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Republic of the Philippines

Philippine Statistics Authority


Itinerary of Travel
 Bulacan

Name: TS/EN 1 Date: October 2020


PositionRegistration Officer II/I Monthly Salary:
Official Station: Municipal Hall of Balagtas
Purpose of Travel: PhilSys Pre-Registration Operations

Places to be visited Time Means of ALLOWABLE EXPENSES Total


Date
(Destination)/Particulars Departure Arrival Transportation Trans. Incidental Per Diem Amount
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Oct. 12 OS to Brgy. Panginay 6:45 AM 7:00 AM Tricycle 20.00
Brgy. Panginay to OS 6:00 PM 6:10 PM Tricycle 20.00 40.00

Oct. 13 OS to Brgy. Panginay 6:45 AM 7:00 AM Tricycle 20.00


Brgy. Panginay to OS 6:00 PM 6:10 PM Tricycle 20.00 40.00

Oct. 14 OS to Brgy. Santol 6:25 AM 6:50 AM Jeep/Tricycle 30.00


Brgy. Santol to OS 6:00 PM 6:25 PM Jeep/Tricycle 30.00 60.00

TOTAL 0.00 0.00 140.00


I certify that: (1) I have reviewed the Prepared by:
foregoing itinerary (2) the travel is necessary to
the service (3) the period covered is reasonable NAME OF TS/EN AND SIGNATURE
and (4) the expenses claimed is proper. Signature Over Printed Name

Approved:

Immediate Supervisor MARCELINO O. DE MESA


Agency Head/Authorize Representative

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