Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Annex B
LOCATOR SLIP
REGION:
BUREAU/DIVISION/SCHOOL:
DATE OF FILING
NAME ANGELINA A. BALISALISA
PERMANENT
BURGOS NATIONAL HIGH SCHOOL
STATION
POSITION/
ADMINISTRATIVE OFFICER I
DESIGNATION
PURPOSE
Please Check Official Business Official Time
DESTINATION SAN FERNANDO, LA UNION (REGIONAL OFFICE)
DATE AND TIME OF
EVENT/
TRANSACTION/
MEETING
Approved:
__________________________________ __________________________________
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.
Address: Alvear St., East Capitol Grounds, Document Code: SDO1P-FR-000
Lingayen, Pangasinan Revision No.: 01
Telephone No.: (075)-522-2202 Page No.: Page 1 of 1
Email: pangasinan1@deped.gov.ph Effectivity Date: 12-19-2020