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Annex A

DO 43, s. 2022 No. : _________


Republic of the Philippines
Department of Education
REGION IX
SCHOOLS DIVISION OF ZAMBOANGA DEL NORTE

TRAVEL AUTHORITY FOR OFFICIAL TRAVEL

NAME

Position/ Designation

Permanent Station
Purpose of Travel
(must be supported by
attachments)

Host of Activity

Inclusive Dates

Destination

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

_______________________________________ _________________________
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 therein.

________________________________________ _________________________
Name and Signature of Approving Authority Date
APPROVED

VIRGILIO P. BATAN JR. CESO VI _________________________


Name and Signature of Approving Authority Date

Address: Capitol Drive, Estaka, Dipolog City 7100 Tel. No.: (065) 212- 5843
Email: zn.division@deped.gov.ph Website: www.depedzn.net
FB: DepEd Tayo- Schools Division of Zamboanga del Norte

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