CONTROL NO: CONTROL NO:

Republic of the Philippines Republic of the Philippines

Department of Education Department of Education
REGION XI REGION XI
SCHOOLS DIVISION OF DAVAO DEL NORTE SCHOOLS DIVISION OF DAVAO DEL NORTE

TRAVEL AUTHORITY FOR OFFICIAL TRAVEL TRAVEL AUTHORITY FOR OFFICIAL TRAVEL

NAME ELIZABETH A. BASIAWAN NAME ELIZABETH A. BASIAWAN

Position/Designation TEACHER II Position/Designation TEACHER II

Permanent Station BALAGUNAN NHS Permanent Station BALAGUNAN NHS

Purpose of Travel Purpose of Travel
(must be supported by Take Neuropsychological Test (must be supported by Take Neuropsychological Test
attachments) attachments)
Host of Activity Host of Activity

Inclusive Dates December 07, 2022 Inclusive Dates December 07, 2022

Destination SPMC, Davao City Destination SPMC, Davao City

Fund Source Fund Source

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

ELIZABETH A. BASIAWAN 11/24/2022 ELIZABETH A. BASIAWAN 11/24/2022

Name and Signature of Requesting Employee Date Name and Signature of Requesting Employee Date

This is to certify that the trip of the requesting employee satisfies all the minimum conditions for 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 insuffficient for the purpose stated herein. authorized official travel and that alternatives to travel are insuffficient for the purpose stated herein.

LEOMAR A. LIBOON, PhD LEOMAR A. LIBOON, PhD

School Head School Head
Name and Signature of Recommending Authority Date Name and Signature of Recommending Authority Date

APPROVED (For the Schools Division Superintendent) APPROVED (For the Schools Division Superintendent)

REBECCA C. SAGOT, CESO VI REBECCA C. SAGOT, CESO VI

Assistant Schools Division Superintendent Assistant Schools Division Superintendent
Name and Signature of Approving Authority Date Name and Signature of Approving Authority Date

F-1-005.Rev 0/ September 05, 2019 F-1-005.Rev 0/ September 05, 2019

Address: Mankilam, Tagum City, Davao del Norte Address: Mankilam, Tagum City, Davao del Norte
Telephone Number: (084) 216-0188 Telephone Number: (084) 216-0188
Website: www.depeddavnor.ph | Facebook: DepEd Davao del Norte Website: www.depeddavnor.ph | Facebook: DepEd Davao del Norte
 CONTROL NO: CONTROL NO:

Republic of the Philippines Republic of the Philippines

Department of Education Department of Education
REGION XI REGION XI
SCHOOLS DIVISION OF DAVAO DEL NORTE SCHOOLS DIVISION OF DAVAO DEL NORTE

TRAVEL AUTHORITY FOR OFFICIAL TRAVEL TRAVEL AUTHORITY FOR OFFICIAL TRAVEL

NAME NEIL EDWARD D. DIAZ NAME NEIL EDWARD D. DIAZ

Position/Designation PROJECT DEVELOPMENT OFFICER II Position/Designation PROJECT DEVELOPMENT OFFICER II

Permanent Station CID - LRMS Permanent Station CID

Purpose of Travel Purpose of Travel
Attend Gasa Sa Pagbasa: Pagtpadan-ag sa Kahayag sa Attend Gasa Sa Pagbasa: Pagtpadan-ag sa Kahayag sa
(must be supported by (must be supported by
Kabukiran Kabukiran
attachments) attachments)

Host of Activity DepEd Region XI Host of Activity DepEd Region XI

Inclusive Dates November 11-12, 2022 Inclusive Dates November 11-12, 2022

Destination NEAP Davao City Destination NEAP Davao City

Fund Source Local Funds Fund Source Local Funds

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

NEIL EDWARD D. DIAZ 10/22/2022 NEIL EDWARD D. DIAZ 10/22/2022

Name and Signature of Requesting Employee Date Name and Signature of Requesting Employee Date

APPROVED APPROVED

EDUARD C. AMOGUIS, EdD 10/22/2022 EDUARD C. AMOGUIS, EdD 10/22/2022

Chief Education Supervisor - CID Chief Education Supervisor - CID
Name and Signature of Approving Authority Date Name and Signature of Approving Authority Date

F-1-005.Rev 0/ September 05, 2019 F-1-005.Rev 0/ September 05, 2019

Address: Mankilam, Tagum City, Davao del Norte Address: Mankilam, Tagum City, Davao del Norte
Telephone Number: (084) 216-0188 Telephone Number: (084) 216-0188
Website: www.depeddavnor.ph | Facebook: DepEd Davao del Norte Website: www.depeddavnor.ph | Facebook: DepEd Davao del Norte
 CONTROL NO: CONTROL NO:

Republic of the Philippines Republic of the Philippines

Department of Education Department of Education
REGION XI REGION XI
SCHOOLS DIVISION OF DAVAO DEL NORTE SCHOOLS DIVISION OF DAVAO DEL NORTE

LOCATOR SLIP LOCATOR SLIP

NAME CHARISH G. CATUNGAL NAME CHARISH G. CATUNGAL

Position/Designation TEACHER III Position/Designation TEACHER III

Permanent Station TULALIAN NHS Permanent Station TULALIAN NHS

Purpose of Travel Purpose of Travel

COACH QUIZZERS IN THE DIVISION FESTIVAL OF COACH QUIZZERS IN THE DIVISION FESTIVAL OF
(must be supported by (must be supported by
TALENTS TALENTS
attachments) attachments)

Please Check ✘ Official Business Official Time Please Check ✘ Official Business Official Time

Date and Time 06/2/2023 Date and Time 06/2/2023

Destination KAPALONG NHS, KAPALONG, DAVAO DEL NORTE Destination KAPALONG NHS, KAPALONG, DAVAO DEL NORTE

CHARISH G. CATUNGAL ARMANDO M. OLMEDO, ED.D. CHARISH G. CATUNGAL ARMANDO M. OLMEDO, ED.D.
Name and Signature of Requesting Employee Principal V Name and Signature of Requesting Employee Principal V

Name and Signature of Requesting Employee Name and Signature of Head of Office Name and Signature of Requesting Employee Name and Signature of Head of Office

CERTIFICATION CERTIFICATION
To the concerned: To the concerned:

This is to certify that the above-named DepEd official/personnel has visited This is to certify that the above-named DepEd official/personnel has visited
or appeared in this Office/place for the purpose and during the date and time or appeared in this Office/place for the purpose and during the date and time
stated above. stated above.

Name and Signature: Name and Signature:

Position/Designation: Position/Designation:
Office: Office:

F-1-005.Rev 0/ September 05, 2019 F-1-005.Rev 0/ September 05, 2019

Address: Mankilam, Tagum City, Davao del Norte Address: Mankilam, Tagum City, Davao del Norte
Telephone Number: (084) 216-0188 Telephone Number: (084) 216-0188
Website: www.depeddavnor.ph | Facebook: DepEd Davao del Norte Website: www.depeddavnor.ph | Facebook: DepEd Davao del Norte