CS Form No.

4
Revised 2018

Republic of the Philippines

DEPARTMENT OF EDUCATION
DIVISION OF MALAYBALAY CITY

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms/Mr. ____ELMA C. TAGA_ has assumed the

duties and responsibilities as MASTER TEACHER- I__of
BANGCUD CENTRAL SCHOOL_______
effective _________________ .

This certification is issued in connection with the issuance of the

appointment of Ms/Mr ELMA CUDAL TAGA____ as
MASTER TEACHER-I _________________
.

Done this ____ day of __________ ________ in ______________ .

SONNY M. ROJAS, LPT/SP-I

Head of Office/Department/Unit

Date: ________________

Attested by:

________________________
Highest Ranking HRMO

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