CS Form No.

33-A
Revised 2018
(Stamp of
Date of Receipt)

Republic of the Philippines

Department of Health
Center for Health Development
Butuan City 11

Mr./Mrs./ Ms.: ___________________________________

You are hereby appointed as ( SG/JG/PG )

(Position Title)
under CONTRACTUAL status at the
(Permanent, Temporary, etc.) (Office/Department/Unit)

with a compensation rate of (P )

pesos per month.

The nature of this appointment is ORIGINAL vice

(Original, Promotion, etc.)
N/A , who N/A with Plantilla Item No. N/A
(Transferred, Retired, etc.)
Page N/A .

This appointment shall take effect on the date of signing

JOSEby
R.the appointingJR., MD, MPH, CESO III
LLACUNA,
officer/authority. Director IV

Very truly yours,

___________________

Appointing
Officer/Authority

Date of Signing
 CSC ACTION:

DRY
SEAL

Date (Stamp of Date of

Release)

__________________________