ANNEX A

DO 43, s. 2022 No.: ____________

Republic of the Philippines

Department of Education

TRAVEL AUTHORITY FOR OFFICIAL TRAVEL

NAME FREDERICK D. ACOSTA

Position/Designation Teacher III/SOIC

Permanent Station Sitio Otso Elementary School, Baliguian District, ZN.

Purpose of Travel 1. To attend the National School Building Inventory (NSBI)
(must be supported by
Field Technical Assistance for SY 2022-2023
attachments)

Host of Activity Liloy National High School

Inclusive Dates May 12, 2023

Destination Liloy National High School, Liloy Zamboanga del Norte

Fund Source School MOOE/Division Local Funds

I attest that the information in this form and the supporting documents attached hereto are true and
correct.

FREDERICK D. ACOSTA May 11, 2023

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 the purpose stated herein.

MA. JUDELYN J. RAMOS CESE ____________________________

Asst. Schools Division Superintendent Date

APPROVED:

ROY C. TUBALLA EMD, JD, CESO VI __________________________

Schools Division Superintendent Date