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loT Form
BLG form for itinerary for travel
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: ITINERARY OF TRAVEL
Entity Name :
Fund Cluster:
BUREAU OF LOCAL GOVERNMENT FINANCE
No.: _______________
Date of Travel : _____________________________
Purpose of Travel : __________________________
___________________________________________
Name :
Position :
Official Station :
Date
Places to be visited
(Destination)
TIME
Departure
Arrival
Means of
Transpor
Transportation -station
Per
Diem
Others
Total
Amount
TOTAL
Prepared by :
I certify that : (1) I have reviewed the foregoing itinerary,
(2) the travel is necessary to the service, (3) the period
covered is reasonable and (4) the expenses claimed
are proper.
_____________________________________________
Signature over Printed Name
Approved by:
____________________________________
Signature over Printed Name
Immediate Supervisor
______________________________________________
Signature over Printed Name
Agency Head/Authorized Representative
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