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Deped Order No 22 S 2019 Annex B
Deped Order No 22 S 2019 Annex B
Region : Region :
Bureau / Division / School : Bureau / Division / School :
DATE OF FILING DATE OF FILING
NAME NAME
PERMANENT PERMANENT
STATION STATION
POSITION/ POSITION/
DESIGNATION DESIGNATION
PURPOSE PURPOSE
PLEASE CHECK Official Business Official Time PLEASE CHECK Official Business Official Time
DESTINATION DESTINATION
DATE AND TIME DATE AND TIME
OF EVENT / OF EVENT /
TRANSACTION / TRANSACTION /
MEETING MEETING
Approved: Approved:
CERTIFICATION CERTIFICATION
This is to certify that the above employee appeared in this office for the above This is to certify that the above employee appeared in this office for the above
purpose. purpose.
(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
Region : Region :
Bureau / Division / School : Bureau / Division / School :
DATE OF FILING DATE OF FILING
NAME NAME
PERMANENT PERMANENT
STATION STATION
POSITION/ POSITION/
DESIGNATION DESIGNATION
PURPOSE PURPOSE
PLEASE CHECK Official Business Official Time PLEASE CHECK Official Business Official Time
DESTINATION DESTINATION
DATE AND TIME DATE AND TIME
OF EVENT / OF EVENT /
TRANSACTION / TRANSACTION /
MEETING MEETING
Approved: Approved:
CERTIFICATION CERTIFICATION
This is to certify that the above employee appeared in this office for the above This is to certify that the above employee appeared in this office for the above
purpose. purpose.
(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