CS Form No.

32
Revised 2018

OATH OF OFFICE

I, HERSHEY MARIE R. MEJOS of BULANSING ELEMENTARY SCHOOL having been appointed to the position of _TEACHER I_ hereby
solemnly swear, that I will faithfully discharge to the best of my ability, the duties of my present position and of all others that I may hereafter hold
under the Republic of the Philippines; that I will bear true faith and allegiance to the same; that I will obey the laws, legal orders, and decrees
promulgated by the duly constituted authorities of the Republic of the Philippines; and that I impose this obligation upon myself voluntarily,
without mental reservation or purpose of evasion.

SO HELP ME GOD.

(Appointee’s Signature over Printed Name)

Government ID: _____PRC ID____

ID Number: ___1799670____
Date Issued: 12/10/2019 ZAMBOANGA CITY

Subscribed and sworn to before me this ________ day of ___________________, 20____ in

______________________________________, Philippines.

___________________________________
(Signature over Printed Name of the
Appointing Authority/Head of Office)

CS Form No. 4, Series of 2017

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms/Mr. _HERSHEYMARIE R. MEJOS has assumed the duties and responsibilities as _TEACHER I of
BULANSING ELEMENTARY SCHOOL_ effective _JANUARY 6, 2022.

This certification is issued in connection with the issuance of the appointment of Ms/Mr. __HERSHEY MARIE R. MEJOS_ as TEACHER I_.

Done this _28TH day of _January 2022 in _BULANSING ELEMENTARY SCHOOL, BULANSING, SULO, NAGA, ZAMBOANGA SIBUGAY.

_____________________________
Head of Office/Department/Unit

Attested by:

RENZ ROY A. RAMOS

(Highest Ranking HRMO)

File Copies:201 file,Admin,COA,CSC