Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE OF PANGASINAN II
Binalonan

ANNEX A

AUTHORITY TO TRAVEL
CONTROL NO:
REGION: Region I
BUREAU/DIVISION/SCHOOL SDO Pangasinan II
Date of Filling December 2, 2023
NAME VIOLETA D. BALINO
Position/ Designation TEACHER III/MAPEH Coordinator
Permanent Station STO. TOMAS NATIONAL HIGH SCHOOL
Purpose of Travel DIVISION ORIENTATION-WORKSHOP FOR THE ARTS FESTIVAL OF
TALENTS
Activity Organized/ Sponsored by: DEPED
Period Covered (Inclusive of DECEMBER 2,2023
Travel Time)
Please Check / Official Business Official Time
Venue/Destination SM ROSALES EVENT CENTER, ROSALES PANGASINAN
Expenses Covered
Fund Source
(Pap Code/…)
Recommending Approval Approved:

VIOLETA D. BALINO LARRY S. CASIMERO

TEACHER III School Principal I
Name and Signature Name and Signature
Date: DECEMBER 2, 2023 Date: DECEMBER 2, 2023
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE OF PANGASINAN II
Binalonan

ANNEX B

LOCATOR SLIP
REGION: Region I
BUREAU/DIVISION/SCHOOL SDO Pangasinan II
DATE OF FILLING DECEMBER 2,2023
NAME VIOLETA D. BALINO
PERMANENT STATION STO. TOMAS NATIONAL HIGH SCHOOL
POSITION/ DESIGNATION TEACHER III
PURPOSE DIVISION ORIENTATION WORKSHOP FOR ARTS FESTIVAL OF TALENTS
PLEASE CHECK / Official Business Official Time
DESTINATION SM CITY ROSALES PANGASINAN
DATE AND TIME OF 2-Dec-23
EVENT/TRANSACTION/MEETING

Approved by:

VIOLETA D. BALINO LARRY S. CASIMERO

Teacher III Principal I
Signature of Requesting Official/Employee Name and Signature
Date: 12/02/2023 Date: 12/02/2023

CERTIFICATION
This is to certify that the above employee appeared in this Office for the above purpose

DR. LILIBETH A. DAUS EPS-MAPEH,SPA,SPS 12/2/2023

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
REGION I
DIVISION OF PANGASINAN II
BINALONAN

ITINERARY OF TRAVEL

Places to be visited TIME Means of Per Total

Date Others
(Destination) Departure Arrival Transportation Transporstation Diem Amount

TOTAL -
Prepared by :

I certify that : (1) I have reviewed the foregoing

itinerary, (2) the travel is necessary to the Signature over Printed Name
service, (3) the period covered is reasonable and
(4) the expenses claimed are proper.
Approved by:

Signature over Printed Name Signature over Printed Name

Immediate Supervisor Agency Head/Authorized Representative