CS Form No.

4
Series of 2017
Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
POLICE REGIONAL OFFICE 2
Camp Marcelo A. Adduru, Tuguegarao City, Cagayan

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms. Jesica M Pasicolan has assumed the

duties and responsibilities as Senior Police Officer 1 of Piat Police
Station, Piat, Cagayan effective July 31, 2018.

This certification is issued in connection with the issuance of the

appointment of Ms. Pasicolan as Senior Police Officer 1.

Done this 31st day of July 2018 in Piat, Cagayan.

GIL A PAGULAYAN JR
Police Senior Inspector
Acting Chief of Police
Head of Office/Department/Unit

Date: July 31, 2018

Attested by:

201 file
Admin
COA
CSC

For submission to CSCFO

within 30 days from the
date of assumption of the
appointee