001 001
Series Series
Region I Region I
Division of La Union Division of La Union
San Fernando City San Fernando City
LOCATOR SLIP LOCATOR SLIP
Name: Name:
Date Date
Purpose: Purpose:
Time Out Time Out
(School) (School)
Address: Address:
Time Out Time Out
(Destination) (Destination)
Approved by: Approved by:
Supervising Officer / Principal Supervising Officer / Principal
Signature of Signature of
Signature over printed name person visited Signature over printed name person visited
Series Series
Region I Region I
Division of La Union Division of La Union
San Fernando City San Fernando City
LOCATOR SLIP LOCATOR SLIP
Name: Name:
Date Date
Purpose: Purpose:
Time Out Time Out
(School) (School)
Address: Address:
Time Out Time Out
(Destination) (Destination)
Approved by: Approved by:
Supervising Officer / Principal Supervising Officer / Principal
Signature of Signature of
Signature over printed name person visited Signature over printed name person visited