Republic of the Philippines
Department of Education
Region VIII
Maasin City
No.________________
ITINERARY OF TRAVEL
Name:
_________________________
Position: __________________
Official Station:
_________________________
Monthly Salary: ____________
Purpose of Travel:
_____________________________________________________________________________________
_____________________________________________________________________________________
Date
Places to be
Visited
Departure
Arrival
Transportation
Allow. Exp.
Total
Total___________________
2.) I certify that: (a) I have received the
foregoing itinerary (b) the travel is necessary to
the service (c) the period covered is reasonable
(d) the expenses claimed are proper.
1)Prepared by
__________________________
Official Employee
3) ATTESTED
________RAUL T. DUARTE_______
Supervisor
________________________________
Head of Office
APPENDIX B
Department of Education, Culture and Sports
Region VIII
DIVISION OF SOUTHERN LEYTE
Maasin
_______________________________
Agency
____________________________
Station
_______________________________
Address
____________________________
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.
Cur short s explained below. Excess payment in the amount of P _____________________________
was refunded O.R. NO. ______________________________________.
Extended as explained below. Excess payment in the amount of P ____________________________
Other deviations as explained below.
Explanation or justification:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Evidence of travel attached here to:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
RESPECTFULLY SUBMITTED:
___________________________
Officer or Employee
On evidence and information of which I have knowledge, the travel actually undertaken.
______RAUL T. DUARTE_______
Supervisor