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CONTROL CONTROL

NO: NO:

Republic of the Philippines Republic of the Philippines


Department of Education Department of Education
REGION XI REGION XI
SCHOOLS DIVISION OF DAVAO DEL NORTE SCHOOLS DIVISION OF DAVAO DEL NORTE

TRAVEL AUTHORITY FOR OFFICIAL TRAVEL TRAVEL AUTHORITY FOR OFFICIAL TRAVEL
NAME JANICE A. FERNANDEZ NAME JANICE A. FERNANDEZ

POSITION/DESIGNATION PSDS POSITION/DESIGNATION PSDS

PERMANENT STATION CID- KAPWEST DISTRICT PERMANENT STATION CID- KAPWEST DISTRICT
PURPOSE OF TRAVEL (must PURPOSE OF TRAVEL (must
ATTEND REVITALIZING LITERACY ENABLING INTERVENTION ATTEND REVITALIZING LITERACY ENABLING INTERVENTION FOR
be supported with be supported with
FOR MASTERY LEARNING IN BASIC EDUCATION MASTERY LEARNING IN BASIC EDUCATION
attachments) attachments)
HOST OF ACTIVITY NEAP - REGION XI HOST OF ACTIVITY NEAP - REGION XI

INCLUSIVE DATES OCTOBER 26-28, 2022 INCLUSIVE DATES OCTOBER 26-28, 2022

DESTINATION RELC-NEAP XI, QUIRINO AVENUE, DAVAO CITY DESTINATION RELC-NEAP XI, QUIRINO AVENUE, DAVAO CITY

FUND SOURCE MOOE FUND SOURCE MOOE


I hereby attest that the information in this form and in the supporting documents attached hereto I hereby attest that the information in this form and in the supporting documents attached hereto
are true and correct. are true and correct.

JANICE A. FERNANDEZ JANICE A. FERNANDEZ 0


Name and Signature of Requesting Employee Date Name and Signature of Requesting Employee Date
This is to certify that the trip of the requesting employee satisfies all the minimum conditions for This is to certify that the trip of the requesting employee satisfies all the minimum conditions for
authorized official travel and that aleternatives to travel are insufficient for purpose stated herein. authorized official travel and that aleternatives to travel are insufficient for purpose stated herein.

REBECCA C. SAGOT, CESO VI REBECCA C. SAGOT, CESO VI


Name and Signature of Recommending Authority Date Name and Signature of Recommending Authority Date

APPROVED APPROVED

ALLAN G. FARNAZO ALLAN G. FARNAZO


Director IV Director IV
and concurrent Officer-In-Charge and concurrent Officer-In-Charge
Office of the Schools Division Superintendent Office of the Schools Division Superintendent
Name and Signature of Approving Authority Date Name and Signature of Approving Authority Date
CONTROL CONTROL
NO: NO:

Republic of the Philippines Republic of the Philippines


Department of Education Department of Education
REGION XI REGION XI
SCHOOLS DIVISION OF DAVAO DEL NORTE SCHOOLS DIVISION OF DAVAO DEL NORTE

TRAVEL AUTHORITY FOR OFFICIAL TRAVEL TRAVEL AUTHORITY FOR OFFICIAL TRAVEL
NAME NAME December 30, 1899

POSITION/DESIGNATION POSITION/DESIGNATION 0

PERMANENT STATION PERMANENT STATION 0


PURPOSE OF TRAVEL (must PURPOSE OF TRAVEL (must
be supported with be supported with 0
attachments) attachments)
HOST OF ACTIVITY HOST OF ACTIVITY 0

INCLUSIVE DATES INCLUSIVE DATES

DESTINATION DESTINATION December 30, 1899

FUND SOURCE FUND SOURCE


I hereby attest that the information in this form and in the supporting documents attached hereto I hereby attest that the information in this form and in the supporting documents attached hereto
are true and correct. are true and correct.

Name and Signature of Requesting Employee Date Name and Signature of Requesting Employee Date
APPROVED APPROVED

MARLYN T. PERALTA MARLYN T. PERALTA


Principal IV Principal IV
Name and Signature of Approving Authority Date Name and Signature of Approving Authority Date
CONTROL CONTROL
NO: NO:

Republic of the Philippines Republic of the Philippines


Department of Education Department of Education
REGION XI REGION XI
SCHOOLS DIVISION OF DAVAO DEL NORTE SCHOOLS DIVISION OF DAVAO DEL NORTE

TRAVEL AUTHORITY FOR OFFICIAL TRAVEL TRAVEL AUTHORITY FOR OFFICIAL TRAVEL
NAME NAME December 30, 1899

POSITION/DESIGNATION POSITION/DESIGNATION 0

PERMANENT STATION PERMANENT STATION 0

PURPOSE OF TRAVEL (must PURPOSE OF TRAVEL (must


be supported with be supported with 0
attachments) attachments)
HOST OF ACTIVITY HOST OF ACTIVITY 0

INCLUSIVE DATES INCLUSIVE DATES

DESTINATION DESTINATION December 30, 1899

FUND SOURCE FUND SOURCE


I hereby attest that the information in this form and in the supporting documents attached hereto I hereby attest that the information in this form and in the supporting documents attached hereto
are true and correct. are true and correct.

Name and Signature of Requesting Employee Date Name and Signature of Requesting Employee Date
This is to certify that the trip of the requesting employee satisfies all the minimum conditions for This is to certify that the trip of the requesting employee satisfies all the minimum conditions for
authorized official travel and that aleternatives to travel are insufficient for purpose stated herein. authorized official travel and that aleternatives to travel are insufficient for purpose stated herein.

MARLYN T. PERALTA MARLYN T. PERALTA


Name and Signature of Recommending Authority Date Name and Signature of Recommending Authority Date

APPROVED APPROVED

DEE D. SILVA, DPA, CESO V DEE D. SILVA, DPA, CESO V


Name and Signature of Approving Authority Date Name and Signature of Approving Authority Date
Republic of the Philippines Republic of the Philippines
Department of Education Department of Education
REGION XI REGION XI
SCHOOLS DIVISION OF DAVAO DEL NORTE SCHOOLS DIVISION OF DAVAO DEL NORTE

LOCATOR SLIP LOCATOR SLIP

NAME NAME

POSITION/DESIGNATION POSITION/DESIGNATION

PERMANENT STATION PERMANENT STATION

PURPOSE OF TRAVEL (must PURPOSE OF TRAVEL (must


be supported by be supported by
attachments attachments
PLEASE CHECK Official Business Official Time PLEASE CHECK Official Business Official Time
DATE AND TIME DATE AND TIME
DESTINATION DESTINATION

0
Signature of Requesting Employee Signature of Head of Office Signature of Requesting Employee Signature of Head of Office

Date: ______________ Date: ______________ Date: ______________ Date: ______________

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