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Appendix 47 Certification of Travel Completed
FMB certification form for completed travel
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CERTIFICATION OF TRAVEL COMPLETED
Entity Name: _______________________
Fund Cluster: __________
___________________________
___________________________
Director in-Charge
Station
I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel
Order/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:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_________________________________________________________________
Respectfully submitted:
_____________________________
Name of Employee
On evidence and information of which I have the knowledge, the travel was actually
undertaken.
Approved:
________________________
Name of Director
Office
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