Appendix “B”

Republic of the Philippines

Department of Education
Region I
Division of Ilocos Norte
DUMALNEG NATIONAL HIGH SCHOOL
Dumalneg

CERTIFICATE OF TRAVEL COMPLETED

VANESSA B. AGUINALDO Dumalneg National High School

Agency Head Station

Head Teacher III ____________

Designation Date

I CERTIFY that I have completed the travel authorized in the Itinerary of JOLLY MAR T.
MANGILAYA under the condition indicated:

___X____ Strictly in accordance with the approved itinerary.

________ Cut short as explained below. Excess payment in the amount of
Php_______ dated______________ was refunded on Official Receipt
No. ______________ dated_________________.
________ Extended as explained below Additional Itinerary was submitted.
________ Other deviation as explained below.

Explanations or Justifications: _________________________________________

__________________________________________

Evidence of Travel hereto attached: Travel Order and Certificate of Appearance

Respectfully submitted:

JOLLY MAR T. MANGILAYA

Teacher I

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

VANESSA B. AGUINALDO
Head Teacher III

`
 Republic of the Philippines
Department of Education
Region I
Division of Ilocos Norte
DUMALNEG NATIONAL HIGH SCHOOL
Dumalneg

APPENDIX “A”
ITINERARY OF TRAVEL

Name: JOLLY MAR T. MANGILAYA Position: Teacher I

Official Station: Dumalneg National High School Monthly Salary: Php19,077.00
Purpose of Travel: Attend 27th NSM Division Elimination Contest, Division Training Workshop for SPAs, Division
Training for English Teachers on Pronunciation

Place to be visited Time of Time of Means of Allowable

Date Departure Arrival Transpor- Expenses Per Diem Total
tation
09/26/16 Sarrat, I.N. 6:00 AM 8:00 AM PUJ 80.00 240.00 320.00
Dumalneg, I.N. 3:00 PM 5:00 PM PUJ 80.00 80.00

10/01/16 Bacarra, I.N. 6:00 AM 8:00 AM PUJ 80.00 160.00 240.00

Dumalneg, I.N. 5:00 PM 7:00 PM PUJ 80.00 80.00

10/02/16 Bacarra, I.N. 6:00 AM 8:00 AM PUJ 80.00 160.00 240.00

Dumalneg, I.N. 5:00 PM 7:00 PM PUJ 80.00 80.00

10/03/16 Bacarra, I.N. 6:00 AM 8:00 AM PUJ 80.00 240.00 320.00

Dumalneg, I.N. 5:00 PM 7:00 PM PUJ 80.00 80.00

10/26/16 San Nicolas, I.N. 6:00 AM 8:00 AM PUJ 80.00 160.00 240.00
Dumalneg I.N. 5:00 PM 7:00 PM PUJ 80.00 80.00

10/27/16 San Nicolas, I.N. 6:00 AM 8:00 AM PUJ 80.00 160.00 240.00
Dumalneg I.N. 5:00 PM 7:00 PM PUJ 80.00 80.00

TOTAL Php2080.00

Prepared by:

JOLLY MAR T. MANGILAYA

Teacher I

I Certify that
(1) I have reviewed the above itinerary APPROVED:
(2) The travel is necessary to the service
(3) The period covered is reasonable VANESSA B. AGUINALDO
(4) The expenses claimed are proper Head Teacher III