NATIONAL TRAVEL REQUEST FORM Document No.
WVSU-PRE-SOI-01-FO2
Issue No. 1
Revision No. 1
WEST VISAYAS STATE UNIVERSITY Date of Effectivity November 4, 2024
Issued By. President's Office
Page No. Page 1 of 2
TRAVEL REQUEST FORM (NATIONAL )
NATIONAL TRAVEL (OUTSIDE the Region but within the Country)
1. Date of Filing: 6. Contact Number:
2. Name: (use separate sheet if
necessary)
3. Department/Campus: 7. Unit/Office (Admin):
4. College: 8. Designation:
5. Rank:
9. Period of Travel: A. DEPARTMENT/UNIT
Start: End: Recommendation of the Immediate Supervisor in accordance with
10. Period of Actual Event / Invitation: Section 3 (a) of EO 77
11. Place/s of Destination: it is essential to the effective performance of an official
12. Purpose of Travel: or employee's mandates or functions;
it is required to meet the needs of the department,
agency, bureau or office, or there is substantial benefit to
13. Nature of Travel: be derived by the State;
OFFICIAL TIME the presence of the official or employee is critical to the
OFFICIAL BUSINESS outcome of the meeting, conference, seminar, consultation
or any official activity to be attended; and
the projected expenses are not excessive or involved
minimum expenditure.
14. Supporting Documents (if applicable)
Invitation/Acceptance/Nomination Letter or Email Comment/s if any:
Program ____________________________________________
Proposed Itinerary of Travel ____________________________________________
Officer-In-Charge for Admin Duties
Permit for Make-up Classes (Faculty) _____________________________________
Others: ___________________________ Name and Signature of the Department Chairman/
Immediate Supervisor
Recommending Approval:
Comment/s if any:
This is to certify the correctness of the information presented above. ____________________________________________
I hereby give my consent to and give authority to the University
to process my personal and sensitive personal information pursuant to the Data ____________________________________________
Privacy Act of 2012
______________________ ______________________
______________________________________________ College Dean / VPAA/VPRIE/VPAF/VPMAS
Applicant's Signature Unit Head Campus Administrator (for External Campus)
B. FUNDING SOURCE/ESTIMATED EXPENSES & ALLOWANCES C. HUMAN RESOURCE MANAGEMENT OFFICE
Personal 15. Employee Appointment
WVSU Host / Sponsor Permanent
Transportation _______________ _________________ Temporary / Contractual / Part-time
Registration _______________ _________________ Date of appointment ___________________
Others _______________ ______________
Comment/s if any: ___________________________
____________________________________ ________________________________________
Budget Officer Human Resource Management Officer
D. APPROVAL
Action Taken:
Deferred Date: _________________ Travel Order Number: ____________________
Disapproved You are hereby granted authority to travel on _________________________for the purpose, date and place/venue
Approved as indicated above.
JOSELITO F. VILLARUZ MD,PhD,FPPS
SUC President IV
NATIONAL TRAVEL REQUEST FORM Document No. WVSU-PRE-SOI-01-FO2
Issue No. 1
Revision No. 1
WEST VISAYAS STATE UNIVERSITY Date of Effectivity November 4, 2024
Issued By. President's Office
Page No. Page 2 of 2
INSTRUCTION
Approving Authority to Sign Travel Orders
(as per Memorandum No. 122 s. 2015 and ADCO Resolution No. 42-2015.)
a. International/National Level -University President/Authorized Representative
b. Regional/Provincial -Vice Presidents concerned
c. City/inter-campus/Institution-Deans/Division Chiefs/Directors
Reminder
The University official/personnel concerned on travel should be guided with the following
policies, rules and regulations:
• If cash advance will be requested kindly submit your travel documents to the Finance office for processing within 5 days prior to
your actual travel, otherwise, claims for travelling expenses shall be on reimbursement basis.
• Within one (1) month after return to official station, submit a report with recommendations, if any, on the conference or
seminar attended, examination or investigation conducted, or mission undertaken in accordance with Section 18 of EO 248 as
amended.
• Liquidate your cash advance within sixty (60) days after return to the Philippines, in the case of official travel abroad, or within
(30) days after return to permanent official station, in the case of official local travel in accordance with Section 16 of EO 248 as
amended. Payment of the salary of any official or employee who fails to comply with these provisions shall be suspended until
he/she complied therewith
CERTIFICATE OF APPEARANCE
This is to certify that _____________________________________________________
of WEST VISAYAS STATE UNIVERSITY, ____________ Campus appeared in this office on ___________for the purpose of
________________________________________________.
Authorized
Official
(Printed
Name and Signature)
Position:
Date:
LOCAL/PROVINCIAL/REGIONAL TRAVEL Document No. WVSU-PRE-SOI-01-FO1
REQUEST FORM
Issue No. 1
Revision No. 1
WEST VISAYAS STATE UNIVERSITY Date of Effectivity November 4, 2024
Issued By. President's Office
Page No. Page 1 of 2
TRAVEL REQUEST FORM (LOCAL / PROVINCIAL /REGIONAL)
\ LOCAL TRAVEL (inter/intra campus) \ REGIONAL TRAVEL (Outside the Province but within the
Region where the campus is located)
\ PROVINCIAL TRAVEL (Outside the City/Municipality but within the Province where the campus is located)
1. Date of Filing: 6. Contact Number:
2. Name: (use separate sheet if necessary)
3. Department/Campus: 7. Unit/Office (Admin):
4. College: 8. Designation:
5. Rank:
9. Period of Travel: A. DEPARTMENT/UNIT
Start: End: Recommendation of the Immediate Supervisor in accordance with
10. Period of Actual Event / Invitation: Section 3 (a) of EO 77
11. Place/s of Destination: it is essential to the effective performance of an official
12. Purpose of Travel: or employee's mandates or functions;
it is required to meet the needs of the department,
agency, bureau or office, or there is substantial benefit to
13. Nature of Travel: be derived by the State;
OFFICIAL TIME the presence of the official or employee is critical to the
OFFICIAL BUSINESS outcome of the meeting, conference, seminar, consultation
or any official activity to be attended; and
the projected expenses are not excessive or involved
minimum expenditure.
14. Supporting Documents (if applicable)
Invitation/Acceptance/Nomination Letter or Email Comment/s if any:
Program ___________________________________________________
Proposed Itinerary of Travel ___________________________________________________
Officer-In-Charge for Admin Duties
Permit for Make-up Classes (Faculty) _____________________________________
Others: ___________________________ Name and Signature of the Department Chairman/
Immediate Supervisor
Recommending Approval:
Note: Local Travel proceed to Box D - APPROVAL by the Dean/Unit Head/Campus Administrator
This is to certify the correctness of the information presented above. Provincial Travel must be recommended by the Dean and Unit Head and
I hereby give my consent to and give authority to the University to process my
APPROVED by the concerned Vice President or Campus Administrator
personal and sensitive personal information pursuant to the Data Privacy Act of 2012
Comment/s if any:
___________________________________________________
______________________________________________
Applicant's Signature ______________________________
Dean / Unit Head
B. FUNDING SOURCE/ESTIMATED EXPENSES & ALLOWANCES C. HUMAN RESOURCE MANAGEMENT OFFICE
Personal 15. Employee Appointment
WVSU Host / Sponsor Permanent
Transportation _______________ _________________ Temporary / Contractual / Part-time
Registration _______________ _________________ Date of appointment ___________________
Others _______________ _________________
Comment/s if any: ________________________________
____________________________________ ________________________________________
Budget Officer Human Resource Management Officer
D. APPROVAL
Action Taken:
Deferred Date: _________________ Travel Order Number: _______________________
Disapproved
Approved You are hereby granted authority to travel on _________________________for the purpose, date and place/venue as
indicated above.
_________________________________________
(Authorized Official)
LOCAL/PROVINCIAL/REGIONAL TRAVEL Document No. WVSU-PRE-SOI-01-FO1
REQUEST FORM
Issue No. 1
Revision No. 1
WEST VISAYAS STATE UNIVERSITY Date of Effectivity November 4, 2024
Issued By. President's Office
Page No. Page 2 of 2
INSTRUCTION
Approving Authority to Sign Travel Orders
(as per Memorandum No. 122 s. 2015 and ADCO Resolution No. 42-2015.)
a. International/National Level -University President/Authorized Representative
b. Regional/Provincial -Vice Presidents concerned
c. City/inter-campus/Institution-Deans/Division Chiefs/Directors
Reminder
The University official/personnel concerned on travel should be guided with the following
policies, rules and regulations:
• If cash advance will be requested kindly submit your travel documents to the Finance office for processing within 5 days prior to your
actual travel, otherwise, claims for travelling expenses shall be on reimbursement basis.
• Within one (1) month after return to official station, submit a report with recommendations, if any, on the conference or seminar
attended, examination or investigation conducted, or mission undertaken in accordance with Section 18 of EO 248 as amended.
• Liquidate your cash advance within sixty (60) days after return to the Philippines, in the case of official travel abroad, or within (30) days
after return to permanent official station, in the case of official local travel in accordance with Section 16 of EO 248 as amended. Payment
of the salary of any official or employee who fails to comply with these provisions shall be suspended until he/she complied therewith
CERTIFICATE OF APPEARANCE
This is to certify that _____________________________________________________
of WEST VISAYAS STATE UNIVERSITY, ____________ Campus appeared in this office on ___________for the purpose of
________________________________________________.
Authorized Official
(Printed Name and
Signature)
Position:
Date:
INTERNATIONAL TRAVEL Document No. WVSU-PRE-SOI-01-FO3
REQUEST FORM
Issue No. 1
Revision No. 1
WEST VISAYAS STATE UNIVERSITY Date of Effectivity November 4, 2024
Issued By. President's Office
Page No. Page 1 of 2
TRAVEL REQUEST FORM (INTERNATIONAL)
1. Date of Filing: 6. Contact Number:
2. Name:
3. Department/Campus: 7. Unit/Office (Admin):
4. College: 8. Designation:
5. Rank:
9. Period of Travel: A. DEPARTMENT/UNIT
Start: End: Recommendation of the Immediate Supervisor in accordance with
10. Period of Actual Event / Invitation: Section 3 (a) of EO 77
11. Place/s of Destination: it is essential to the effective performance of an official
12. Purpose of Travel: or employee's mandates or functions;
it is required to meet the needs of the department,
agency, bureau or office, or there is substantial benefit to
13. Nature of Travel: be derived by the State;
OFFICIAL TIME the presence of the official or employee is critical to the
OFFICIAL BUSINESS outcome of the meeting, conference, seminar, consultation
Local and International or any official activity to be attended; and
Local Travel Only the projected expenses are not excessive or involved
minimum expenditure.
14. Supporting Documents (if applicable)
Invitation/Acceptance/Nomination Letter or Email Comment/s if any:
Itinerary of Travel ________________________________________
Designation of Officer-In-Charge for Admin Duties ________________________________________
Indorsement letter from ILLO to CHED IAS
CHED IAS Form 15 _____________________________________
CHED IAS response letter Name and Signature of the Department Chairman/
Re-entry Action Plan Immediate Supervisor
Clearance
Others: __________________________ Recommending Approval:
Comment/s if any:
This is to certify the correctness of the information presented above. ________________________________________
I hereby give my consent to and give authority to the University to
process my personal and sensitive personal information pursuant to the Data Privacy _______________________________________
Act of 2012
______________________________________________ ______________________ _________________________
Applicant's Signature College Dean / VPAA/VPRIE/VPAF/VPMAS
Unit Head Campus Administrator (for External Campus)
B. FUNDING SOURCE/ESTIMATED EXPENSES & ALLOWANCES C. HUMAN RESOURCE MANAGEMENT OFFICE
Personal 15. Employee Appointment
WVSU Host / Sponsor Permanent
Transportation _______________ _________________ Temporary / Contractual / Part-time
Registration _______________ _________________ Date of appointment ___________________
DSA _______________ _________________
Per Diem _______________ _________________
Others _______________ _________________
____________________________________ ________________________________________
Budget Officer Human Resource Management Officer
D. OFFICE OF THE PRESIDENT
Action Taken:
Deferred Date: _________________ Travel Order Number: ___________________
Disapproved You are hereby granted authority to travel on _________________________for the purpose, date and
place/venue as indicated above.
Approved
JOSELITO F. VILLARUZ MD,PhD,FPPS
SUC President IV
TRAVEL ABROAD REQUEST Document No. WVSU-PRE-SOI-01-FO3
FORM
Issue No. 1
Revision No. 1
WEST VISAYAS STATE UNIVERSITY Date of Effectivity November 4, 2024
Issued By. President's Office
Page No. Page 2 of 2
INSTRUCTION
Approving Authority to Sign Travel Orders
(as per Memorandum No. 122 s. 2015 and ADCO Resolution No. 42-2015.)
a. International/National Level -University President/Authorized Representative
b. Regional/Provincial -Vice Presidents concerned
c. City/inter-campus/Institution-Deans/Division Chiefs/Directors
Reminder
The University official/personnel concerned on travel should be guided with the following
policies, rules and regulations:
• If cash advance will be requested kindly submit your travel documents to the Finance office for processing within 5 days prior to
your actual travel, otherwise, claims for travelling expenses shall be on reimbursement basis.
• Within one (1) month after return to official station, submit a report with recommendations, if any, on the conference or
seminar attended, examination or investigation conducted, or mission undertaken in accordance with Section 18 of EO 248 as
amended.
• Liquidate your cash advance within sixty (60) days after return to the Philippines, in the case of official travel abroad, or within
(30) days after return to permanent official station, in the case of official local travel in accordance with Section 16 of EO 248 as
amended. Payment of the salary of any official or employee who fails to comply with these provisions shall be suspended until
he/she complied therewith
CERTIFICATE OF APPEARANCE
This is to certify that _____________________________________________________
of WEST VISAYAS STATE UNIVERSITY, ____________ Campus appeared in this office on ___________for the purpose of
________________________________________________.
Authorized
Official
(Printed Name
and Signature)
Position:
Date:
