Republic of the Philippines

Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF TARLAC PROVINCE

NO.: _______________________
ANNEX A

TRAVEL AUTHORITY FOR OFFICIAL TRAVEL

NAME JOCELYN B. MANARANG

Nurse II
PERMANENT STATION Division Office
PURPOSE OF TRAVEL
(must be supported by Health Inspection/Health Education
attachments)
HOST OF ACTIVITY DepEd School Health Unit
INCLUSIVE DATES December 1-29, 2022

1 – Aurora Aquino ES
2 – Concepcion South ES
6 - San Antonio ES
DESTINATION 7 - San Bartolome ES
12 – Marimla ES
13 – Balutu ES
14 – AG Yumul HS
FUND SOURCE
I hereby attest that the information in this form and in the supporting documents attached hereto are true and correct.

MARIE LHEN G. MANALO, M.D

Medical Officer III ___________________________
(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
alternatives to travel are insufficient for purpose stated herein

NOEL L. LINSAO, EdD

Chief Education Supervisor - SGOD ___________________________
(Name and Signature of Recommending Authority) Date

APPROVED:

RONALDO A. POZON, PhD, CESO V

___________________________ ___________________________
Schools Division Superintendent Date
(Name and Signature of Approving Authority)

Address: Macabulos Drive, San Roque, Tarlac City 2300, Tarlac

Telephone No.: (045) 982-0374
Email Address: tarlac@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF TARLAC PROVINCE

Address: Macabulos Drive, San Roque, Tarlac City 2300, Tarlac

Telephone No.: (045) 982-0374
Email Address: tarlac@deped.gov.ph