Republic of the Philippines

Department of Education
REGION I
PANGASINAN SCHOOLS DIVISION OFFICE II
STO. DOMINGO NATIONAL HIGH SCHOOL
SAN MANUEL, PANGASINAN

LOCATOR SLIP
REGION: 1
BUREAU/DIVISION/SCHOOL: STO. DOMINGO NATIONAL HIGH SCHOOL

DATE OF FILING

NAME

PERMANENT
STATION

POSITION/
DESIGNATION

PURPOSE
/ Official Business Official Time
PLEASE CHECK

DESTINATION

DATE AND TIME OF

EVENT / TRANSACTION/
MEETING
Approved:
_________________________________
Signature of Requesting REMEDIOS O. NIPAL
Official/Employee Principal IV

Date: Date:

CERTIFICATION

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

_________________________ _____________________ ___________

Sto. Domingo, San Manuel, Pangasinan

300360@deped.gov.ph
0968-852-8413
 Republic of the Philippines
Department of Education
REGION I
PANGASINAN SCHOOLS DIVISION OFFICE II
STO. DOMINGO NATIONAL HIGH SCHOOL
SAN MANUEL, PANGASINAN

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.

Sto. Domingo, San Manuel, Pangasinan

300360@deped.gov.ph
0968-852-8413