DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT

FIELD OFFICE II
________________________________________________________
________________________________________________________

CERTIFICATION

To Whom It May Concern:

This is to certify that Mr./Mrs. _________________________________________________________ of the _______________

on _____________________________________________ for the ________________________________________________

It is further certified that during the visit/stay of the abovementioned name, this office:

Please affix your signature

on appropriate box Particulars
Did not provide hotel/lodging,food and meals

Provided the following:

Hotel /Lodging Accommodation
Meals
Breakfast
Lunch
Dinner

Did not provide vehicle

Provided vehicle

This certification is issued upon request of the interested party for the purpose of establishing the evidence and
duration of his/her appearance hereat, the truth of which is hereby vouchsafed and guaranteed by the undersigned.

Done in ________________________________________________________ on ________________________________

(Place of issue) (Date of issue)

________________________
Signature o

Note:
This Certification shall be issued by Field Office Director or his/her authorized representatives to officials or employees
on official travel in accordance to paragraph 13 of Memorandum Circular No. 37, series of 2004 on Austerity Measures and
shall be one of the basis for collecting allowable travel expenses.

DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT

FIELD OFFICE II

________________________________________________________

________________________________________________________

CERTIFICATION

To Whom It May Concern:

This is to certify that Mr./Mrs. _________________________________________________________ of the _______________

on _____________________________________________ for the ________________________________________________

It is further certified that during the visit/stay of the abovementioned name, this office:

Please affix your signature

on appropriate box
Particulars
Did not provide hotel/lodging,food and meals

Provided the following:

Hotel /Lodging Accommodation
Meals
Breakfast
Lunch
Dinner

Did not provide vehicle

Provided vehicle

This certification is issued upon request of the interested party for the purpose of establishing the evidence and
duration of his/her appearance hereat, the truth of which is hereby vouchsafed and guaranteed by the undersigned.

Done in __________________________________________________________________________ on ___________________

(Place of issue) (Date of issue)

________________________
Signature o
Note:
This Certification shall be issued by Field Office Director or his/her authorized representatives to officials or employees
on official travel in accordance to paragraph 13 of Memorandum Circular No. 37, series of 2004 on Austerity Measures and
shall be one of the basis for collecting allowable travel expenses.
 DEVELOPMENT

_______________
_______________

_ of the __________________________________has personally appeared to this Office/Barangay

______________________________________________________ purpose.

Inclusive dates
s
ood and meals

ation

undersigned.

_________________

___________________________________________________
Signature over Printed Name

cials or employees
Austerity Measures and
DEVELOPMENT

_______________

_______________

_ of the __________________________________has personally appeared to this Office/Barangay

______________________________________________________ purpose.

Inclusive dates
s
ood and meals

ation

undersigned.

on __________________________________

___________________________________________________
Signature over Printed Name
 cials or employees
Austerity Measures and