Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON
DIVISION OF RIZAL
PHP QMS 19 930014

AUTHORITY TO TRAVEL
CONTROL NO:
TO-RZL-19-00
REGION: IV-A CALABARZON
BUREAU/DIVISION/SCHOOL: BARAS PINUGAY INTEGRATED HIGH SCHOOL-SH
Date of Filing Click here to enter a date.
Name
Position/
Designation
Purpose of Travel
Activity Organized/
Sponsored By
Period Covered Click here to enter a date.
(Inclusive of Travel Time)
Please Check ☐Official Business ☐Official Time
Venue/ Destination
Expenses Covered
Fund Source ☐Division MOOE ☐ School MOOE
(Pap Code…) ☐Local Funds ☐ Others
Recommending Approval: Approved:

BENJA ANN L. LUNA JOCELYN D. VALERIO

Officer In Charge Principal I

Date: __________________ Date: __________________

DepEd Bldg., Cabrera Road, Brgy. Dolores Taytay, Rizal 1920 * Contact Numbers: SDS 571-4284 / ASDS 650-2615 / CID 650-2610 /
ADMIN 650-2639 / FINANCE 650-2612 / SUPPLY 695-3877 / SGOD 7061720
email: rizal@deped.gov.ph Facebook: Deped Rizal Website: depedrizal.ph
DOR-ADM -F-012 Rev. 0 September 18, 2019

Not to be reproduced or photocopied without prior authorization of SDO Rizal.

 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-A CALABARZON
DIVISION OF RIZAL
PHP QMS 19 930014

Name Designation/Station

DepEd Bldg., Cabrera Road, Brgy. Dolores Taytay, Rizal 1920 * Contact Numbers: SDS 571-4284 / ASDS 650-2615 / CID 650-2610 /
ADMIN 650-2639 / FINANCE 650-2612 / SUPPLY 695-3877 / SGOD 7061720
email: rizal@deped.gov.ph Facebook: Deped Rizal Website: depedrizal.ph
DOR-ADM -F-012 Rev. 0 September 18, 2019

Not to be reproduced or photocopied without prior authorization of SDO Rizal.

 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-A CALABARZON
DIVISION OF RIZAL
PHP QMS 19 930014

Instruction:
1. If there are two or more participants
(Encode see attached file for name and designation on
page 1 and the name and designation of each
participant on page 2).

Recommending Approval
Approval

DepEd Bldg., Cabrera Road, Brgy. Dolores Taytay, Rizal 1920 * Contact Numbers: SDS 571-4284 / ASDS 650-2615 / CID 650-2610 /
ADMIN 650-2639 / FINANCE 650-2612 / SUPPLY 695-3877 / SGOD 7061720
email: rizal@deped.gov.ph Facebook: Deped Rizal Website: depedrizal.ph
DOR-ADM -F-012 Rev. 0 September 18, 2019

Not to be reproduced or photocopied without prior authorization of SDO Rizal.