DepEd Order No.

43
No: _________________

Republic of the Philippines

Department of Education
Regional Office VIII- Eastern Visayas
SCHOOLS DIVISION OF NORTHERN SAMAR
DISTRICT OF CAPUL

LOCATOR SLIP
NAME

POSITION/DESIGNATION

PERMANENT STATION

PURPOSE

Official Business Official Time

PLEASE CHECK

DESTINATION
DATE AND TIME OF
EVENT/TRANSACTION/
MEETING
Recommending Approval: Approved:

____________________________ FELINOR M. CASTILLO

Signature of Requesting Official/Employee School Head

Date: ____________________ Date: ____________________

CERTIFICATION

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

JOEL E. ESTILLERO, LPT ADMINISTRATIVE OFFICER II _____________

Signature Over Printed Name Position Date

(Note: This portion shall filled-out by the Official/Authorized personnel of the office visited.)