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Important Notes:: Professional Regulation Commission Action Sheet For Authentication

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ariel ebreo
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11 views

Important Notes:: Professional Regulation Commission Action Sheet For Authentication

Uploaded by

ariel ebreo
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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REFERENCE NO: CE17G01W514N | OR: E2024-10-09607242 | Amount: PHP 150.

00
Oct 07, 2024 (09:00 AM TO 10:00 AM) - PRC Lucena
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: Oct 02, 2024 Please underline: MALE/FEMALE


_______
NAME: CAPONPON, LYRNA JOYCE ACLAN
_____________________________________________________________________________________________
Last Name First Name Middle Name Married Name
PROFESSION: PROFESSIONAL TEACHER REGISTRATION NO.: 1849254 REGISTRATION DATE: 01/15/2020
(For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): 12/06/2026 TEL./CP NO.: 09052162749

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 2 STATEBOARD
REPORT OF RATINGS NO. OF COPIES OTHERS
OTHERS NO. OF COPIES

FOR PRC PROCESSING


150.00
Amount: ____________________________ Processed by: Prepared by:
_

E2024-10-09607242
O. R. No.: ___________________________
10/02/2024 ___________________________________ ____________________________________
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: CAPONPON, LYRNA JOYCE ACLAN
_____________________________________ PROFESSION: PROFESSIONAL TEACHER
___________________________
1849254
REGISTRATION NO.: _____________________________________ 01/15/2020
REGISTRATION DATE: ___________________________
DATE FILED: Oct 02, 2024
_____________________________________ -
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
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