CERTIFICATE OF APPEARANCE

DATE

TO WHOM IT MAY CONCERN:

This is to certify that

of the University of the Philippines, Institute of Biology was here in

during the period covering to

in connection with the

as evidence

by travel order # attached hereto.

This certification is being issued in compliance with the provision of

Republic Act # 3847, otherwise known as the New Per Diem Law.

NAME

DESIGNATION

TRAVEL ORDER

T.O. NO.

DATE

NAME:

DESIGNATION:

PURPOSE (5):

DATE OF TRAVEL:

EXPENSES:

SOURCE OF FUNDS:

REMARKS:

RECOMMENDED BY:

SIGNATURE OVER PRINTED NAME

DESIGNATION

APPROVED BY:

SIGNATURE OVER PRINTED NAME

DESIGNATION

INSTITUTE OF BIOLOGY College of Science

University of the Philippines Diliman, Quezon City

No.

Date:

ITINERARY OF TRAVEL

Name:

Position: Monthly Salary:

Official Station.

Purpose of Travel:

DATE

—

Place to be Visited

Time Means of Transpor-tation

Allowable Allow- ances )

Expenses Total Amount Departure Arrival

TOTAL _ (2).1 certify that (a) I have reviewed

the foregoing itinerary (b) The Travel is necessary to the service

The period covered is reasonable The- expenses claimed are proper.

Supervisor

(1) Prepared by:

Official or Employee

(3) APPROVED:

Director

CERTIFICATE OF TRAVEL COMPLETED

UNIT

DATE

I certify that I have completed the travel authorized in itinerary of travel No.

dated under conditions indicated below:

Strictly in accordance with the approval itinerary

Cut short as explained below. Excess payment in the amount of

was refunded on O.R. No.

dated

Extended as explained below. Additional itinerary was submitted.

Other deviations as explain below.

Explanation of Justification

Evidence of travel attached hereto:

Respectfully Submitted:

(Officer or Employee)

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

Signature over Printed Name