Authentication Claim Slip
Authentication Claim Slip
00
Apr 05, 2022 (01:00 PM TO 02:00 PM) - PRC Tacloban
NOTE: This appointment date might be different to the date of claiming of the requested authenticated documents
Professional Regulation Commission
ACTION SHEET FOR AUTHENTICATION
VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): 04/12/2025 TEL./CP NO.: 09952185971
E2022-02-00847351
O. R. No.: ___________________________
02/25/2022 ___________________________________ ____________________________________
Date: ___________________________
Signature over printed name Signature over printed name
PAYMAYA-GCASH
Issued by: ___________________________
- Date: ______________________________ Date: ________________________________
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
PRD-07
Rev. 00
October 16, 2020
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