Republic of the Philippines Republic of the Philippines
Department of Education Department of Education
Region IV-B MIMAROPA Region IV-B MIMAROPA
DIVISION OF ORIENTAL MINDORO DIVISION OF ORIENTAL MINDORO
Sta. Isabel, Calapan City Sta. Isabel, Calapan City
_________________ _________________
Date Date
NAME: _________________________________________ NAME: _________________________________________
Designation: _____________________________________ Designation: _____________________________________
Time Out: ______________(to be filled by the Guard-on-duty) Time Out :________________(to be filled by the Guard-on-duty)
Time Returned:__ ______________(to be filled by the Guard-on-duty) Time Returned:__ ____________( to be filled by the Guard-on-duty)
Personal/Official__________________________________ Personal/Official__________________________________
DESTINATION: ___________________________________ DESTINATION: ___________________________________
PURPOSE : ______________________________________ PURPOSE : ______________________________________
NOTE: Time out and time returned to be written by the NOTE: Time out and time returned to be written by the
Security Guard/Office Head on duty. Security Guard/Office Head on duty.
_________________________ _________________________
Name & Signature of Employee Name & Signature of Employee
IMMEDIATE SUPERVISOR:________________________(Name & Signature) IMMEDIATE SUPERVISOR:________________________(Name & Signature)
KRYSTEL CHARISMA L. JUMANOY______________________(Signature) KRYSTEL CHARISMA L. JUMANOY______________________(Signature)
(AO IV/HRMO) (AO IV/HRMO)
CERTIFICATE OF APPEARANCE CERTIFICATE OF APPEARANCE
This is to certify that the above named employee/s This is to certify that the above named employee/s
appeared before our office on the date and time and for appeared before our office on the date and time and for
the purpose specified in this locator slip. the purpose specified in this locator slip.
Printed Name Position Office Signature Printed Name Position Office Signature
Republic of the Philippines Republic of the Philippines
Department of Education Department of Education
DIVISION OF ORIENTAL MINDORO Region IV-B MIMAROPA
Sta. Isabel, Calapan City DIVISION OF ORIENTAL MINDORO
_________________ Sta. Isabel, Calapan City
Date _________________
NAME: _________________________________________ Date
Designation: _____________________________________ NAME: _________________________________________
Time Out : _______________(to be filled by the Guard-on-duty) Designation: _____________________________________
Time Returned:__ ____________(to be filled by the Guard-on-duty) Time Out :_ _______________(to be filled by the Guard-on-duty)
Personal/Official__________________________________ Time Returned:____________(to be filled by the Guard-on-duty)
DESTINATION: ___________________________________ Personal/Official__________________________________
PURPOSE : ______________________________________ DESTINATION: ___________________________________
PURPOSE : ______________________________________
NOTE: Time out and time returned to be written by the
Security Guard/Office Head on duty. NOTE: Time out and time returned to be written by the
Security Guard/Office Head on duty.
_________________________
Name & Signature of Employee _________________________
Name & Signature of Employee
IMMEDIATE SUPERVISOR:________________________(Name & Signature)
IMMEDIATE SUPERVISOR:________________________(Name & Signature)
KRYSTEL CHARISMA L. JUMANOY:______________________(Signature)
(AO IV/HRMO) KRYSTEL CHARISMA L. JUMANOY:______________________(Signature)
(AO IV/HRMO)
CERTIFICATE OF APPEARANCE
CERTIFICATE OF APPEARANCE
This is to certify that the above named employee/s
This is to certify that the above named employee/s
appeared before our office on the date and time and for
appeared before our office on the date and time and for
the purpose specified in this locator slip.
the purpose specified in this locator slip.
Printed Name Position Office Signature
Printed Name Position Office Signature