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Important Notes:: Professional Regulation Commission Action Sheet For Authentication

The document is an action sheet for the authentication of professional documents for Ian Pasiao Lacostales, a registered professional teacher. It includes appointment details, types of documents to be authenticated, and payment information. The authentication requires a valid professional identification card and original documents for processing.

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ianlacostales468
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5 views1 page

Important Notes:: Professional Regulation Commission Action Sheet For Authentication

The document is an action sheet for the authentication of professional documents for Ian Pasiao Lacostales, a registered professional teacher. It includes appointment details, types of documents to be authenticated, and payment information. The authentication requires a valid professional identification card and original documents for processing.

Uploaded by

ianlacostales468
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: CE2S5GISEED1 | OR: E2025-02-10997460 | Amount: PHP 150.

00
Feb 19, 2025 (02:00 PM TO 03:00 PM) - PRC Davao
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: Feb 17, 2025 Please underline:_____


MALE/FEMALE
NAME: LACOSTALES, IAN PASIAO
_____________________________________________________________________________________________
Last Name First Name Middle Name Married Name
PROFESSION: PROFESSIONAL TEACHER REGISTRATION NO.: 2052732 REGISTRATION DATE: 05/31/2023
(For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): 04/20/2026 TEL./CP NO.: 09100122691

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:
_

E2025-02-10997460
O. R. No.: ___________________________
02/17/2025 ___________________________________ ____________________________________
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: LACOSTALES, IAN PASIAO
_____________________________________ PROFESSION: PROFESSIONAL TEACHER
___________________________
2052732
REGISTRATION NO.: _____________________________________ 05/31/2023
REGISTRATION DATE: ___________________________
DATE FILED: Feb 17, 2025
_____________________________________ -
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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