Republika ng Pilipinas
Kagawaran ng Edukasyon
REHIYON XI
Sangay ng Davao del Sur
PUROK NG BANSALAN EAST
AUTHORITY TO TRAVEL
Date : ________________
Name : ________________________________
Position : ________________________________
Official Station : ________________________________
Destination : _______________________________
Purpose : _______________________________________________
_______________________________________________
_______________________________________________
Inclusive Dates : _______________________________
DATE REQUESTED : ______________________________
Chargeable to : __________________
Requested by:
_____________________________
APPROVED:
FLOR ANN B. COSARE
Public Schools District Supervisor
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CERTIFICATE OF TRAVEL COMPLETED
Entity Name : Department of Education – Davao del Sur
Fund Cluster : Regular Agency Fund
Bansalan East District
Station
Date: ________________
FLOR ANN B. COSARE
Public Schools District Supervisor
I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel
Order/Itinerary of Travel No. _____________ dated _____________ under conditions indicated
below:
/ / Strictly in accordance with the approved itinerary.
/ / Cut short as explained below. Excess payment in the amount of P _________ was
refunded under O.R. No. ________ dated __________.
/ / Extended as explained below, additional itinerary was submitted
/ / Other deviation as explained below.
Explanation or justification :
Evidences of Travel:
Respectfully submitted:
_________________________________
Name of Employee
On evidence and information of which I have the knowledge, the travel was actually undertaken.
Approved:
FLOR ANN B. COSARE
Public Schools District Supervisor