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This document is an action sheet for the authentication of documents for Judith Pagba Caballero, a professional teacher, scheduled for January 30, 2025, at SM City Cabanatuan. The total amount for processing is PHP 225.00, and it includes a request for three copies of the certification of passing. Important notes emphasize the need to bring the original document and the required photocopies for authentication.

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Judith Pagba Caballero
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4 views

doc (6)

This document is an action sheet for the authentication of documents for Judith Pagba Caballero, a professional teacher, scheduled for January 30, 2025, at SM City Cabanatuan. The total amount for processing is PHP 225.00, and it includes a request for three copies of the certification of passing. Important notes emphasize the need to bring the original document and the required photocopies for authentication.

Uploaded by

Judith Pagba Caballero
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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REFERENCE NO: CE9D8KEZFA9U | OR: E2025-01-10753174 | Amount: PHP 225.

00
Jan 30, 2025 (01:00 PM TO 02:00 PM) - SM City Cabanatuan
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: Jan 27, 2025 Please underline: MALE/FEMALE


_______
NAME: CABALLERO, JUDITH PAGBA
_____________________________________________________________________________________________
Last Name First Name Middle Name Married Name
PROFESSION: PROFESSIONAL TEACHER REGISTRATION NO.: - REGISTRATION DATE: -
(For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): TEL./CP NO.: 09654434772

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
X CERTIFICATION OF PASSING NO. OF COPIES 3 LEGAL
PROFESSIONAL IDENTIFICATION CARD NO. OF COPIES STATEBOARD
REPORT OF RATINGS NO. OF COPIES OTHERS
OTHERS NO. OF COPIES

FOR PRC PROCESSING


225.00
Amount: ____________________________ Processed by: Prepared by:
_

E2025-01-10753174
O. R. No.: ___________________________
01/27/2025 ___________________________________ ____________________________________
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: CABALLERO, JUDITH PAGBA
_____________________________________ PROFESSION: PROFESSIONAL TEACHER
___________________________
-
REGISTRATION NO.: _____________________________________ -
REGISTRATION DATE: ___________________________
DATE FILED: Jan 27, 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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