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CS Form No 4 - Certification of Assumption To Duty

1) The document certifies that Ms. Kim Rose S. Ebol has assumed her duties as Nurse I of the School Governance Operations Division effective [no date provided]. 2) The certificate was issued in connection with Ms. Ebol's appointment as Nurse I. 3) It was signed by the Schools Division Superintendent and an Administrative Officer to certify her assumption of duties.
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0% found this document useful (0 votes)
296 views

CS Form No 4 - Certification of Assumption To Duty

1) The document certifies that Ms. Kim Rose S. Ebol has assumed her duties as Nurse I of the School Governance Operations Division effective [no date provided]. 2) The certificate was issued in connection with Ms. Ebol's appointment as Nurse I. 3) It was signed by the Schools Division Superintendent and an Administrative Officer to certify her assumption of duties.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of
Education
CS Form No.
4 Revised
2018

CERTIFICATE OF ASSUMPTION TO DUTY

This is to certify that Ms./Mr. KIM ROSE S. EBOL has

assumed the duties and responsibilities as NURSE I of

SCHOOL GOVERNANCE OPERATIONS DIVISION effective .

This certification is issued in connection with the issuance of the

appointment of Ms./Mr. KIM ROSE S. EBOL as

NURSE I .

Done this day of in Schools Division Office.

EDILBERTO L. OPLENARIA, CESO V


Schools Division Superintendent

Date:

Attested by:

WARNIE B. EDREA
Administrative Officer IV-HRMO

201
file
Admin
COA
CSC

Address: Pigcarangan, Tubod, Lanao del Norte


Telephone No.: (063)227 – 6633, (063)341 –
5109
CERTIFICATE OF FIRST DAY OF SERVICE

TO WHOM IT MAY CONCERN:

This is to certify that the FIRST DAY of service of

KIM ROSE S. EBOL , NURSE I , under

permanent status on MAY 4, 2021 at

SGOD-School Health Section.

Done this MAY 4, 2021 at Schools Division Office.

MARIA CARMELA T. ABLIN


Signature Over Printed Name
of Immediate Supervisor

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