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Appendix 47 - CTC (Sample)

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Appendix 47 - CTC (Sample)

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jennyontok28
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Appendix 47

CERTIFICATION OF TRAVEL COMPLETED

Entity Name: DSWD XII Fund Cluster: 01

BONIFACIO V. SELMA JR. DSWD FO XII, KORONADAL CITY


Director III/ARDO Station

I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel
Order/Itinerary of Travel dated March 1-27, 2024 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:
Limited transportation in the area, only few motorcycles is the means of transportation going to
the area and for pakyaw system.
______________________________________________________________________________
Evidence of travel:
Certificate of Appearance
Certification of Expenses not requiring Receipts
Itinerary
Authority to Travel/Special Order
RER
_____________________________________________________________

Respectfully submitted:

JAMES A. LU
Name of Employee

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

Approved:

BONIFACIO V. SELMA JR.


Director III/ARDO

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