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Document Code: TarPr-QF-SDOP-ADM-01

Revision: 01
Quality Form
Effectivity date: 10/16/2018

AUTHORITY TO TRAVEL Name of Office:


SDOP-ADM

Control No.: _________________________ Date: February 26, 2021


MEMORANDUM
For: The Superintendency
Authority is hereby requested for the travel of:

Name Division/Section Date Venue

Dr. Marie Lhen G. Manalo SGOD – SHU March 18, 19, 25 & 26, March 18 – Sta. Ignacia North
2021 District
March 19 – Mayantoc District
March 25 – Pinasling CES
March 26 – Lapaz North District

Purpose/s of Travel: MONITORING OF SCHOOL DENTAL CLINICS

Basis of Travel: DepEd Order No. 28 series 2018, POLICY AND GUIDELINES ON OPLAN KALUSUGAN SA DEPARTMENT OF
EDUCATION (OK SA DEPED)

Expenses incident to this travel shall be charged against ____ funds subject to the usual accounting and auditing rules
and regulations.

Requested by:

Marie Lhen G. Manalo, MD


Medical Officer III

Recommending Approval:

NOEL L. LINSAO, EdD


SGOD-Chief Education Supervisor

APPROVED:

RONALDO A. POZON, PhD, CESO V


Schools Division Superintendent

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