CS Form No.

4
Series of 2017

Republic of the Philippines

DEPARTMENT OF EDUCATION
CARAGA Administrative Region
SCHOOLS DIVISION OF SIARGAO
Dapa, Surigao del Norte

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms. / Mr. JHON PAUL ROSILLO has assumed the duties
and responsibilities as TEACHER 1 of Caridad National High School, Brgy. Caridad,
Pilar, Surigao del Norte effective _______________________.

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

Ms/Mr JHON PAUL ROSILLO as TEACHER 1.

Done this ____day of ________ in Caridad National High School, Brgy. Caridad,
Pilar, Surigao del Norte.

REYNOLD R. MINGUITA
Head of Office/ Department/ Unit

Date: _____________

Attested by:

LEONCITA E. LATONIO
Highest Ranking HRMO