ITINERARY OF TRAVEL Date:

Name: Residence:
Position: Contact No.:
Purpose of Travel:

Time Means of Official Receipt/ Travel

Date Places Visited/Destination Acknowledgment
Departure Arrival Transportation Receipt/Ref. No. Allowance

TOTAL AMOUNT SPENT:

AMOUNT OF REQUESTED BUDGET PER CHECK NO.:
AMOUNT REFUNDED: OR NO. _____________
AMOUNT TO BE REIMBURSED:

I have reviewed the foregoing itinerary: Prepared by:

1. The travel is necessary to the service,
2. The period covered is reasonable, and
3. The expenses claimed are proper.
(Official/Employee)

Approved by:
Immediate Head

REV. FR. NATHANIEL B. GOMEZ, PHD

School President