Republic of the Philippines

Department of Education

LOCATOR SLIP

REGION: XI

BUREAU/DIVISION/SCHOOL: ULIP NATIONAL HIGH SCHOOL

Date of Filing October 28, 2019

NAME XYLEE C. ALMEDILLA

Permanent Station Ulip National High School

Position/Designation Teacher I

Purpose To request Form 137 and Form 138 of student and confirm in
LIS.

Please Check
Official Business Official Time
Destination NDC Tagum Foundation Inc., Tagum City
Date and Time of Event/Transaction/ October 28, 2019
Meeting
Approved:

XYLEE C. ALMEDILLA FLORENCIO N AÑORA, MAED

Signature of Requesting Employee Head Teacher I

Date: October 28, 2019 Date: _________________

CERTIFIC ATION

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

_______________________ ____________________ ________________

Signature over Printed Name Position Date

(*This portion shall be filled out by the official/authorized personnel of the Office visited.)