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Republic of the Philippines

Department of Education

CS Form No. 4
Revised 2018

CERTIFICATE 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 Schools Division Office.

EDILBERTO L. OPLENARIA, CESO V


Schools Division Superintendent

Date: _____________________

Attested by:

WARNIE B. EDREA
Administrative Officer IV-HRMO

201 file
Admin
COA
CSC

Address: Pigcarangan, Tubod, Lanao del Norte


Telephone No.:
Republic of the Philippines
Department of Education

CERTIFICATE OF FIRST DAY OF SERVICE

TO WHOM IT MAY CONCERN:

This is to certify that the FIRST DAY of service of

___________________________________, _______________________________, under

permanent status on ___________________________ at ________________________.

Done this ______________________ at Schools Division Office.

___________________________________
Signature Over Printed Name of
Immediate Supervisor

Address: Pigcarangan, Tubod, Lanao del Norte


Telephone No.:

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