Reference No.: OMSC-Form-CAO-01-B Effectivity Date: November 06, 2017 Revision No.

00

Republic of the Philippines

OCCIDENTAL MINDORO STATE COLLEGE
Admin Bldg., Labangan Poblacion, SJOM
Website: www.omsc.edu.ph Email address: omsc_9747@yahoo.com
Tele/Fax: (043) 457-0231

ESTIMATED BUDGET FOR TRAVEL

Name : Artemio M. Gonzales Jr Training Duration Date: August 20-21, 2018

Position : Instructor I
Purpose of Travel : To attend 2nd Sigma Asia Region Conference in
Official Station : RDE/Midwifery Dumaguete City

Places to be visited TIME Means of Transpor- Per Total

Date Others
(Destination) Departure Arrival Transportation station Diem Amount
August 19, 2018 San Jose Residence to San Jose Airport Tricycle 50.00 50.00
San Jose to Manila Plane 1,500.00 1,500.00
Manila to Dumaguete Plane 2,500.00 2,500.00
Dumaguete Airport to Hotel Taxi

2nd Sigma Asia Region

August 20-21, 2018 Conference (registration) 3000.00 3,000.00
August 22, 2018 Hotel to Dumaguete Airport Taxi 50.00 50.00
Dumaguete to Manila Plane 2,500.00 2,500.00
August 23, 2018 Manila to San Jose Plane 1,500.00 1,500.00
San Jose Airport to Residence Tricycle 50.00 50.00
-
-
-
-
-
-
-
-

TOTAL 11150.00
Funding Source/Code

Prepared by :

I certify that : (1) I have reviewed the foregoing ARTEMIO M. GONZALES JR.
itinerary, (2) the travel is necessary to the Signature over Printed Name
service, (3) the period covered is reasonable.
Estimated Budget Checked by:

____________________________________ GRACE M. ANCHETA

Signature over Printed Name Signature over Printed Name
Immediate Supervisor

Please retain copy for cash advance