Republic of the Phillipines

Department of Education
Region I
DIVISION OF LA UNION
San Fernando City

_____________________________________________________________________________________

AUTHORITY TO TRAVEL
NAME: ______________________________________________________________________
POSITION: __________________________________________________________________
OFFICIAL STATION: Naguilian District, Naguilian La Union
DESTINATION: Aringay Central Elementary School
PURPOSE: Take examination on Teachers English Proficiency Test (TEPT) and Process Skills
test (PST) in Science and Mathematics for SY 2015-2016
NATURE OF TRAVEL: Official Business
DATE OF TRAVEL: September 20, 2015
Requested by:
NAGUILIAN DISTRICT TEPT-PST EXAMINEES
Recommending Approval:
_____DR. ARTEMIO L. FLORENDO_____
District Supervisor
Approved by:
DR. ROWENA C. BANZON, CESO V
Schools Division Superintendent

ITINERARY OF TRAVEL
NAME: ___________________________ POSITION: _________________Monthly Salary:
___________
Official Station: ______________________________________ Residence:
_______________________
PURPOSE OF TRAVEL:
__________________________________________________________________

Republic of the Phillipines

Department of Education
Region I
DIVISION OF LA UNION
San Fernando City

_____________________________________________________________________________________

_____________________________________________________________________________________

TOTAL

Republic of the Phillipines

Department of Education
Region I
DIVISION OF LA UNION
San Fernando City

_____________________________________________________________________________________

I certify that (1) I have reviewed the foregoing

by:
Itinerary (2) the travel is necessary to the service (3)
the period covered is reasonable and (4) expenses
claimed are proper.

Prepared

________________________
(OFFICIAL/
EMPLOYEE)

DR. ROWENA C.
BANZON, CESO V
Schools Division
Superintendent

Appendix B

DEPARTMENT OF EDUCATION
(Agency)

CERTIFICATE OF TRAVEL COMPLETED

DR. ROWENA C. BANZON, CESO V
(Agency Head)
Schools Div. Supt.
(Position)

DIVISION OF LA UNION
(Station)
(Date)

I CERTIFY that I have completed the travel authorized in the Itinerary of Travel
No. _______________________________________ dated _____________________________
under
Condition indicated below.
Strictly in accordance with approved Itinerary
Cut short as explained below. Excess payment in the amount of
P ____________________, was refunded under OR.
______________
Extended as explained below Additional Itinerary as submitted
Other deviations as explained below.

NO.

Republic of the Phillipines

Department of Education
Region I
DIVISION OF LA UNION
San Fernando City

_____________________________________________________________________________________

Explanations or justifications ______________________________________________________

______________________________________________________________________________
______________________________________________________________________________
Used Tickets
Certificate of Appearance
Others ______________________________________________________
____________________________________________________________
____________________________________________________________
Respectfully submitted:
NAGUILIAN DISTRICT TEPT-PST EXAMINEES
On evidence and information of which I have knowledge tha travel was actually
undertaken.
DR. ROWENA C. BANZON, CESO V
Schools Division Superintendent
ITINERARY OF TRAVEL
NAME: NAGUILIAN DISTRICT TEPT-PST EXAMINEES POSITION: _______ Monthly
Salary:
Official Station: Naguilian District

Residence:

Naguilian La Union
PURPOSE OF TRAVEL: Take examination on Teachers English Proficiency Test
(TEPT) and Process Skills test (PST) in Science and Mathematics for SY 2015-2016
Date
09-202015

Place to be
Visited
RESIDENCE TO
TOWN
PROPER
TOWN
PROPER TO
ARINGAY
CENTRAL ES
ARINGAY
CENTRAL ES
TO TOWN
PROPER
TOWN
PROPER TO
RESIDENCE

Time
Departure
Arrival
6:00 AM
6:15 AM

Means of
Transportation
TRICYCLE

Expenses
Transportation
Per Diem
20

Total Amount
20

6:15 AM

7:15 AM

BUS

35

35

4:00 PM

5:00 PM

BUS

35

35

5:00 PM

5:15 PM

TRICYCLE

20

20

100

Republic of the Phillipines

Department of Education
Region I
DIVISION OF LA UNION
San Fernando City

_____________________________________________________________________________________
I certify that (1) I have reviewed the foregoing
Prepared
by:
Itinerary (2) the travel is necessary to the service (3)
the period covered is reasonable and (4) expenses
NAGUILIAN DIST TEPT-PST
EXAMINEES claimed are proper.
(OFFICIAL/
EMPLOYEE)
Recommending Approval:
DR. ARTEMIO L. FLORENDO JR.
District Supervisor
Approved:
DR. ROWENA C.
BANZON, CESO V
Schools Division
Superintendent