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Republic of the Philippines

MALAYBALAY CITY WATER DISTRICT


Sayre Highway, Sumpong, City of Malaybalay
Tel. No. (088) 813-2552 Tel-Fax No. (088) 813-5527 Globe No.: 0977-837-4085
E-mail: mcwd_malaybalay@yahoo.com Annex K
Website: emcwd.gov.ph

Republic of the Philippines


MALAYBALAY CITY WATER DISTRICT

This form is required when there are erasures or alterations made on the
appointment and other supporting documents.

CERTIFICATION of ERASURE(S)/ALTERATION(S) on APPOINTMENT

This is to certify that the erasure(s)/alteration(s) particularly on


_________________________________, reflected on the appointment of Mr/Ms
______________________ is/are duly authorized and the initial thereon is/are
hereby authenticated, pursuant to Section 2 (a), Rule II of CSC Memorandum
No. ___, s. 2016.

______________________________________
Highest HRMO/Authorized Official

Date: _________________

This form shall be submitted together with the required


forms within thirty (30) calendar days from date of issuance
of appointment for regulated agencies and within the 30 th
day of the succeeding month for accredited/deregulated
agencies.

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