Department of Education

Schools Division Office

Caloocan City

LOCATOR SLIP
REGION: NATIONAL CAPITAL REGION (NCR)
DIVISION/SCHOOL: SDO Caloocan
Date of Filing October 17, 2019

NAME Dominic B. Hermano

PERMANENT
SDO - Caloocan
STATION
POSITION /
Nurse II
DESIGNATION
PURPOSE Preparation for the Regional Learning Exchange 2019

PLEASE CHECK Official Business Official Time

DESTINATION DEPED NCR REGIONAL OFFICE

DATE AND TIME
OF EVENT / OCT. 17, 2019 / 1:00 PM
TRANSACTION /
MEETING
Requested by: Approved:

Dominic B. Hermano, MPH DR. NERISSA L. LOSARIA, CESO VI

Nurse II Assistant Schools Division Superintendent
School Health & Nutrition Section Officer-in-Charge
Office of the Schools Division Superintendent

Date: ________________
Date: ________________
CERTIFICATION

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

______________________________ ____________________ _______________________

Signature over printed name Position Date

(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.