REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
REGION III
DIVISION OF NUEVA ECIJA

APPENDIX A
ITINERARY OF TRAVEL

Name : JOSEPHINE P. MEJIA_____________________________.

Position TEACHER III __________ Monthly Salary P23,289.00
Official Station: PANTABANGAN NATIONAL HIGH SCHOOL, PANTABANGAN, NUEVA ECIJA
Purpose/s of Travel: To attend a 3-day PROJECT RISE (Rural Initiative for Science Education) TRAINING CAMP.

TIME Means of ALLOWABLE EXPENSES

Date Places to be Visited Trans- Trans- Reg. Daily Total
Departure Arrival portation portation Fee Allowances Amount

05-11 -2017 Nueva Ecija National 7:00 A.M. 5:00 PUJ 300 100 400
to High School, P.M.
05-13 -2017 Cabanatuan City

TOTAL P1,200.00

(<) I certify that (1) I have reviewed the forgoing (1) Prepared By:
itinerary. (2) The travel is necessary to the
service. (3) The period covered is reasonable. JOSEPHINE P. MEJIA
(4) The expenses claimed are proper. (Officer or Employee)

(3) APPROVED:

RICHARD CHRIS U. ANGELES

Admin. Assistant III TERESITA C. MACAPAGAL
(Chief of Office)
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
REGION III
DIVISION OF NUEVA ECIJA

APPENDIX B

CERTIFICATE OF TRAVEL COMPLETED

TERESITA C. MACAPAGAL PANTABANGAN NATIONAL H. S.

(Agency Head) Station
May 15, 2017 __
Date

I certify that I have completed the travel authorized in 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 on O.R. No. dated__________________________________

Extended as explained below. Additional itinerary was submitted.

Other deviation as explained below.

Explanations or justification:

Evidence of travel attached hereto: Certificates of Appearance, Travel Orders, Memo

Respectfully Submitted:

JOSEPHINE P. MEJIA
(Officer or Employee)

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

TERESITA C. MACAPAGAL
(Principal I)