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ANNEX A

Republic of the Philippines


Department of Education

AUTHORITY TO TRAVEL
Control No.
REGION: VI

BUREAU/ DIVISION / SCHOOL: BOTONG - CABANBANAN NATIONAL HIGH SCHOOL

DATE OF FILLING JANUARY 13, 2021

NAME EFREN B. CAÑIZO

Position / Designation MASTER TEACHER I

Permanent Station BOTONG - CABANBANAN NATIONAL HIGH SCHOOL

TO HAND-IN A LETTER OF CONSENT TO SCHOOL PRINCIPALS FOR


Purpose of Travel
THE CONDUCT OF RESEARCH
Activity Organized by/
DEPED BASIC EDUCATION RESEARCH FUND (BERF)
Sponsored By
Period Covered JANUARY 13-14, 2021
(Inclusive of Travel Time)
/
PLEASE CHECK Official Business Official Time

Venue / Destination
BATUAN-CADINGLIAN NATIONAL HIGH SCHOOL (OTON)
(subject to the usual accounting auditing rules and regulations)
Expenses Covered

Funs Source (Pap code/…)


BASIC EDUCATION RESEARCH FUND
Recommending Approval Approved:

EFREN B. CAÑIZO ________________________________


Name/ Signature RESTE G. ESTRADA
Date: JANUARY 13, 2021 Date: JANUARY 13, 2021
Republic of the Philippines
Department of Education

LOCATOR SLIP
REGION:
VI

BUREAU/ DIVISION / SCHOOL:


SCHOOLS DIVISION OF ILOILO
DATE OF FILLING JANUARY 13, 2021

NAME EFREN B. CAÑIZO

PERMANENT STATION BOTONG - CABANBANAN NATIONAL HIGH SCHOOL

POSITION / DESIGNATION MASTER TEACHER I

PURPOSE TO HAND-IN A LETTER OF CONSENT TO SCHOOL PRINCIPALS FOR


THE CONDUCT OF RESEARCH
PLEASE CHECK

DESTINATION
BATUAN-CADINGLIAN NATIONAL HIGH SCHOOL OTON

DATE AND TIME OF


EVENT / TRANSACTION/ JANUARY 13, 2021
MEETING

Approved:

________________________________
ZOE CHYNN O. VELEZ RESTE G. ESTRADA
Signature of Requesting Head of Office or his/her Authorized Representative
Official/Employee
Date: ________________ Date: _________________

CERTIFICATION

This is to certify that above employee appeared in this office for 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 accomplised and signed Locator Slip shall serve as the authority to travel.
CERTIFICATION

This is to certify that above employee appeared in this office for 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 accomplised and signed Locator Slip shall serve as the authority to travel.

CERTIFICATION

This is to certify that above employee appeared in this office for 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 accomplised and signed Locator Slip shall serve as the authority to travel.

CERTIFICATION

This is to certify that above employee appeared in this office for 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 accomplised and signed Locator Slip shall serve as the authority to travel.

CERTIFICATION

This is to certify that above employee appeared in this office for 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 accomplised and signed Locator Slip shall serve as the authority to travel.

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