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    Important Notes:: Professional Regulation Commission Action Sheet For Authentication

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    Yukito

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    © All Rights Reserved
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    Important Notes:: Professional Regulation Commission Action Sheet For Authentication

    Uploaded by

    Yukito
    2 views1 page

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    Important Notes:: Professional Regulation Commission Action Sheet For Authentication

    Uploaded by

    Yukito

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    REFERENCE NO: CEC0QPLE6VZK | OR: E2023-03-04530438 | Amount: PHP 375.

    00
    Mar 24, 2023 (09:00 AM TO 10:00 AM) - PRC Legazpi
    NOTE: This appointment date might be different to the date of claiming of the requested authenticated documents
    Professional Regulation Commission
    ACTION SHEET FOR AUTHENTICATION

    DATE FILED: Mar 23, 2023 Please underline:_____


    MALE/FEMALE
    NAME: ADEM, ARNOLD BOLA
    _____________________________________________________________________________________________
    Last Name First Name Middle Name Married Name
    PROFESSION: PROFESSIONAL TEACHER REGISTRATION NO.: 0710610 REGISTRATION DATE: 10/26/2001
    (For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

    VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): 08/01/2026 TEL./CP NO.: 09561128624

    PLEASE CHECK BOX FOR TYPE OF DOCUMENT TO BE AUTHENTICATED:


    CERTIFICATE OF REGISTRATION (COR) NO. OF COPIES PURPOSE:
    CERTIFICATION OF BOARD RATING NO. OF COPIES LOCAL
    CERTIFICATION OF GOOD STANDING NO. OF COPIES ABROAD
    CERTIFICATION OF PASSING NO. OF COPIES LEGAL
    X PROFESSIONAL IDENTIFICATION CARD NO. OF COPIES 5 STATEBOARD
    REPORT OF RATINGS NO. OF COPIES OTHERS
    OTHERS NO. OF COPIES

    FOR PRC PROCESSING


    375.00
    Amount: ____________________________ Processed by: Prepared by:
    _

    E2023-03-04530438
    O. R. No.: ___________________________
    03/23/2023 ___________________________________ ____________________________________
    Date: ___________________________
    Signature over printed name Signature over printed name
    PAYMAYA-GCASH
    Issued by: ___________________________
    - Date: ______________________________ Date: ________________________________
    Date due: __________________________

    NOTE: AUTHENTICATION REQUIRES A VALID PROFESSIONAL IDENTIFICATION CARD.

    AUTHENTICATION CLAIM SLIP

    PLEASE FILL OUT THIS CLAIM SLIP


    NAME: ADEM, ARNOLD BOLA
    _____________________________________ PROFESSION: PROFESSIONAL TEACHER
    ___________________________
    0710610
    REGISTRATION NO.: _____________________________________ 10/26/2001
    REGISTRATION DATE: ___________________________
    DATE FILED: Mar 23, 2023
    _____________________________________ -
    DATE DUE: _____________________________________

    PLEASE PRESENT THIS SLIP TO CLAIM DOCUMENTS AT ______________ ON ______________________. PRC REGISTERED
    REPRESENTATIVE SHOULD PRESENT ANY VALID GOVERNMENT-ISSUED ID AND AUTHORIZATION LETTER; IF NOT REGISTERED
    PROFESSIONAL, PRESENT SPECIAL POWER OF ATTORNEY(SPA)AND ANY VALID GOVERNMENT-ISSUED ID.

    REGISTRATION OFFICER

    IMPORTANT NOTES:

    1. PLEASE ENSURE THAT YOU BRING THE ORIGINAL DOCUMENT YOU


    WISH TO HAVE AUTHENTICATED.
    2. ADDITIONALLY, PLEASE REMEMBER TO BRING THE CORRESPONDING
    NUMBER OF PHOTOCOPIES OF THE SAME DOCUMENT THAT REQUIRE
    AUTHENTICATION.

    PRD-07
    Rev. 00
    October 16, 2020
    Page 1 of 2

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