PASS SLIP

Name CLEMENTE B. CIPRIANO, JR.

Position / Designation ALS Teacher

Permanent Station Guilid Community Learning Center

Purpose of Travel To get requirements and apply for UMID

(must be supported by attachments) identification card replacement.

Please Check Official Business Official Time

Date and Time 08/11/2023

Destination GSIS, Legazpi City

Signature of Requesting Employee JHAEBIE N. OBLEADA

Education Program Specialist II for ALS

CERTIFICATION

To the concerned:

This is to certify that the above-named DepEd official/personnel has visited or

appeared in this Office/place for the purpose and during the date and time stated above.

Name and Signature:________________________

Position/Designation:_______________________
Office:____________________________________