Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF CEBU PROVINCE
Sudlon, Lahug, Cebu City
INDIVIDUAL PASS SLIP CERTIFICATE OF APPEARANCE
Date: ____________________________ TO WHOM IT MAY CONCERN:
Name of Employee:________________________________
Signature:________________________________________ This is to certify that I attended to Mr./Ms.
Permission is requested to: ___________________________________ of the Department of
Leave the Office premises during Office hours from: Education, Division of Cebu Province on _________________
• Intended time of Departure : _____________________ at________am/pm when he/she transacted business with my
• Intended time of Arrival : ________________________ Agency/Company.
• Actual Time of Arrival : __________________________
Purpose: Please check: _______ Official ______ Personal _________________________
(Signature over printed name of
Reason/s: attending employee/Position)
__________________________________________________________
__________________________________________________________ Date signed: ______________
__________________________________________________________
_________________ Name of Agency/ies: _________________________
Address: __________________________________
(In case an employee buys Office supplies, said employee shall attach
Approved: ROMEO V. MEJIA, DevEdD an authenticated copy of OR of purchases)
Immediate Supervisor
For Personnel on duty: For Personnel on duty:
Actual Time of Departure: ___________________________ Actual time of Arrival: ________________________
Date received and Time: ______________________
Name & Signature: _________________________________
Name and signature: _____________________________
Note: This slip will also serve as Travel Order.
Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF CEBU PROVINCE
Sudlon, Lahug, Cebu City
INDIVIDUAL PASS SLIP CERTIFICATE OF APPEARANCE
Date: ____________________________ TO WHOM IT MAY CONCERN:
Name of Employee:________________________________
Signature:________________________________________ This is to certify that I attended to Mr./Ms.
Permission is requested to: ___________________________________ of the Department of
Leave the Office premises during Office hours from: Education, Division of Cebu Province on _________________
• Intended time of Departure : _____________________ at________am/pm when he/she transacted business with my
• Intended time of Arrival : ________________________ Agency/Company.
• Actual Time of Arrival : __________________________
Purpose: Please check: _______ Official ______ Personal ________________________
(Signature over printed name of
Reason/s: attending employee/Position)
_____________________________________________________
_____________________________________________________ Date signed: ______________
_____________________________________________________
________________________________ Name of Agency/ies: _________________________
Address: __________________________________
(In case an employee buys Office supplies, said employee shall attach
Approved: ROMEO V. MEJIA, DevEdD an authenticated copy of OR of purchases)
Immediate Supervisor
For Personnel on duty: For Personnel on duty:
Actual Time of Departure: ___________________________ Actual time of Arrival: ________________________
Date received and Time: ______________________
Name & Signature: _________________________________
Name and signature: _____________________________
Note: This slip will also serve as Travel Order.
Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF CEBU PROVINCE
Sudlon, Lahug, Cebu City
