CS Form No.

4
Revised 2018

Republic of the Philippines

NATIONAL POLICE COMMISSION
NATIONAL HEADQUARTERS, PHILIPPINE NATIONAL POLICE
INTERNAL AFFAIRS SERVICE
Camp BGen Rafael T Crame, Quezon City

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms/Mr. First Name, Middle Initial, Last Name has
assumed the duties and responsibilities as Next Hgher Rank of
INTERNAL AFFAIRS SERVICE
effective .

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

of Ms/Mr. Last Name as Next Higher Rank

Done this day in

IAS, Camp BGen Rafael T Crame, Quezon City
.

PMGEN JOKER T CUANSO

Officer-In-Charge, IAS

Date:

Attested by:

NUP BRYAN F GREGORE

Acting Chief, Administrative and Financial Management Division

201 file
Admin
COA
CSC

For submission to CSCFO

within 30 days from the
date of assumption of the appointee