ANNEX E

Republic of the Philippines

Department of Education

LOCATOR SLIP

NAME IAN CARLOS M. VIZCONDE

Position/Designation Principal I
Permanent Station LUCENA NORTH II ELEMENTARY
Purpose of Travel DIVISION CHECKING OF FORMS (FOOD
(must be supported by attachments) COMMITTEE-NORTH DISTRICT)

Please Check ☒Official Business

☐Official Time
Date and Time JUNE 19,2023 9:00 AM-5:00PM -
Destination SDO LUCENA (Lucena City)

IAN CARLOS M. VIZCONDE SUSAN DL. ORIBIANA, CESO V

Principal I Schools Division Superintendent
Signature of Requesting Employee Head of Office or his/her Authorized
Representative

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. In no case shall it be used for
personal business.