CSC FORM 4

Revised 2018

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Mr./Miss/Mrs. ____BERNARD N. PILACIO_____ has assumed the

duties and responsibilities as _____TEACHER I___ of PISAPUNGAN PRIMARY
SCHOOL, CAPAS WEST DISTRICT__ effective ______JULY 3, 2019_________ .

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

Mr./Miss/Mrs. _______BERNARD N. PILACIO_______ as _______TEACHER I_______

Done this __3th__ day of______JULY________ 2019 in DepEd-Tarlac Province.

DR. IMELDA P. MACASPAC

Officer-In-Charge
Schools Division Superintendent

Date: ____JULY 3, 2019________

Attested by:

JOVITA G. DIZON
Administrative Officer V
Highest Ranking HRMO

201 File
Admin For submission to CSCFO
Commission on Audit (COA) within 30 days from the date of
Civil Service Commission (CSC)
assumption of the appointee