021
NAME ARLENE A. LUCES
Position/ Designation MASTER TEACHER 1
Permanent Station DAVID MOISES MHS
Purpose of Travel TO PARTICIPATE IN THE DISTRIBUTION OF AUDIO VISUAL
EQUIPMMENT FOR SCHOOL-BASED TEEN CENTERS.
Activity Organized/ POP COM
Sponsored By
Period Covered JANUARY 12, 2021
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination PROVINCIAL CAPITOL

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
ANNEX A

Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2020-12
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 12/15/2020
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT DAILY TIME RECORD, REINSTATEMENT & FORM 6
Activity Organized/ DIVISION OFFICE
Sponsored By
Period Covered DECEMBER 16, 2020
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regula1tions)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
ANNEX A

Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2020-11
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 11/20/2020
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT STEP INCREMENT
Activity Organized/ DIVISION OFFICE
Sponsored By
Period Covered NOVEMBER 20, 2020
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regulations)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
ANNEX A

Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2020-10
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 10/16/2020
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT BIR 1601C, 1600, 1601EQ FOR SEPTEMBER 2020
Activity Organized/ DIVISION OFFICE
Sponsored By
Period Covered OCTOBER 19, 2020
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regulations)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________
ANNEX A

Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2020-10
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 10/2/2020
NAME HANNAH GRACE J. PAGAYONAN
Position/ Designation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT WORLD TEACHER’S DAY INCENTIVE BENEFITS
PAYROLL AND DISBURSEMENT VOUCHERS
Activity Organized/ DIVISION OFFICE
Sponsored By
Period Covered OCTOBER 2, 2020
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION OFFICE

Expenses Covered
(subject to the usual accounting and auditing rules and regulations)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date: _____________ Date: _________________

ANNEX A
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2020-09
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 9/22/2020
NAME HANNAH GRACE J. PAGAYONAN
Position/ Desgnation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT BIR FORM 1601C, 0619E AND 1600 FOR THE MONTH
SEPTEMBER 2020
Activity Organized/ DIVISION OFFICE
Sponsored By
Period Covered SEPTEMBER 22, 2020
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination BUREAU OF INTERNAL REVENUE

Expenses Covered
(subject to the usual accounting and auditing rules and regulations)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date:_____________ Date:_________________

ANNEX A
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2020-08-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 8/13/2020
NAME HANNAH GRACE J. PAGAYONAN
Position/ Desgnation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT TAX REMITTANCE ADVICE FOR AUGUST 2020 FORM
1601C, 1600 & 0619e
Activity Organized/ BUREAU OF INTERNAL REVENUE
Sponsored By
Period Covered August 13, 2020
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination Division Office

Expenses Covered
(subject to the usual accounting and auditing rules and regulations)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date:_____________ Date:_________________

ANNEX A
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2020-08-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 8/13/2020
NAME HANNAH GRACE J. PAGAYONAN
Position/ Desgnation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT AGENCY PERFORMANCE REVIEW AS OF JUNE 2020
Activity Organized/ DIVISION – BUDGET
Sponsored By
Period Covered July 28, 2020
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination Division Office

Expenses Covered
(subject to the usual accounting and auditing rules and regulations)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date:_____________ Date:_________________

ANNEX A
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2020-02-
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 7/9/2020
NAME HANNAH GRACE J. PAGAYONAN
Position/ Desgnation ADMINISTRATIVE ASSISTANT III
Permanent Station DAVID MOISES MHS
Purpose of Travel To submit Financial accountability reports of 2ND QTR 2020
Activity Organized/ DIVISION
Sponsored By
Period Covered July 10, 2020
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination Division Office

Expenses Covered
(subject to the usual accounting and auditing rules and regulations)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date:_____________ Date:_________________

ANNEX A
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2020-01-07
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 1/28/2020
NAME HANNAH GRACE J. PAGAYONAN
Position/ Desgnation BOOKKEEPER
Permanent Station DAVID MOISES MHS
Purpose of Travel TO SUBMIT FINANCIAL ACCOUNTABILITY REPORTS 1A, 1, 1B AS OF
DEC. 2019
Activity Organized/ DIVISION
Sponsored By
Period Covered JANUARY 28, 2020
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination COMMISSION ON AUDIT

Expenses Covered
(subject to the usual accounting and auditing rules and regulations)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA
Principal II
Name and Signature Name and Signature
Date:_____________ Date:_________________
ANNEX A
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL 2020-01-05
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling 1/13/2020
NAME HANNAH GRACE J. PAGAYONAN
Position/ Desgnation BOOKKEEPER
Permanent Station DAVID MOISES MHS
Purpose of Travel TO PARTICIPATE IN THE YEAR END FINANCIAL PERFORMANCE
EVALUATION
Activity Organized/ DIVISION
Sponsored By
Period Covered JANUARY 14-15, 2020
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination SOLINA BEACH RESORT, CARLES, ILOILO

Expenses Covered
(subject to the usual accounting and auditing rules and regulations)

Fund Source 01 101101


( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUELA SALVADOR O. OCHAVO, JR., CESO V


Principal II Schools Division Superintendent
Name and Signature Name and Signature
Date:___1/13/2020 Date:_________________

ANNEX A
Republic of the Philippines

Department of Education

CONTROL NO:
AUTHORITY TO TRAVEL
REGION:
BUREAU/DIVISION/SCHOOL:
Date of Filling SEPT. 3, 2019
NAME SAMELITO C. FARILLON
Position/ Desgnation TEACHER 3
Permanent Station DAVID MMHS
Purpose of Travel TO ATTEND LEADERSHIP TRAINING FOR SSG PRES.
Activity Organized/ DIVISION
Sponsored By
Period Covered SEPT. 3, 2019
( Inclusive of Travel Time )
Please Check  Official Business  Official Time
Venue/Destination DIVISION

Expenses Covered
(subject to the usual accounting and auditing rules and regulations)

Fund Source
( Pap Code/...)

Recommending Approval: Approved:

RIZALINA L. BARRUEA

________________________ ______________________
Name and Signature Name and Signature
Date:_________________ Date:_________________

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