CS Form No.

4
Series of 2017

Republic of the Philippines

NATIONAL POLICE COMMISSION
POLICE REGIONAL OFFICE VIII
EASTERN SAMAR POLICE PROVINCIAL OFFICE
Camp Asidillo, Borongan City

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms/Mr. ______________________has assumed the

duties and responsibilities as________________________ of
_____________________________ effective_________________.

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

of Ms/Mr________________as________________________.

Done this____day of __________ ________in______________.

PSSUPT TRANQUILINO A ARARAL III

Head of Office/Department/Unit

Date: ________________

Attested by:

PSSUPT ROMEO P CAMPOMANES

Chief, Regional Personnel & Human
Resource Development Division

201 file
Admin
COA
CSC For submission to CSCFO
within 30 days from the
date of assumption of the
appointee
CS Form No. 4
Series of 2017

Republic of the Philippines

NATIONAL POLICE COMMISSION
POLICE REGIONAL OFFICE VIII
EASTERN SAMAR POLICE PROVINCIAL OFFICE
Camp Asidillo, Borongan City

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms/Mr. ______________________has assumed the

duties and responsibilities as________________________ of
_____________________________ effective_________________.

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

of Ms/Mr________________as________________________.

Done this____day of __________ ________in______________.

PSSUPT TRANQUILINO A ARARAL III

Head of Office/Department/Unit

Date: ________________

Attested by:

PSSUPT ROMEO P CAMPOMANES

Chief, Regional Personnel & Human
Resource Development Division

201 file
Admin
COA
CSC