CS Form No.

4
Revised 2018

Republic of the Philippines

DEPARTMENT OF EDUCATION
DIVISION OF CAMARINES SUR

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 .

LOIDA N. NIDEA, CESO V

Schools Division Superintendent

Date:

Attested by:

MARIA DIVINA H. CALLEJA

Administrative Officer IV