CS Form No. 4 Certification of Assumption To Duty

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CS Form No.

4
Series of 2017

Republic of the Philippines

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______________.

________________________
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

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