Republic of the Philippines Republic of the Philippines

Department of Education Department of Education

LOCATOR SLIP LOCATOR SLIP

REGION: I REGION: I
BUREAU/DIVISION/SCHOOL: DEPED- DAGUPAN BUREAU/DIVISION/SCHOOL: DEPED- DAGUPAN
DATE OF FILING DATE OF FILING
NAME: NAME:

PERMANENT STATION PERMANENT STATION

POSITION/ POSITION/
DESIGNATION DESIGNATION

PURPOSE PURPOSE

PLEASE CHECK Official Business Official Time PLEASE CHECK Official Business Official Time

DESTINATION DESTINATION

DATE AND TIME OF DATE AND TIME OF

EVENT / / EVENT / /
TRANSACTION/ TRANSACTION/
MEETING MEETING

Approved: Approved:

_________________________________ VERENA R. BAUTISTA _________________________________ VERENA R. BAUTISTA

Principal III Principal III
Signature of Requesting Official / Employee Signature of Requesting Official / Employee

Date: Date: Date: Date:

CERTIFICATION CERTIFICATION

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

Signature over printed name Position Date Signature over printed name Position Date
(Note: This portion shall be filled out by the Official/Authorized personnel of the Office visited) (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. * The accomplished and signed Locator Slip shall serve as the authority to travel.