CS Form No.

4
Series of 2018

Republic of the Philippines

Department of Education
Cordillera Administrative Region
Schools Division of Benguet
Wangal, La Trinidad, Benguet 2601
Telefax: (074) 422-6570; (074) 422-7501; 422-3790; 422-2001

Certification of Assumption to Duty

This is to certify that Ms/Mr. Sanny B. Dokipen. has assumed the duties and
responsibilities as Teacher II of Bakun National High School-Mian effective

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

Ms/Mr Dokipen as Teacher II.

Done _____________________in Wangal, La Trinidad, Benguet.

MARIE CAROLYN B. VERANO, CESO VI

Schools Division Superintendent
Head of Office/Department/Unit

Date:

Attested by:

SUSAN CJ DAWANG
HRMO

For submission to CSCFO

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