PASS SLIP
Name CLEMENTE B. CIPRIANO, JR.
Position / Designation ALS Teacher
Permanent Station Guilid Community Learning Center
Purpose of Travel To get requirements and apply for UMID
(must be supported by attachments) identification card replacement.
Please Check Official Business Official Time
Date and Time 08/11/2023
Destination GSIS, Legazpi City
Signature of Requesting Employee JHAEBIE N. OBLEADA
Education Program Specialist II for ALS
CERTIFICATION
To the concerned:
This is to certify that the above-named DepEd official/personnel has visited or
appeared in this Office/place for the purpose and during the date and time stated above.
Name and Signature:________________________
Position/Designation:_______________________
Office:____________________________________