NATIONAL & Document No.

WVSU-PRE-SOI-01-FO1
INTERNATIONAL TRAVEL Issue No. 1
C REQUEST FORM Revision No. 0
Date of Effectivity: August 28, 2018
WEST VISAYAS STATE
Issued by: President’s Office
UNIVERSITY
Page No. Page 1 of 2

NATIONAL/INTERNATIONAL TRAVEL-(Outside Western Visayas Region and Outside the Country)

Date of Filing October 1, 2019

Name of Personnel DR. NANCY S. SURMIEDA

Designation/Rank Dean of Students

Purpose of Travel To attend the Consultation Workshops on 4Ps Act IRR for the Regional
Level
Inclusive Dates of Travel From: October 8, 2019 To: October 11, 2019

Place of Travel Cebu City

Nature of Travel On Official Time National travel
On Official Business International

Expected Expenses travel Cost __________ per diems _______________

(if applicable) registration __________ others _________________________

Endorsed by: Fund Source:

NANCY S. SURMIEDA, Ph. D.

Dean of Students Funds Availability:
(only if applicable)

Recommending Approval:
Budget Officer

LUIS A. ABIODA, Ed. D.

VPAA

Travel Order No. Date:

To: DR. NANCY S. SURMIEDA

You are hereby granted authority to travel for the purpose,

date and place/venue as indicated above.
 LUIS M. SOROLLA Jr., Ph.D., CSEE
SUC President IV

Copy furnished:
-HRMO

NATIONAL & Document No. WVSU-PRE-SOI-01-FO1

INTERNATIONAL TRAVEL Issue No. 1
REQUEST FORM
Revision No. 0
C
Date of Effectivity: August 28, 2018
WEST VISAYAS STATE
Issued by: President’s Office
UNIVERSITY
Page No. Page 2 of 2
INSTRUCTION

Approving Authority to Sign Travel Orders

(as per Memorandum No. 122 s. 2015 and ADCO Resolution No. 42-2015.)

a. International/National Level -University President/Authorized Representative

b. Regional/Provincial -Vice Presidents concerned
c. City/inter-campus/Institution -Deans/Division Chiefs/Directors
Reminder
The University official/personnel concerned on travel should be guided with the following
policies, rules and regulations:
 If cash advance will be requested kindly submit your travel documents to the
Finance office for processing within 5 days prior to your actual travel, otherwise,
claims for travelling expenses shall be on reimbursement basis.
 Within one (1) month after return to official station, submit a report with
recommendations, if any, on the conference or seminar attended, examination or
investigation conducted, or mission undertaken in accordance with Section 18 of
EO 248 as amended.

 Liquidate your cash advance within sixty (60) days after return to the
Philippines, in the case of official travel abroad, or within (30) days after return
to permanent official station, in the case of official local travel in accordance with
Section 16 of EO 248 as amended. Payment of the salary of any official or
employee who fails to comply with these provisions shall be suspended until
he/she complied therewith
 CERTIFICATE OF APPEARANCE

This is to certify that _____________________________________________________

of WEST VISAYAS STATE UNIVERSITY, ____________ Campus appeared in this office on

___________for the purpose of _______________________________________________.

________________________________________
Authorized Official
(Printed Name and Signature)
Position:__________________________
Date: ____________________________