CS Form No.

4
Revised 2018

Republic of the Philippines

NATIONAL POLICE COMMISSION
NATIONAL HEADQUARTERS, PHILIPPINE NATIONAL POLICE
DIRECTORATE FOR PERSONNEL AND RECORDS MANAGEMENT
Camp BGen Rafael T Crame, Quezon City

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms/Mr. DEO SEMILLA ESCALONA has assumed

the duties and responsibilities as Police Lieutenant of Personnel Holding
and Accounting Unit effective_________________.

This certification is issued in connection with the issuance of the

appointment of Ms/Mr. ESCALONA as Police Lieutenant.

Done this____day of __________________in Camp BGen Rafael T

Crame, Quezon City.

PCOL MARVIN S DIPLAT

Chief, PHAU, DPRM

Date: ________________

Attested by:

PMGEN ROBERT T RODRIGUEZ

The Director for Personnel and
Records Management

201 file
Admin
COA
CSC For submission to CSCFO
within 30 days from the
date of assumption of the
appointee