CS Form No.
4
Revised 2018
Republic of the Philippines
Department of Education
CERTIFICATION OF ASSUMPTION TO DUTY
This is to certify that Ms/Mr. ELJUN F. DELOS REYES has assumed
the duties and responsibilities as Public Schools District Supervisor of
Santa Fe-San Jose District
effective _______________ .
This certification is issued in connection with the issuance of the
appointment of Ms/Mr Delos Reyes as Public Schools District Supervisor .
Done this ____ day of ______________ in
SDO Office,Capaclan,Romblon, Romblon
.
MELCHOR M. FAMORCAN, PhD
CID Chief
Date: __________________
Attested by:
____JESUS LUCKY M. FAIGAO,RN_____
Administrative Officer V/Highest Ranking HRMO
201 file
Admin
COA
CSC For submission to CSCFO
within 30 days from the
date of assumption of the
appointee