CS Form No.

4
Revised 2018

Republic of the Philippines

Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Mr./Ms./Mrs. _____________________________________

MARY JOY G. DELOS SANTOS
has TEACHER III
assumed the duties and responsibilities as ______________________________________ of
_____________________________________________________________________
DON BENITO MARISTELA MEMORIAL HIGH SCHOOL effective
______________________.

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

Mr./Ms./Mrs MARY JOY G. DELOS SANTOS as TEACHER III .a

Done this day of _________________ in DepEd SDO - Masbate Province.

RAYMUNDO M. CANTONJOS, CESO VI

OIC- Schools Division Superintendent

Date: _________________

Attested by:

NAVIE F. TORRES
Administrative Officer IV
HRMO

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