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Document Code: SDO-QF-SDOP­

OASDS-01
Revision: 00
Quality Form Effectivity date: 05-25-2018

REQUEST FOR AUTHORITY TO Name of Office:


TRAVEL OF SCHOOL-BASED
PERSONNEL OASDS

Date: _

T Schools Division Superintendent


Dep Ed , Division of Tar lac Province
Macabulos Drive, San Roque
Tarlac City

Madam:

I/we hereby request authority to visit the schools/ offices listed below:

The objective/s of the visit is / are:

1.
2.
3.

Name of Requesting Official

Action Taken
( ) Approved
( ) Disapproved

NOEL L. LINSAO, Ed., D.


OIC - As s t . Schools Division Superintendent

Certificate of Appearance No. _

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