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Region I

La Union Division
San Gabriel District
SAN GABRIEL SENIOR HIGH SCHOOL
Poblacion, San Gabriel,2513 la union

ANNEX B

LOCATOR SLIP

REGION: I
BUREAU / DIVISION / SCHOOL: LA UNION SCHOOLS DIVISION OFFICE
Date of Filing October 17, 2019
NAME GLENDA A. PAGANDIYAN
Position / Designation Teacher II
Permanent Station San Gabriel Senior High School
Purpose of Travel To submit Authority to travel to the office of the
SDS in reference to Division memo. no. 240 s.
2019.
Please Check Official Business Official Time

Venue / Destination La Union SDO-Office of the Schools Division
Superintendent
Date and Time of Event /
October 17, 2019/3:00 PM
Transaction meeting
Recommending Approval: Approved:

GLENDA. PAGANDIYAN GERTRUDES L. TANGALIN


Signature of Requesting Head of Office or his/her Authorized
Official/Employee Representative

Date: __________________ Date: __________________

CERTIFICATION
This is to certify that the above employee appeared in this Office for the above purpose.

___________________________________ ___________________________ ____________________


Signature over Printed Name Position Date

(Note: This portion shall be filled out by the Official/Authorized Personnel of the Office visited.)
 The accomplished and signed Locator Slip shall serve as the Authority to Travel.

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