Scribd
Upload
57 views1 page

PRC Authentication Claim Slip Template

The document outlines an appointment for the authentication of documents for Jerelyn Maranga Malacaste, a professional teacher, scheduled for September 15, 2023, at PRC Legazpi. It specifies the types of documents to be authenticated, including a Professional Identification Card, and includes details about the filing date and fees. Important notes remind the applicant to bring original documents and photocopies for authentication.

Uploaded by

Jerelyn Malacaste
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
57 views1 page

PRC Authentication Claim Slip Template

The document outlines an appointment for the authentication of documents for Jerelyn Maranga Malacaste, a professional teacher, scheduled for September 15, 2023, at PRC Legazpi. It specifies the types of documents to be authenticated, including a Professional Identification Card, and includes details about the filing date and fees. Important notes remind the applicant to bring original documents and photocopies for authentication.

Uploaded by

Jerelyn Malacaste
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

REFERENCE NO: CE7RTCFN325S | OR: E2023-09-06180278 | Amount: PHP 150.

00
Sep 15, 2023 (10:00 AM TO 11:00 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: Sep 14, 2023 Please underline: MALE/FEMALE


_______
NAME: MALACASTE, JERELYN MARANGA
_____________________________________________________________________________________________
Last Name First Name Middle Name Married Name
PROFESSION: PROFESSIONAL TEACHER REGISTRATION NO.: 1896738 REGISTRATION DATE: 03/29/2022
(For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): 08/10/2025 TEL./CP NO.: 09636709998

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:
_

E2023-09-06180278
O. R. No.: ___________________________
09/14/2023 ___________________________________ ____________________________________
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: MALACASTE, JERELYN MARANGA
_____________________________________ PROFESSION: PROFESSIONAL TEACHER
___________________________
1896738
REGISTRATION NO.: _____________________________________ 03/29/2022
REGISTRATION DATE: ___________________________
DATE FILED: Sep 14, 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

You might also like