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ANNEX A

Republic of the Philippine


Department of Education

CONTROL NUMBER

AUTHORITY TO TRAVEL
REGION: IX
BUREAU/DIVISION/SCHOOL: SDO ZAMBOANGA DEL NORTE
Date of Filing
NAME
Position/Designation
Permanent Station
Purpose of Travel
Activity Organized/
Sponsored By
Period Covered
(Inclusive of Travel Time)
Please Check Official Business Official Time
Venue / Destination
(subject to the usual accounting and auditing rules and regulations)
Expenses Covered
Fund Source
(PAP Code/….)
Recommending Approval: Approved:

ALBERT D. HISOLER ROY C. TUBALLA EMD,JD,CESO VI


Name and Signature Name and Signature

Date: Date:

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