CS Form No.

4
Series of 2017

Republic of the Philippines

Division of City Schools Valenzuela

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms/Mr. Rokie Happy S. Rafols has assumed the
duties and responsibilities as Master Teacher I of Sitero Francisco Memorial
National High School effective .

This certification is issued in connection with the issuance of the

appointment of Ms/Mr Rokie Happy S. Rafols as Master Teacher I.

Done this 29th day of May 2020 in Sitero Francisco Memorial National
High School.

Ma. Christina C. Salonga

Head of Office/Department/Unit

Date:

Attested by:

________________________
Highest Ranking HRMO

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