CS Form No.

4
Revised 2018

Republic of the Philippines

Palawan State University

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms./Mr. ________________________________

has assumed the duties and responsibilities as
_____________________________________ of PALAWAN STATE
UNIVERSITY effective ____________________________.

This certification is issued in connection with the issuance of the

appointment of Ms./Mr. __________________ as
______________________.

Done this ____ day of _____________ in PUERTO PRINCESA CITY,

PALAWAN.

__________________________
Head of Office/Department/Unit

Date: _____________________

Attested by:

ANA N. JAVAREZ
HRMO

201 file
Admin
COA
CSC For submission to CSC FO
within 30 days from the
date of assumption of the
appointee
CS Form No. 4
Revised 2018

Republic of the Philippines

__Palawan State University_

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms./Mr. __EMELYN T. ZAMBALES__ has

assumed the duties and responsibilities as INSTRUCTOR I__of
PSU-Brooke’s Point Campus effective .

This certification is issued in connection with the issuance of the

appointment of Ms./Mr. _Zambales __ as ______Instructor I______.

Done this 5th day of November, 2018_ in _Brooke’s Point, Palawan_.

MARILYN C. BAACO_

Head of Office/Department/Unit

Date:

Attested by:

YOLANDA A. LAGRADA
________________________
HRMO

201 file
Admin
COA
CSC For submission to CSC FO
within 30 days from the
date of assumption of the
appointee
Form No. 4
Revised 2018

Republic of the Philippines

__Palawan State University_

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms./Mr. __WINSTON S. LUSOC SR. has

assumed the duties and responsibilities as INSTRUCTOR I__of PSU-
Quezon Campus effective .

This certification is issued in connection with the issuance of the

appointment of Ms./Mr. _Lusoc __ as ______Instructor I______.

Done this 5th day of November, 2018 in _Puerto Princesa City,

Palawan_.

GABILYN G. ORILLA_

Head of Office/Department/Unit

Date:

Attested by:

YOLANDA A. LAGRADA
________________________
HRMO

201 file
Admin
COA
For submission to CSC FO
within 30 days from the
date of assumption of the
appointee
CSC
CS Form No. 4
Revised 2018

Republic of the Philippines

__Palawan State University_

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms./Mr. __LIEZEL MAE S. HERRERA has

assumed the duties and responsibilities as INSTRUCTOR I__of
College of Business and Accountancy effective .

This certification is issued in connection with the issuance of the

appointment of Ms./Mr. _Herrera__ as ______Instructor I______.

Done this 5th day of November, 2018_ in _Puerto Princesa City_.

ROMEO A. VALDEZ_

Dean, College of Business and Accountancy

Date:

Attested by:

YOLANDA A. LAGRADA
________________________
HRMO

201 file
Admin
COA
CSC For submission to CSC FO
within 30 days from the
date of assumption of the
appointee
CS Form No. 4
Revised 2018

Republic of the Philippines

__Palawan State University_

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms./Mr. __LILYBETH JOY MAE A. CUYO has

assumed the duties and responsibilities as INSTRUCTOR I__of
College of Business and Accountancy effective .

This certification is issued in connection with the issuance of the

appointment of Ms./Mr. _Cuyo_ as ______Instructor I______.

Done this 5th day of November, 2018_ in _Puerto Princesa City_.

ROMEO A. VALDEZ_

Dean, College of Business and Accountancy

Date:

Attested by:

YOLANDA A. LAGRADA
________________________
HRMO

201 file
Admin
COA
CSC For submission to CSC FO
within 30 days from the
date of assumption of the
appointee
Form No. 4
Revised 2018

Republic of the Philippines

__Palawan State University_

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms./Mr. __MARYBETH G. JAVIER has assumed

the duties and responsibilities as INSTRUCTOR I__of PSU-Narra
Campus effective .

This certification is issued in connection with the issuance of the

appointment of Ms./Mr. _Javier__ as ______Instructor I______.

Done this 5th day of November, 2018 in _Narra, Palawan_.

DANTE V. ARIÑEZ_

Head of Office/Department/Unit

Date:

Attested by:

YOLANDA A. LAGRADA
________________________
HRMO

201 file
Admin
COA
CSC For submission to CSC FO
within 30 days from the
date of assumption of the
appointee