CS Form No.

4
Series of 2018

Republic of the Philippines

DEPARTMENT OF HEALTH
Cagayan Valley Center for Health Development
Tuguegarao City

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that ______RICH MARK T. CONAG______has assumed the duties and
responsibilities as RURAL HEALTH PHYSICIAN_ of Cagayan Valley Center for Health
Development _ effective .

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

___MR. LAPPAY __ as_RURAL HEALTH PHYSICIAN .

Done this__11th___day of ____January , 2021____ in__Tuguegarao City___.

RIO L. MAGPANTAY,MD, PHSAE, CESO III

Head of Agency

Click here to enter text.

Date: ________________

Attested by:

MARLENE D. CORPUZ
HRMO