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ANNEX A

No.: _________

Republic of the Philippines


Department of Education
REGION VIII
SCHOOLS DIVISION OF LEYTE

TRAVEL AUTHORITY FOR OFFICIAL TRAVEL

NAME

Position/Designation

Permanent Station

Purpose of Travel
(must be supported by
attachments)

Host of Activity

Inclusive Dates

Destination

Fund Source

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

_____________________________________________ _________________
Name and Signature of Requesting Employee Date

This is to certify that the trip of the requesting employee satisfies all the minimum conditions for authorized official
travel and that alternatives to travel are insufficient for the purpose stated herein.

Date

APPROVED

Date

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Government Center, Candahug, Palo, Leyte
ANNEX A

(053) 888-3527
leyte.ro8@deped.gov.ph
Lead to Go, Love to Grow, Live to Glow . . .

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