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Department of Education

Region XII
Division of South Cotabato

APPENDIX- B

Date:

10/21 to 10/23/2016

I certify that I have completed the travel authorized in itinerary No. ___________
dated 9/15/16, under my condition indicated below.
______ Strictly in accordance with the approved itinerary.
______ Cut short as explained below. Excess payment in the amount of P ________
was refunded in O.R. _____________ dated _________________________________
______ Extended as explained below. Additional itinerary was submitted.
______ Other Deviation as explained below.
Evidence of travel attached hereto:
Certificate of Appearance
Authority to Travel
Respectfully submitted by:

ELLEN MAE A. PONTEJO


Teacher I

On evidence and information of which I have knowledge the travel was actually
undertaken.
CRESENCIANA C. BATALLA
Principal I

APPENDIX : A
Republika ng Pilipinas
Kagawaran ng Edukasyon
Rehiyon XII
SANGAY NG SOUTH COTABATO
Koronadal

ITINERARY OF TRAVEL
NAME:
POSITION:
OFFICIAL STATION:

ELLEN MAE A. PONTEJ


Teacher I
DepEd-Palkan NHS -UKNHS Annex

PURPOSE OF TRAVEL:

To attend 25th COUNCILWIDE ENCAMPMENT

TIME
DATE

Places to be Visited

10/21/2016 Palkan

NHS
Polomolok Ter.
Koronadal Ter.
10/23/2016 Del Rio Resort
Koronadal Ter.
Polomolok Ter.
Total

Polomolok Ter.
Koronadal Ter.
Del Rio Resort
Koronadal Ter.
Polomolok Ter.
Palkan NHS

Departure

Arrival

6:00 AM
6:15 AM
7:00 AM
3:10 PM
3:55 PM
4:35 PM

6:15 AM
7:00 AM
7:45 AM
3:55 PM
4:35 PM
4:50 PM

Means of Allowable Expenses


Total
Transpor- TransporPer
Amount
tation
tation
Diems
Claimed
tricycle
25.00
###
PUV
53.00
###
PUV
10.00
###
PUV
10.00
###
PUV
53.00
###
tricycle
25.00
###
176.00
0.00
176.00
Prepared by:

I HEREBY CERTIFY THAT : (1) I have


reviewed the foregoing Itinerary (2) That the
travel is necessary to the service (3) That the
expenses claimed are proper.

ELLEN MAE A. PONTEJO


Teacher I
APPROVED:

CRESENCIANA C. BATALLA
Principal I

CRESENCIANA C. BATALLA
Principal I

Department of Education
Region XII
Division of South Cotabato

APPENDIX- B

Date:

10/21 to 10/23/2016

I certify that I have completed the travel authorized in itinerary No. ___________
dated 9/15/16, under my condition indicated below.
______ Strictly in accordance with the approved itinerary.
______ Cut short as explained below. Excess payment in the amount of P ________
was refunded in O.R. _____________ dated _________________________________
______ Extended as explained below. Additional itinerary was submitted.
______ Other Deviation as explained below.
Evidence of travel attached hereto:
Certificate of Appearance
Authority to Travel
Respectfully submitted by:

SHERYL A. CABRERA
Teacher I

On evidence and information of which I have knowledge the travel was actually
undertaken.
CRESENCIANA C. BATALLA
Principal I

APPENDIX : A
Republika ng Pilipinas
Kagawaran ng Edukasyon
Rehiyon XII
SANGAY NG SOUTH COTABATO
Koronadal

ITINERARY OF TRAVEL
NAME:
POSITION:
OFFICIAL STATION:

SHERYL A. CABRERA
Teacher I
DepEd-Palkan NHS -UKNHS Annex

PURPOSE OF TRAVEL:

To attend 25th COUNCILWIDE ENCAMPMENT

TIME
DATE

Places to be Visited

10/21/2016 Palkan

NHS
Polomolok Ter.
Koronadal Ter.
10/23/2016 Del Rio Resort
Koronadal Ter.
Polomolok Ter.
Total

Polomolok Ter.
Koronadal Ter.
Del Rio Resort
Koronadal Ter.
Polomolok Ter.
Palkan NHS

Departure

Arrival

6:00 AM
6:15 AM
7:00 AM
3:10 PM
3:55 PM
4:35 PM

6:15 AM
7:00 AM
7:45 AM
3:55 PM
4:35 PM
4:50 PM

Means of Allowable Expenses


Total
Transpor- TransporPer
Amount
tation
tation
Diems
Claimed
tricycle
25.00
###
PUV
53.00
###
PUV
10.00
###
PUV
10.00
###
PUV
53.00
###
tricycle
25.00
###
176.00
0.00
176.00
Prepared by:

I HEREBY CERTIFY THAT : (1) I have


reviewed the foregoing Itinerary (2) That the
travel is necessary to the service (3) That the
expenses claimed are proper.

SHERYL A. CABRERA
Teacher I
APPROVED:

CRESENCIANA C. BATALLA
Principal I

CRESENCIANA C. BATALLA
Principal I

Department of Education
Region XII
Division of South Cotabato

APPENDIX- B

Date:

10/21 to 10/23/2016

I certify that I have completed the travel authorized in itinerary No. ___________
dated 9/15/16, under my condition indicated below.
______ Strictly in accordance with the approved itinerary.
______ Cut short as explained below. Excess payment in the amount of P ________
was refunded in O.R. _____________ dated _________________________________
______ Extended as explained below. Additional itinerary was submitted.
______ Other Deviation as explained below.
Evidence of travel attached hereto:
Certificate of Appearance
Authority to Travel
Respectfully submitted by:

IRISH CLAIRE MAQUILING


STUDENT

On evidence and information of which I have knowledge the travel was actually
undertaken.
CRESENCIANA C. BATALLA
Principal I

APPENDIX : A
Republika ng Pilipinas
Kagawaran ng Edukasyon
Rehiyon XII
SANGAY NG SOUTH COTABATO
Koronadal

ITINERARY OF TRAVEL
NAME:
POSITION:
OFFICIAL STATION:

IRISH CLAIRE MAQUIL


STUDENT
DepEd-Palkan NHS -UKNHS Annex

PURPOSE OF TRAVEL:

To attend 25th COUNCILWIDE ENCAMPMENT

TIME
DATE

Places to be Visited

10/21/2016 Palkan

NHS
Polomolok Ter.
Koronadal Ter.
10/23/2016 Del Rio Resort
Koronadal Ter.
Polomolok Ter.
Total

Polomolok Ter.
Koronadal Ter.
Del Rio Resort
Koronadal Ter.
Polomolok Ter.
Palkan NHS

Departure

Arrival

6:00 AM
6:15 AM
7:00 AM
3:10 PM
3:55 PM
4:35 PM

6:15 AM
7:00 AM
7:45 AM
3:55 PM
4:35 PM
4:50 PM

Means of Allowable Expenses


Total
Transpor- TransporPer
Amount
tation
tation
Diems
Claimed
tricycle
25.00
###
PUV
53.00
###
PUV
10.00
###
PUV
10.00
###
PUV
53.00
###
tricycle
25.00
###
176.00
0.00
176.00
Prepared by:

I HEREBY CERTIFY THAT : (1) I have


reviewed the foregoing Itinerary (2) That the
travel is necessary to the service (3) That the
expenses claimed are proper.

IRISH CLAIRE MAQUILING


STUDENT
APPROVED:

CRESENCIANA C. BATALLA
Principal I

CRESENCIANA C. BATALLA
Principal I

Department of Education
Region XII
Division of South Cotabato

APPENDIX- B

Date:

10/21 to 10/23/2016

I certify that I have completed the travel authorized in itinerary No. ___________
dated 9/15/16, under my condition indicated below.
______ Strictly in accordance with the approved itinerary.
______ Cut short as explained below. Excess payment in the amount of P ________
was refunded in O.R. _____________ dated _________________________________
______ Extended as explained below. Additional itinerary was submitted.
______ Other Deviation as explained below.
Evidence of travel attached hereto:
Certificate of Appearance
Authority to Travel
Respectfully submitted by:

CHRISTINE FAE W. LAYAN


STUDENT

On evidence and information of which I have knowledge the travel was actually
undertaken.
CRESENCIANA C. BATALLA
Principal I

APPENDIX : A
Republika ng Pilipinas
Kagawaran ng Edukasyon
Rehiyon XII
SANGAY NG SOUTH COTABATO
Koronadal

ITINERARY OF TRAVEL
NAME:
POSITION:
OFFICIAL STATION:

CHRISTINE FAE W. LA
STUDENT
DepEd-Palkan NHS -UKNHS Annex

PURPOSE OF TRAVEL:

To attend 25th COUNCILWIDE ENCAMPMENT

TIME
DATE

Places to be Visited

10/21/2016 Palkan

NHS
Polomolok Ter.
Koronadal Ter.
10/23/2016 Del Rio Resort
Koronadal Ter.
Polomolok Ter.
Total

Polomolok Ter.
Koronadal Ter.
Del Rio Resort
Koronadal Ter.
Polomolok Ter.
Palkan NHS

Departure

Arrival

6:00 AM
6:15 AM
7:00 AM
3:10 PM
3:55 PM
4:35 PM

6:15 AM
7:00 AM
7:45 AM
3:55 PM
4:35 PM
4:50 PM

Means of Allowable Expenses


Total
Transpor- TransporPer
Amount
tation
tation
Diems
Claimed
tricycle
25.00
###
PUV
53.00
###
PUV
10.00
###
PUV
10.00
###
PUV
53.00
###
tricycle
25.00
###
176.00
0.00
176.00
Prepared by:

I HEREBY CERTIFY THAT : (1) I have


reviewed the foregoing Itinerary (2) That the
travel is necessary to the service (3) That the
expenses claimed are proper.

CHRISTINE FAE W. LAYAN


STUDENT
APPROVED:

CRESENCIANA C. BATALLA
Principal I

CRESENCIANA C. BATALLA
Principal I

Department of Education
Region XII
Division of South Cotabato

APPENDIX- B

Date:

10/21 to 10/23/2016

I certify that I have completed the travel authorized in itinerary No. ___________
dated 9/15/16, under my condition indicated below.
______ Strictly in accordance with the approved itinerary.
______ Cut short as explained below. Excess payment in the amount of P ________
was refunded in O.R. _____________ dated _________________________________
______ Extended as explained below. Additional itinerary was submitted.
______ Other Deviation as explained below.
Evidence of travel attached hereto:
Certificate of Appearance
Authority to Travel
Respectfully submitted by:

FALIE JANE D. ESPAOLA


STUDENT

On evidence and information of which I have knowledge the travel was actually
undertaken.
CRESENCIANA C. BATALLA
Principal I

APPENDIX : A
Republika ng Pilipinas
Kagawaran ng Edukasyon
Rehiyon XII
SANGAY NG SOUTH COTABATO
Koronadal

ITINERARY OF TRAVEL
NAME:
POSITION:
OFFICIAL STATION:

FALIE JANE D. ESPAO


STUDENT
DepEd-Palkan NHS -UKNHS Annex

PURPOSE OF TRAVEL:

To attend 25th COUNCILWIDE ENCAMPMENT

TIME
DATE

Places to be Visited

10/21/2016 Palkan

NHS
Polomolok Ter.
Koronadal Ter.
10/23/2016 Del Rio Resort
Koronadal Ter.
Polomolok Ter.
Total

Polomolok Ter.
Koronadal Ter.
Del Rio Resort
Koronadal Ter.
Polomolok Ter.
Palkan NHS

Departure

Arrival

6:00 AM
6:15 AM
7:00 AM
3:10 PM
3:55 PM
4:35 PM

6:15 AM
7:00 AM
7:45 AM
3:55 PM
4:35 PM
4:50 PM

Means of Allowable Expenses


Total
Transpor- TransporPer
Amount
tation
tation
Diems
Claimed
tricycle
25.00
###
PUV
53.00
###
PUV
10.00
###
PUV
10.00
###
PUV
53.00
###
tricycle
25.00
###
176.00
0.00
176.00
Prepared by:

I HEREBY CERTIFY THAT : (1) I have


reviewed the foregoing Itinerary (2) That the
travel is necessary to the service (3) That the
expenses claimed are proper.

FALIE JANE D. ESPAOLA


STUDENT
APPROVED:

CRESENCIANA C. BATALLA
Principal I

CRESENCIANA C. BATALLA
Principal I

Department of Education
Region XII
Division of South Cotabato

APPENDIX- B

Date:

10/21 to 10/23/2016

I certify that I have completed the travel authorized in itinerary No. ___________
dated 9/15/16, under my condition indicated below.
______ Strictly in accordance with the approved itinerary.
______ Cut short as explained below. Excess payment in the amount of P ________
was refunded in O.R. _____________ dated _________________________________
______ Extended as explained below. Additional itinerary was submitted.
______ Other Deviation as explained below.
Evidence of travel attached hereto:
Certificate of Appearance
Authority to Travel
Respectfully submitted by:

NIERA JOY MERCADO


STUDENT

On evidence and information of which I have knowledge the travel was actually
undertaken.
CRESENCIANA C. BATALLA
Principal I

APPENDIX : A
Republika ng Pilipinas
Kagawaran ng Edukasyon
Rehiyon XII
SANGAY NG SOUTH COTABATO
Koronadal

ITINERARY OF TRAVEL
NAME:
POSITION:
OFFICIAL STATION:

NIERA JOY MERCADO


STUDENT
DepEd-Palkan NHS -UKNHS Annex

PURPOSE OF TRAVEL:

To attend 25th COUNCILWIDE ENCAMPMENT

TIME
DATE

Places to be Visited

10/21/2016 Palkan

NHS
Polomolok Ter.
Koronadal Ter.
10/23/2016 Del Rio Resort
Koronadal Ter.
Polomolok Ter.
Total

Polomolok Ter.
Koronadal Ter.
Del Rio Resort
Koronadal Ter.
Polomolok Ter.
Palkan NHS

Departure

Arrival

6:00 AM
6:15 AM
7:00 AM
3:10 PM
3:55 PM
4:35 PM

6:15 AM
7:00 AM
7:45 AM
3:55 PM
4:35 PM
4:50 PM

Means of Allowable Expenses


Total
Transpor- TransporPer
Amount
tation
tation
Diems
Claimed
tricycle
25.00
###
PUV
53.00
###
PUV
10.00
###
PUV
10.00
###
PUV
53.00
###
tricycle
25.00
###
176.00
0.00
176.00
Prepared by:

I HEREBY CERTIFY THAT : (1) I have


reviewed the foregoing Itinerary (2) That the
travel is necessary to the service (3) That the
expenses claimed are proper.

NIERA JOY MERCADO


STUDENT
APPROVED:

CRESENCIANA C. BATALLA
Principal I

CRESENCIANA C. BATALLA
Principal I