Certificate of Travel Completed (GAM Format)

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Appendix 45

Republic of the Philippines


Department of Education
Negros Island Region
DIVISION OF BACOLOD CITY
Bacolod City

CERTIFICATION OF TRAVEL COMPLETED

CYNTHIA G. DEMAVIVAS,CESO V Division of Bacolod City


Schools Division Superintendent Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the itinerary of Travel
No. ________ dated ______________ under conditions indicated below:

/ x / strictly in accordance with the approved itinerary.


/ / Cut short as explained below. Excess payment in the amount of
P_______ was refunded under O. R. No. ________ dated __________
/ / extended as explained below, additional itinerary was submitted
/ / other deviation as explained below.

Explanation or justifications: _______________________________________________________


______________________________________________________________________________

Evidence of travel:

1. Approved Authority to Travel


2. Approved Itinerary of Travel
3. Boat/Plane/Bus/Taxi/Terminal Fee Tickets
4. Certificate of Appearance
5. Certificate of Traveled Completed

Respectfully submitted:

____________________
Position

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

Approved:

CYNTHIA G. DEMAVIVAS, CESO V


Schools Division Superintendent

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