Republic of the Philippines

Department of Education
Caraga Administrative Region
SCHOOLS DIVISION OFFICE OF SIARGAO
Dapa, Surigao del Norte

LOCATOR SLIP

Region: CARAGA ADMINISTRATIVE REGION

Control No:
Bureau/Division/School: SOCORRO CES & SPED CENTER

Date of Filing September 20, 2023

Name HENRY P. LUBAPIS

Position/Designation Teacher III

Permanent Station Socorro Central ES & SPED Center

Purpose of Travel To submit documents for the PEPT Examination

Destination Division of Siargao

Please Check ☐Official Business ☐Official Time (NO EXPENSE to be

incurred by the SDO/School)
Date and Time of
Event/Transaction/Meeting
September 20, 2023

Requested by: Approved:

HENRY P. LUBAPIS JENEL G. TARUC

Teacher III ES Principal II

(Note: This portion shall be filled out by the Office/authorized personnel of the Office visited.

CERTIFICATION

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

_________________________________
Signature over printed name / Position
Date: ______________

*The accomplished and signed Locator Slip shall serve as the authority to travel