Trip Ticket No.

EOMD _________________

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : JOVALE E. DELGADO

2 . Government vehicle to be used : Mitsubishi Pajero, H1 3574/DDV 515/SCV 831
3 . Name of authorize passenger : FED Personnel
4 . Place or places to be visited : Region III
5 . Charge to project : A.3.a.3
6 . Purpose : Ocular Inspection Dredge Pinatubo I-B

RECOMMENDING APPROVAL:

APPROVED: By the Authority of the Secretary:

FERDINAND R. FUGABAN
Chief, Floating Equipment Division AMADOR A. ANDRADA
OIC, Assistant Bureau Director

To be filled by the Driver:

1 . Time of the departure from office/garage : AM/PM
2 . Time of arrival at (No. 1 above) : AM/PM
3 . Time of departure from (per No. 4 above) : AM/PM
4 . Time of arrival back to the office/garage : AM/PM
5 . Approx. distance traveled (to and from) : AM/PM
6 . Gasoline/diesel issued, purchased and used :
a . Balance in tank : liters
b . Issued by office from stock : liters
c . Add: Purchased during trip : liters
TOTAL : liters
d . Deduct: Used during the trip : liters
e . Balance in tank at the end of trip : liters
7 . Gear oil used : liters
8 . Lubricating oil used : liters
9 . Grease used : liters
10 . Speedometer reading (if any) :
a . At the end of the trip : km
b . At the beginning of the trip : km
c . Distance travelled : kms.
REMARKS:
I hereby certify to the correctness of the above statement record of travel and that I
received the above items in complete and in good operating condition and with ignition key.

JOVALE E. DELGADO
Date Driver

I hereby certify that I used this vehicle on official business.

DPWH EMPLOYEES
Date Passenger

This form should be accomplished in Duplicate the Original of which is to be attached

to the Monthly Report of Official Travel and the Duplicate to be filled at the General Circular No.
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
FLOATING EQUIPMENT DIVISION
MAN I LA
Trip Ticket No. EOMD _________________

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : JOEL V. DURIAS

2 . Government vehicle to be used : TOYOTA HI. ACE VAN (H1-4956, ABE1178)
3 . Name of authorize passenger : FED Personnel
4 . Place or places to be visited : Regions III, Pampanga
5 . Charge to project : A.3.a.3
6 . Purpose : For pooling vehicle, to conduct inspection.

APPROVED: By the Authority of the Secretary:

TORIBIO NOEL L. ILAO

Director IV,Bureau of Equipment

To be filled by the Driver:

1 . Time of the departure from office/garage : AM/PM
2 . Time of arrival at (No. 1 above) : AM/PM
3 . Time of departure from (per No. 4 above) : AM/PM
4 . Time of arrival back to the office/garage : AM/PM
5 . Approx. distance traveled (to and from) : AM/PM
6 . Gasoline/diesel issued, purchased and used :
a . Balance in tank : liters
b . Issued by office from stock : liters
c . Add: Purchased during trip : liters
TOTAL : liters
d . Deduct: Used during the trip : liters
e . Balance in tank at the end of trip : liters
7 . Gear oil used : liters
8 . Lubricating oil used : liters
9 . Grease used : liters
10 . Speedometer reading (if any) :
a . At the end of the trip : km
b . At the beginning of the trip : km
c . Distance travelled : kms.
REMARKS:
I hereby certify to the correctness of the above statement record of travel and that I
received the above items in complete and in good operating condition and with ignition key.

April 16 - 20, 2018 JOEL V. DURIAS

Date Engineer IV

I hereby certify that I used this vehicle on official business.

April 16 - 20, 2018 DPWH PERSONNEL

Date Passenger
This form should be accomplished in Duplicate the Original of which is to be attached
to the Monthly Report of Official Travel and the Duplicate to be filled at the General Circular No.
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
FLOATING EQUIPMENT DIVISION
MAN I LA
Trip Ticket No. EOMD _________________

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : NARCISO RABANILLO

2 . Government vehicle to be used : Bus, Kinglong SKU-166, H12-38
3 . Name of authorize passenger : FED & Cadet Engineers
4 . Place or places to be visited : DPWH Dredge PDDP II, Macabebe Pampanga
5 . Charge to project : A.3.a.3
6 . Purpose : Dredge on-board training

RECOMMENDING APPROVAL:
APPROVED: By the Authority of the Secretary:

FERDINAND R. FUGABAN
Chief, Floating Equipment Division AMADOR A. ANDRADA
OIC, Assistant Bureau Director

To be filled by the Driver:

1 . Time of the departure from office/garage : AM/PM
2 . Time of arrival at (No. 1 above) : AM/PM
3 . Time of departure from (per No. 4 above) : AM/PM
4 . Time of arrival back to the office/garage : AM/PM
5 . Approx. distance traveled (to and from) : AM/PM
6 . Gasoline/diesel issued, purchased and used :
a . Balance in tank : liters
b . Issued by office from stock : liters
c . Add: Purchased during trip : liters
TOTAL : liters
d . Deduct: Used during the trip : liters
e . Balance in tank at the end of trip : liters
7 . Gear oil used : liters
8 . Lubricating oil used : liters
9 . Grease used : liters
10 . Speedometer reading (if any) :
a . At the end of the trip : km
b . At the beginning of the trip : km
c . Distance travelled : kms.
REMARKS:
I hereby certify to the correctness of the above statement record of travel and that I
received the above items in complete and in good operating condition and with ignition key.

NARCISO RABANILLO
Date Driver

I hereby certify that I used this vehicle on official business.

FED & Cadet Engineers

Date Passenger

This form should be accomplished in Duplicate the Original of which is to be attached

to the Monthly Report of Official Travel and the Duplicate to be filled at the General Circular No.
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
FLOATING EQUIPMENT DIVISION
MAN I LA
Trip Ticket No. EOMD _________________

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : Engr. Jovale Delgado

2 . Government vehicle to be used : Motorcycle Honda HIO-29 (SD2949)
3 . Name of authorize passenger : Engr. Jovale Delgado
4 . Place or places to be visited : Metro, Manila
5 . Charge to project : A.3.a.3
6 . Purpose : Service Vehicle

RECOMMENDING APPROVAL:

APPROVED: By the Authority of the Secretary:

OSCAR O. ISIDRO
Chief, EOMD AMADOR A. ANDRADA
OIC, Assistant Bureau Director

To be filled by the Driver:

1 . Time of the departure from office/garage : AM/PM
2 . Time of arrival at (No. 1 above) : AM/PM
3 . Time of departure from (per No. 4 above) : AM/PM
4 . Time of arrival back to the office/garage : AM/PM
5 . Approx. distance traveled (to and from) : AM/PM
6 . Gasoline/diesel issued, purchased and used :
a . Balance in tank : liters
b . Issued by office from stock : liters
c . Add: Purchased during trip : liters
TOTAL : liters
d . Deduct: Used during the trip : liters
e . Balance in tank at the end of trip : liters
7 . Gear oil used : liters
8 . Lubricating oil used : liters
9 . Grease used : liters
10 . Speedometer reading (if any) :
a . At the end of the trip : km
b . At the beginning of the trip : km
c . Distance travelled : kms.
REMARKS:
I hereby certify to the correctness of the above statement record of travel and that I
received the above items in complete and in good operating condition and with ignition key.

Engr. JOVALE DELGADO

Date Driver

I hereby certify that I used this vehicle on official business.

Engr. JOVALE DELGADO

Date Passenger
This form should be accomplished in Duplicate the Original of which is to be attached
to the Monthly Report of Official Travel and the Duplicate to be filled at the General Circular No.
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
FLOATING EQUIPMENT DIVISION
MAN I LA
Trip Ticket No. EOMD _________________

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : ENGR. VICTOR J. JAVIER

2 . Government vehicle to be used : Isuzu Crosswind Wagon, H1-4284/SKT-915
3 . Name of authorize passenger : MED PERSONNEL
4 . Place or places to be visited : Metro Manila
5 . Charge to project : A.3.a.3
6 . Purpose : For pooling vehicle; to conduct inspection.

RECOMMENDING APPROVAL:
APPROVED: By the Authority of the Secretary:

FERDINAND R. FUGABAN
Chief, Floating Equipment Division AMADOR A. ANDRADA
OIC, Assistant Bureau Director

To be filled by the Driver:

1 . Time of the departure from office/garage : AM/PM
2 . Time of arrival at (No. 1 above) : AM/PM
3 . Time of departure from (per No. 4 above) : AM/PM
4 . Time of arrival back to the office/garage : AM/PM
5 . Approx. distance traveled (to and from) : AM/PM
6 . Gasoline/diesel issued, purchased and used :
a . Balance in tank : liters
b . Issued by office from stock : liters
c . Add: Purchased during trip : liters
TOTAL : liters
d . Deduct: Used during the trip : liters
e . Balance in tank at the end of trip : liters
7 . Gear oil used : liters
8 . Lubricating oil used : liters
9 . Grease used : liters
10 . Speedometer reading (if any) :
a . At the end of the trip : km
b . At the beginning of the trip : km
c . Distance travelled : kms.
REMARKS:
I hereby certify to the correctness of the above statement record of travel and that I
received the above items in complete and in good operating condition and with ignition key.

VICTOR J. JAVIER
Date Engineer IV

I hereby certify that I used this vehicle on official business.

FED PERSONNEL
Date Passenger

This form should be accomplished in Duplicate the Original of which is to be attached

to the Monthly Report of Official Travel and the Duplicate to be filled at the General Circular No.
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
FLOATING EQUIPMENT DIVISION
MAN I LA
Trip Ticket No. CESPD _________________

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : ENGR. FERDINAND R. FUGABAN

2 . Government vehicle to be used : NISSAN TERRANO H1 5160-KCJ-925/ SKS 105
3 . Name of authorize passenger : FED PERSONNEL
4 . Place or places to be visited : Metro Manila
5 . Charge to project : A.3.a.3
6 . Purpose : For pooling vehicle; to conduct inspection.

RECOMMENDING APPROVAL:
APPROVED: By the Authority of the Secretary:

FERDINAND R. FUGABAN
Chief, Floating Equipment Division AMADOR A. ANDRADA
OIC, Assistant Bureau Director

To be filled by the Driver:

1 . Time of the departure from office/garage : AM/PM
2 . Time of arrival at (No. 1 above) : AM/PM
3 . Time of departure from (per No. 4 above) : AM/PM
4 . Time of arrival back to the office/garage : AM/PM
5 . Approx. distance traveled (to and from) : AM/PM
6 . Gasoline/diesel issued, purchased and used :
a . Balance in tank : liters
b . Issued by office from stock : liters
c . Add: Purchased during trip : liters
TOTAL : liters
d . Deduct: Used during the trip : liters
e . Balance in tank at the end of trip : liters
7 . Gear oil used : liters
8 . Lubricating oil used : liters
9 . Grease used : liters
10 . Speedometer reading (if any) :
a . At the end of the trip : km
b . At the beginning of the trip : km
c . Distance travelled : kms.
REMARKS:
I hereby certify to the correctness of the above statement record of travel and that I
received the above items in complete and in good operating condition and with ignition key.

JOEL V. DURIAS
Date DRIVER

I hereby certify that I used this vehicle on official business.

FERDINAND R. FUGABAN
Date Passenger

This form should be accomplished in Duplicate the Original of which is to be attached

to the Monthly Report of Official Travel and the Duplicate to be filled at the General Circular No.
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
FLOATING EQUIPMENT DIVISION
MAN I LA
Trip Ticket No. EOMD _________________

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : NOLI SERDEÑA

2 . Government vehicle to be used : PICK-UP NISSAN H1-4889/PLATE NO. SHG 903
3 . Name of authorize passenger : FED PERSONNEL
4 . Place or places to be visited : Sasmuan, Pampanga
5 . Charge to project : A.3.a.3
6 . Purpose : Inspection and Evaluation of Dredge PDDP II

RECOMMENDING APPROVAL:
APPROVED: By the Authority of the Secretary:

OSCAR O. ISIDRO
Chief, EOMD AMADOR A. ANDRADA
OIC, Assistant Bureau Director

To be filled by the Driver:

1 . Time of the departure from office/garage : AM/PM
2 . Time of arrival at (No. 1 above) : AM/PM
3 . Time of departure from (per No. 4 above) : AM/PM
4 . Time of arrival back to the office/garage : AM/PM
5 . Approx. distance traveled (to and from) : AM/PM
6 . Gasoline/diesel issued, purchased and used :
a . Balance in tank : liters
b . Issued by office from stock : liters
c . Add: Purchased during trip : liters
TOTAL : liters
d . Deduct: Used during the trip : liters
e . Balance in tank at the end of trip : liters
7 . Gear oil used : liters
8 . Lubricating oil used : liters
9 . Grease used : liters
10 . Speedometer reading (if any) :
a . At the end of the trip : km
b . At the beginning of the trip : km
c . Distance travelled : kms.
REMARKS:
I hereby certify to the correctness of the above statement record of travel and that I
received the above items in complete and in good operating condition and with ignition key.

NOLI SERDEÑA
Date Driver

I hereby certify that I used this vehicle on official business.

Date Passenger

This form should be accomplished in Duplicate the Original of which is to be attached

to the Monthly Report of Official Travel and the Duplicate to be filled at the General Circular No.
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
FLOATING EQUIPMENT DIVISION
MAN I LA
Trip Ticket No. EOMD _________________

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : Gregorio A. Cariaga, Jr.

2 . Government vehicle to be used : Mitsubishi Pajero, H1 3574/DDV 515/SCV 831
3 . Name of authorize passenger : FED Personnel
4 . Place or places to be visited : Metro, Manila
5 . Charge to project : A.3.a.3
6 . Purpose : For pooling vehicle; to conduct inspection.

RECOMMENDING APPROVAL:

APPROVED: By the Authority of the Secretary:

OSCAR O. ISIDRO
Chief, EOMD AMADOR A. ANDRADA
OIC, Assistant Bureau Director

To be filled by the Driver:

1 . Time of the departure from office/garage : AM/PM
2 . Time of arrival at (No. 1 above) : AM/PM
3 . Time of departure from (per No. 4 above) : AM/PM
4 . Time of arrival back to the office/garage : AM/PM
5 . Approx. distance traveled (to and from) : AM/PM
6 . Gasoline/diesel issued, purchased and used :
a . Balance in tank : liters
b . Issued by office from stock : liters
c . Add: Purchased during trip : liters
TOTAL : liters
d . Deduct: Used during the trip : liters
e . Balance in tank at the end of trip : liters
7 . Gear oil used : liters
8 . Lubricating oil used : liters
9 . Grease used : liters
10 . Speedometer reading (if any) :
a . At the end of the trip : km
b . At the beginning of the trip : km
c . Distance travelled : kms.
REMARKS:
I hereby certify to the correctness of the above statement record of travel and that I
received the above items in complete and in good operating condition and with ignition key.

GREGORIO A. CARIAGA, JR.

Date Engineer IV

I hereby certify that I used this vehicle on official business.

DPWH EMPLOYEES
Date Passenger
This form should be accomplished in Duplicate the Original of which is to be attached
to the Monthly Report of Official Travel and the Duplicate to be filled at the General Circular No.
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
FLOATING EQUIPMENT DIVISION
MAN I LA
Trip Ticket No. EOMD _________________

DRIVER'S TRIP TICKET

A. To be filled by the Administrative Officials/authorizing officials:

1 . Name of driver of the vehicle : ENGR. VICTOR J. JAVIER

2 . Government vehicle to be used : Pick-Up, Mits. L200, H1-4284/SFW-102
3 . Name of authorize passenger : MED PERSONNEL
4 . Place or places to be visited : Metro Manila
5 . Charge to project : A.3.a.3
6 . Purpose : For pooling vehicle; to conduct inspection.

RECOMMENDING APPROVAL:
APPROVED: By the Authority of the Secretary:

OSCAR O. ISIDRO
Chief, EOMD AMADOR A. ANDRADA
OIC, Assistant Bureau Director

To be filled by the Driver:

1 . Time of the departure from office/garage : AM/PM
2 . Time of arrival at (No. 1 above) : AM/PM
3 . Time of departure from (per No. 4 above) : AM/PM
4 . Time of arrival back to the office/garage : AM/PM
5 . Approx. distance traveled (to and from) : AM/PM
6 . Gasoline/diesel issued, purchased and used :
a . Balance in tank : liters
b . Issued by office from stock : liters
c . Add: Purchased during trip : liters
TOTAL : liters
d . Deduct: Used during the trip : liters
e . Balance in tank at the end of trip : liters
7 . Gear oil used : liters
8 . Lubricating oil used : liters
9 . Grease used : liters
10 . Speedometer reading (if any) :
a . At the end of the trip : km
b . At the beginning of the trip : km
c . Distance travelled : kms.
REMARKS:
I hereby certify to the correctness of the above statement record of travel and that I
received the above items in complete and in good operating condition and with ignition key.

VICTOR J. JAVIER
Date Engineer IV

I hereby certify that I used this vehicle on official business.

FED PERSONNEL
Date Passenger

This form should be accomplished in Duplicate the Original of which is to be attached

to the Monthly Report of Official Travel and the Duplicate to be filled at the General Circular No.