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NATIONAL FOOD AUTHORITY

Quezon City

Date: May 02, 2019

FOR: THE DEPARTMENT MANAGER

Attention: Personnel Benefits Unit

Dear Madam:

I would like to request for a travel accident insurance


coverage from the Government Service Insurance System
(GSIS) for my travel to San Fernando La Union via San
Juan, La Union from May 06-08, 2019. Attached is a
copy of my Travel Authority for your reference.

ATTY. JAIRUS B. RUBIO


(Employee’s Signature Over Printed Name)

Noted by:

ATTY. MA. THERESA S. VILLAFUERTE


(Name and Signature of Head of Office)