Republic of the Philippines

Province of Samar

Municipality of Sta. Rita

Barangay of Caticugan

TRAVEL ORDER NO. ___

Date: __________________

Name: _________________________________ Position: ____________________________

Departure Date: _________________________ Return Date: _________________________

Destination: ____________________________ Report to: ___________________________

Purpose: __________________________________________________________________________

Remarks / or special instruction: _______________________________________________________

__________________________________________________________________________________

RECOMMENDING APPROVAL: APPROVAL:

______________________________ _________________________________

Name Name

______________________________ _________________________________

Designation Designation

____________________________________

____________________________________

____________________________________

CERTIFICATE OF APPEARANCE

THIS IS TO CERTIFY that the employee / official whose name, position / designation and office
given below has appeared in this office during and for the purpose stated hereunder.

Name: _________________________________________________________________________

Position / Designation:
____________________________________________________________

Agency / Office: _________________________________________________________________

Date /s (Inclusive): _______________________________________________________________

Purpose /s (Stated Briefly): ________________________________________________________

______________________________________________________________________________

________________________

Name & Signature

________________________

Position / Designation