Oath Form
Oath Form
Oath Form
Nov 2007)
Ako, si _____________________________________________________ , ng
(Lagda)
A-
(Blg. ng Sedula) (Kinuha sa) (Petsa)
OK to Pay:
(Pinunong
OR No.:
Selyo
Date Paid:
Dokumentaryo
Profession:
Tagapanumpa)
Registration No.:
Registration Date:
(Katungkulang Opisyal)
PERSONAL DATA
Telephone/Contact Number : Date of Examination:
Citizenship: Date of Birth:
Civil Status: Sex: Spouse’s Name/Citizenship:
Father’s Name/Citizenship: Mother’s Name/Citizenship:
PLEASE FILL OUT THIS CLAIM SLIP CLAIM SLIP
NAME: PROFESSION:
REGISTRATION NO. REGISTRATION DATE:
Please present this slip at Issuance Window to claim your professional identification card on
.
(NOTE: REPRESENTATIVE WITH PROPER IDENTIFICATION SHOULD PRESENT SPECIAL POWER OF ATTORNEY !
AUTHORIZATION
LETTER FROM THE REGISTERED PROFESSIONAL). FOR CONFIRMATION PLEASE CALL UP (02) 736-22-48.
Registration Officer
PROCEDURES
Step 2. Pay for two sets of metered documentary stamps (one stamped on this form and one
for the Registration Certificate) at the Customer Service Center.
Step 3. Present duly accomplished oath form (where your profession belongs, for verification
of records and assessment at Window 14, Window 19, Window 28 or at PRC Service
Center, Ever-Recto
Step 5. Sign in the Registry Book and receive your claim slip
at: Window 17 Window 20 Window 27
Step 6. Claim your professional ID as scheduled. Please refer to your claim slip
for further instructions.
REQUIREMENTS
New registrants should come personally to the PRC Central Office or to the
nearest Regional Office to file his/her application for registration and to affix his/her
signature on the registry book.
In case registrant is located abroad, please find below the following requirements :
1. Take the professional’s oath before the Philippine Consul.
2. Special Power of Attorney notarized by the Consul.
3. Copy of passport page showing personal data.
4. Copy of passport page showing date of entry abroad.
Board Certificates shall be claimed at the Central Office or the Regional Office
where the application for the same has been filed. Representatives must present Special
Power of Attorney and appropriate identification papers.