LOCATOR SLIP

REGION:VI – WESTERN VISAYAS

BUREAU/DIVISION/SCHOOL: SCHOOLS DISTRICT OF BANATE
DATE OF FILING ‘12/27/2022
NAME ROBELLA APRIL B. BOANERJES
PERMANENT STATION DISTRICT OF BANATE
POSITION/ DESIGNATION TEACHER I
PURPOSE
PLEASE CHECK Official Business Official Time
DATE AND TIME
DESTINATION SCHOOLS DIVISION OF ILOILO

ROBELLA APRIL B. BOANERJES NADINE T. CASUMPANG

Signature of Requesting Official/Employee Principal I, PID

Date:__________________________________________ Date:___________________________________________

CERTIFICATION

ROBELLA APRIL B. BOANERJES

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.