BACOLOD CITY, REGION VI WESTERN VISAYAS

Date: November 6, 2021

Travel Coordination Permit

This travel coordination permit is granted to the person listed below to pass at the established Quarantine Control Points (QCPs),
Checkpoints, Seaports and Airports from point of origin to point of destination.

Name: John Henry Omaoeng Valencia

Type of Traveller: Filipino Local Workers

Date of Travel: November 9, 2021 to November 18, 2021

Place of Origin: CITY OF MANDALUYONG, CITY OF MANDALUYONG

Origin Barangay: 37B Coronado Heights Subdivision, Barangka Itaas

Place of Destination: BACOLOD CITY, BACOLOD CITY

Destination Barangay: Park Inn, Block 12 Reclamation Area Palanca Avenue, SM City Bacolod Complex

Mode of Transportation: Air (public)

Additional Travel Details: 5j 485

Remarks: NA

Approval Date: 2021-11-06 22:42:19

Evelio R. Leonardia
City Mayor
New Government Center
Bacolod City
LGU-BABAA221080038-11-06

https://s-pass.ph/clients/form_checker/LGU-BABAA221080038-11-06 11/8/21, 3 07 AM
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