Republic of the Philippines

Province of ___________
Office of the Board Member ___________________

Date: _______________

PERSONNEL LOCATOR SLIP

The undersigned request permission to leave his/her post at _________ (time) on ______________
(date) to be at (refer to the destination listed below) for the following reasons:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
______________________________________________________________________________

The expected time of return is at _________ (time) on __________________ (date).

Requested by: APPROVED:

_______________________ Official ( )
(NAME & SIGNATURE) Personal ( )

HON. ______________
Board Member 2nd District

APPEARANCE

DATE DESTINATION TIME ACCOMMODATED BY:

(Office/Agency) IN OUT (Printed Name & Signature)