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Professional Regulation Commission Action Sheet For Authentication

This document is an action sheet from the Professional Regulation Commission (PRC) for the authentication of documents for Lhee Ann Gonzales Lambit. It details that Ms. Lambit is requesting 3 copies of her Professional Identification Card to be authenticated for her state board. She is a registered professional teacher with registration number 1253854 and her PIC validity date is August 16, 2023. The document provides instructions for Ms. Lambit to claim the authenticated documents on May 18, 2021 between 11:00 AM to 12:00 PM at Robinsons Place Ormoc by presenting her PRC-issued claim slip and valid ID.

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Ann Ann
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0% found this document useful (0 votes)
267 views

Professional Regulation Commission Action Sheet For Authentication

This document is an action sheet from the Professional Regulation Commission (PRC) for the authentication of documents for Lhee Ann Gonzales Lambit. It details that Ms. Lambit is requesting 3 copies of her Professional Identification Card to be authenticated for her state board. She is a registered professional teacher with registration number 1253854 and her PIC validity date is August 16, 2023. The document provides instructions for Ms. Lambit to claim the authenticated documents on May 18, 2021 between 11:00 AM to 12:00 PM at Robinsons Place Ormoc by presenting her PRC-issued claim slip and valid ID.

Uploaded by

Ann Ann
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
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REFERENCE NO: CEIBGUKD3R94 | OR: 113411960196 | Amount: PHP 225.

00
May 18, 2021 (11:00 AM TO 12:00 PM) - Robinsons Place Ormoc
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: May 14, 2021 Please underline: MALE/FEMALE


_______
NAME: LAMBIT, LHEE ANN GONZALES
_____________________________________________________________________________________________
Last Name First Name Middle Name Married Name
PROFESSION: PROFESSIONAL TEACHER REGISTRATION NO.: 1253854 REGISTRATION DATE: 12/16/2013
(For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): 08/16/2023 TEL./CP NO.: 09095354720

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

FOR PRC PROCESSING


225.00
Amount: ____________________________ Processed by: Prepared by:
_

113411960196
O. R. No.: ___________________________
05/14/2021 ___________________________________ ____________________________________
Date: ___________________________
Signature over printed name Signature over printed name
PAYMAYA-WALLET
Issued by: ___________________________
- Date: ______________________________ Date: ________________________________
Date due: __________________________

NOTE: AUTHENTICATION REQUIRES A VALID PROFESSIONAL IDENTIFICATION CARD.

AUTHENTICATION CLAIM SLIP

PLEASE FILL OUT THIS CLAIM SLIP


NAME: LAMBIT, LHEE ANN GONZALES
_____________________________________ PROFESSION: PROFESSIONAL TEACHER
___________________________
1253854
REGISTRATION NO.: _____________________________________ 12/16/2013
REGISTRATION DATE: ___________________________
DATE FILED: May 14, 2021
_____________________________________ -
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

PLEASE SEE THE REQUIREMENTS AND PROCEDURES AT THE BACK OF THIS SHEET

PRD-07
Rev. 00
October 16, 2020
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