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DEPARTMENT OF EDUCATION

Region I
PANGASINAN DIVISION II
SISON DISTRICT
ASAN SUR ELEMENTARY SCHOOL
School Year 2019 – 2020

Control No:
AUTHORITY TO TRAVEL
REGION: I
BUREAU/DIVISION/SCHOOL: PANGASINAN II / ASAN SUR ELEMENTARY SCHOOL
Date of Filing SEPTEMBER 30, 2019
NAME: ROSALIE M. CASERIA
Position / Designation TEACHER II
Permanent Station ASAN SUR E/S
Purpose of Travel TECHNICAL OFFICAL IN THE UPCOMING 5TH
CONGRESSIONAL SPORTS MEET
Activity Organized / Sponsored by: DEPED – PANGASINAN II
Period Covered OCTOBER 1 – 2, 2019
(Inclusive of Travel Time)
Please Check  Official Business  Official Time
Venue / Destination POZORRUBIO, PANGASINAN
Expenses Covered P100.00
Fund Source MOOE / CANTEEN
Recommending Approval: APPROVED:

MERCEDES M. RUIZ
Name and Signature Principal II

Date: _________________ Date: _________________

DEPARTMENT OF EDUCATION
Region I
PANGASINAN DIVISION II
SISON DISTRICT
ASAN SUR ELEMENTARY SCHOOL
School Year 2019 – 2020
Control No:
LOCATOR SLIP
REGION: I
BUREAU/DIVISION/SCHOOL: PANGASINAN II / ASAN SUR ELEMENTARY SCHOOL
Date of Filing
NAME:
Permanent Station
Position / Designation
Purpose
Please Check  Official Business  Official Time
Date and Time of Event /
Transaction Meeting
APPROVED:

Signature of Requesting Official / Employee Head of Office or his/her Authorized Representative

Date: _________________ Date: _________________

CERTIFICATION

This is to certify that the above employee appeared in this office for the above purpose.

_________________________ _________________________ ______________


Signature over Printed Name Position Date

Note: This portion shall be filled out by the Official/Authorized Personnel of the Office visited.
* The accomplished and signed Locator Slip shall serve as the authority to travel.

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