Annex 34

CS Form No. 4
Revised of 2018

Republic of the Philippines

Department of Education
Division of Calamba City

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms/Mr. JENNY M. PASCUAL has assumed the

(Full Name)

duties and responsibilities as TEACHER III of MAKILING INTEGRATED SCHOOL

(Position Title) (School/Office/Unit)

effective _________________
(Date of Assumption)

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

Ms/Mr PASCUAL as Teacher III .
(Surname) (Position Title)

Done this ______ day of ________________ in Calamba City.

MERTHEL M. EVARDOME, CESO V

Head of Office /Department Head/Unit
Date: _______________
(Date of Assumption)

Attested by:

________________________ For submission to CSCFO

Evelyn A. Calderon
Administrative Officer IV within 30 days from the
date of assumption of
the appointee
201 file
Admin
COA
CSC