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Certificate of Assumption To Duty: CSC Form No. 4 Revised 2018

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Republika Ng Pilipinas

KAGAWARAN NG EDUKASYON
Rehiyon XI
SANGAY NG LUNGSOD NG DABAW
Lungsod ng Dabaw
www.deped-davaocity.ph
TEL. NOS. 224-3274/224-0100/227-4726
221-0059/222-1672/221-8587/224-0854/225-3600

CSC Form No. 4


Revised 2018

CERTIFICATE 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 _________________.

________________________
School/Office Head

Conforme: ________________________
Name & Signature of appointee

Attested by:

GERARD S. PIL
Administrative Officer V
201 File To be submitted to the Personnel Section
Personnel Office
CSCFO
within 5 days from receipt of appointment
COA

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