CS Form No. 4 Certificate of Assumption To Duty

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CS Form No.

4
Revised 2018

REPUBLIC OF THE PHILIPPINES


Department of Education
Region IX, Zamboanga Peninsula
DIVISION OF PAGADIAN CITY
Pagadian City

CERTIFICATION OF ASSUMPTION TO DUTY


This is to certify that Ms./Mr. ____________________________________ has assumed

the duties and responsibilities as ________________________________________________ of

____________________________________ effective ____________________.

This certification is issued in connection with the issuance of the appointment

of Ms./Mr. ________________________________ as _______________________________.

Done this ______ day of ___________________ in _________________________.

__________________________
School Head/Section Head

Date: _________________

Attested by:

CARLOS M. FUERZAS, JR.


Administrative Officer-IV (HRMO)

201 file For submission to CSC FO


Admin
COA within 30 days from the date
CSC of assumption of the
appointee

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