Travel Report (Local) Note: Please fill out all required fields (*). Go to Tutorials > HiddenParent Form Entry ID*HiddenParent Form Version*HiddenIs this a previous travel report?* Yes No HiddenType of Request* Individual Batch/Group Employee InformationType of Employee* Admin Faculty REPS Non-UP Contractual Name* First Name Middle Name/Initial Last Name Suffix HiddenUP E-mail Address* College/Unit*Select College/UnitAsian Center (AC)Asian Institute of Tourism (AIT)Center for International Studies (CIS)Cesar EA Virata School of Business (VSB)College of Architecture (CA)College of Arts and Letters (CAL)College of Education (CED)College of Engineering (COE)College of Fine Arts (CFA)College of Home Economics (CHE)College of Human Kinetics (CHK)College of Law (LAW)College of Media and Communication (CMC)College of Music (CMU)College of Science (CS)College of Social Sciences and Philosophy (CSSP)College of Social Work and Community Development (CSWCD)Institute for Small-Scale Industries (ISSI)Institute of Islamic Studies (IIS)National College of Public Administration and Governance (NCPAG)National Engineering Center (NEC)National Institute for Science and Mathematics Education Development (NISMED)Office of the Chancellor (OC)Office of the Vice Chancellor for Academic Affairs (OVCAA)Office of the Vice Chancellor for Administration (OVCA)Office of the Vice Chancellor for Community Affairs (OVCCA)Office of the Vice Chancellor for Planning and Development (OVCPD)Office of the Vice Chancellor for Research and Development (OVCRD)Office of the Vice Chancellor for Student Affairs (OVCSA)School of Archaeology (UPSA)School of Economics (SE)School of Labor and Industrial Relations (SOLAIR)School of Library and Information Studies (SLIS)School of Statistics (STAT)School of Urban and Regional Planning (SURP)Technology Management Center (TMC)UP Diliman Extension Program in Olongapo (UPDEPO)UP Diliman Extension Program in Pampanga (UPDEPP)UP Diliman Extension Programs in Pampanga and Olongapo (UPDEPP/O)Department/Institute/Sub-UnitSelect Department/Institute/Sub-UnitDepartment/Institute/Sub-UnitRank*Select RankRankPosition* Travel DetailsDeparture Date* MM slash DD slash YYYY Arrival Date* MM slash DD slash YYYY Place(s) of Destination*Please provide at least one place of destination.Specific PlaceRegionCluster Select RegionCARNCRRegion IRegion IIRegion IIIRegion IV-ARegion IV-BRegion VRegion VIRegion VIIRegion VIIIRegion IXRegion XRegion XIRegion XIIRegion XIIIBARMM Add RemovePurpose of Travel* Administrative, Research and Extension Activities Assessment Visit Data Collection Exit Conference Fellowship Field Activities Field Collection Field Research Fieldwork Implementation of Research Activities Internship Meeting Outreach Program Reconnaissance Survey Research Research Expedition Sampling Scholarship Scientific Cruise Site Visit/Inspection Supervision of Experiments Survey Workshop Other Role* Adviser Coach Companion Delegate Driver Facilitator Fellow Intern Observer Participant Presenter Project Leader Representative Researcher Resource Speaker Scholar Supervisor Support Staff Visiting Exchange Professor Visiting Fellow Visitor Other Itinerary of Travel*DateTimeActivity Add RemoveCompanion InformationHiddenDo you and your companions have the same home unit? Yes No HiddenDo you and your companions have the same travel dates? Yes No HiddenDo you have companions who are Admin? Yes No List of Admin*Full NameRankHome UnitTravel Start DateTravel End DateRole Add RemoveHiddenDo you have companions who are Faculty? Yes No List of Faculty*Full NameRankHome UnitTravel Start DateTravel End DateRole Add RemoveHiddenDo you have companions who are REPS? Yes No List of REPS*Full NameRankHome UnitTravel Start DateTravel End DateRole Add RemoveHiddenDo you have companions who are Non-UP Contractual? Yes No List of Non-UP Contractuals*Full NameRankHome UnitTravel Start DateTravel End DateRole Add RemoveDiscussionKey Personnel Contacted*Please provide at least one name. Add RemoveObservations/Impressions*Please enter “N/A”, if not applicable.Outcomes*Please enter “N/A”, if not applicable.Problems/Difficulties Encountered*Please enter “N/A”, if not applicable.Recommendations/SuggestionsDetails of FundingFunding Details*Source of FundingCategoryAmountEntitlements Select CategoryGovernment (International)Government (Local)Host InstitutionPersonalPrivate (International)Private (Local)UP DilimanUP System Add RemovePrivacy and ConfidentialityPrivacy and Confidentiality Consent* Yes, I grant my consent to and recognize the authority of the University to process my personal and sensitive personal information.*This document and any attachments are privileged and confidential. I understand that for the UP System to carry out its mandate under the 1987 Constitution, the UP Charter, and other laws, that the University must necessarily process my personal and sensitive personal information. Therefore, I grant my consent to and recognize the authority of the University to process my personal and sensitive personal information pursuant to the Data Privacy Act of 2012. This is to certify the correctness of the information presented above.HiddenOthersHiddenShould the HRDO be notified about the report? Yes No HiddenShould the OAT be notified about the report? Yes No NameThis field is for validation purposes and should be left unchanged.
