CS Form No.

4
Revised 2018

Republic of the Philippines

_DEPARTMENT OF EDUCATION_DIVISION OF BUKIDNON_

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms./Mr. Shamarie Love R. Maribao has assumed

the duties and responsibilities as Special Science Teacher I of
Dologon National High School San Roque Annex __
effective November 3, 2023 .

This certification is issued in connection with the issuance of the

appointment of Ms./Mr. Shamarie Love R. Maribao_ as
Special Science Teacher I_
.

Done this _2nd_ day of _October _ in

Dologon National High School San Roque Annex_
.

________________________
Head of Office/Department/Unit

Date: ________________

Attested by:

________________________
HRMO

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