Republic of the Philippines

DEPARTMENT OF EDUCATION
Region 02 (Cagayan Valley)
SCHOOLS DIVISION OFFICE OF CAGAYAN
Regional Government Center, Carig, Tuguegarao City, 3500
CS Form No. 4
Series of 2017

CERTIFICATION OF ASSUMPTION TO DUTY

This is to certify that Ms/Mr. ______________________________________ has

assumed the duties and responsibilities as ___________________________________
of ______________________________ effective ____________________________.

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

Ms/Mr ________________ as ________________________.

Done this ____ day of __________ ________ in ______________.

LEILA P. AREOLA, Ph.D., CESO VI

Asst. Schools Division Superintendent
Officer-in-Charge
Office of the Schools Division Superintendent

Date: ______________

Attested by:

ROSAURO C. BELEN
Administrative Officer IV(HRMO)

201 file
Admin For submission to CSCFO
COA within 30 days from the
CSC date of assumption of the
appointee
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region 02 (Cagayan Valley)
SCHOOLS DIVISION OFFICE OF CAGAYAN
Regional Government Center, Carig, Tuguegarao City, 3500