Republika ng Pilipinas

Kagawaran ng Edukasyon
Rehiyon V
TANGGAPAN NG MGA PAARALANG PANSANGAY NG CAMARINES SUR

NO.: ______________

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 suppoting 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 condition for
authorized travel and that alternatives to travel are insufficient for purpose stated herein.

____________________________________________ __________________________
Name and Signature of Recommending Authority Date

APPROVED

____________________________________________ __________________________
Name and Signature of Approving Authority Date

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telepono Bilang: (telefax) 8713340
 Republika ng Pilipinas
Kagawaran ng Edukasyon
Rehiyon V
TANGGAPAN NG MGA PAARALANG PANSANGAY NG CAMARINES SUR

NO.: ______________

LOCATOR SLIP

NAME

Position/Designation

Permanent Station

Purpose of Travel (must be

supported by attachments)

Please Check Official Business Official Time

Date and Time

Destination

___________________________________ _____________________________________
Signature of Requesting Employee Signture of Head of Office

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telepono Bilang: (telefax) 8713340
 ITINERARY OF TRAVEL

Entity Name : _____________________

Fund Cluster: ____________________

Name : ____________________________________________ Date of Travel : ____________________________

Position : __________________________________________ Purpose of Travel : _________________________
Official Station : _____________________________________ _______________________________________
Places to be visited TIME Means of Transpor-
Date
(Destination) Departure Arrival Transportation station

TOTAL
Prepared by :

I certify that : (1) I have reviewed the foregoing _____________________________________________

itinerary, (2) the travel is necessary to the Signature over Printed Name
service, (3) the period covered is reasonable and
(4) the expenses claimed are proper.
Approved by:
____________________________________ ______________________________________________
Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
 Appendix 45

No.: _______________

_____________________________
l : __________________________
________________________________
Per Total
Others
Diem Amount

____________________________
e over Printed Name
____________________________
e over Printed Name
Authorized Representative
 Republika ng Pilipinas
Kagawaran ng Edukasyon
Rehiyon V
TANGGAPAN NG MGA PAARALANG PANSANGAY NG CAMARINES SUR

School: ___________________________________
District: __________________ Date: ___________________

CERTIFICATION

This is to certify that the amount of Php _____________ to be incurred for the traveling expenses
of _____________(name)____________, ____(position)____, with the following details can be charged
against school MOOE:

Purpose of Travel:
Travel date:
Destination/venue:

To date, the balance of travel allocation is shown below:

CY 2022 Travel allocation
Utilized (including this travel)
Balance after this travel

Certified by:

___________________________________
Signature over printed name of Senior Bookkeeper
Date: ____________________
expenses
 CERTIFICATION OF EXPENSES NOT REQUIRING RECEIPTS
Pursuant to COA Circular No. 2017-001 dated June 19,2017

Employee 6323541
Name of Employee MONICA C. BUAL
No.
Office LUGSAD ELEMENTARY SCHOOL
Division CAMARINES SUR
Particulars Amount (P)
LUGSAD - CALABANGA Centro (HABAL-HABAL) 150.00
CALABANGA Centro - NAGA City Terminal (JEEPNEY) 25.00
NAGA JEEPNEY TERMINAL - NAGA CENTRO (Tricycle) 15.00
NAGA CENTRO - NAGA CBD Terminal (Tricycle) 15.00
NAGA CBD Terminal - SDO CAM. SUR PILI (Bus) 20.00
225.00
x2
TOTAL 450.00
Purpose : Attend Validation of the Hardcopy and Online of NSBI

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose,
that above goods and services were acquired from parties not issuing receipts. And that I am fully aware
that willful falsification os statements is punishable by law.

Certified Correct: Noted By:

Signature
Printed Name MONICA C. BUAL ARWIN V. JAYONA
Employee Immediate Supervisor
Date Date
 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT

Entity Name: _________________ Fund Cluster : ________________

Date : _______________________ RER No. : ___________________

RECEIVED from ______________________________________

(Name)
_________________________________________________ the amount
(Official Designation)
of __________________________________________ (P__________)
(In Words) (in Figures)
in payment for _______________________________________________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature __________________________________________
Address ________________________________________________

WITNESS
Name/Signature __________________________________________
Address ________________________________________________
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
Division of Camarines Sur
San Jose, Pili, Camarines Sur

CERTIFICATION OF TRAVEL COMPLETED

Name of Approving Authority Station

I certify that I have completed the travel authorized in the Travel Order/Itinerary of Travel No.
__________ dated _______________ under conditions indicated below.

Strictly in accordance with the approved Itinerary.

Cut short as explained below. Excess payment in the amount of P _________________
refunded under O. R. No. _________ dated _____________
Extended explained below, additional itinerary was submitted
Other deviation as explained below.

Explanations or justifications:

Evidence of travel attached hereto:

_______________________________________________________________________________

Respectfully submitted:

Name of Employee

On evidence and information of which I have knowledge, the travel was actually undertaken.

Approved :

Name of Approving Authority

 Republika ng Pilipinas
Kagawaran ng Edukasyon
Rehiyon V
TANGGAPAN NG MGA PAARALANG PANSANGAY NG CAMARINES SUR

NO.: ______________

TRAVEL AUTHORITY FOR PERSONAL TRAVEL

NAME

Position/Designation

Permanent Station

Inclusive Dates

Destination

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

____________________________________________ __________________________
Name and Signature of Requesting Employee Date

APPROVED

__________________________________________ __________________________
Name and Signature of Approving Authority Date

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telepono Bilang: (telefax) 8713340