Cs Form No. 4 (assumption Duty).docx

CS FORM NO.4 Series of 2017

Republic of the Philippine

(PHILIPPINE NATIONAL POLICE)

CERTIFICATE OF ASSUMPTION TO DUTY This is to certify that____________________________________ has assumed the duties and responsibilities as _______________________________ of _____________________________ effective ________________________.

This certification is issued in connection with the issuance of the appointment of _________________________________________________________ as ____________________________.

Done this ______ day of _______________________ in ________________.

________________________ Head of Office/Department/Unit

Date: __________________

Attested by:

MARIA LEONORA C CAMARAO Police Colonel Chief, RPRMD

201 file Admin COA

For submission to CSCFO within 30 days from the date of assumption of the appointee