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This document is an action sheet for the authentication of documents for Ian Pasion Lacostales, a professional teacher, scheduled for February 19, 2025. It includes details such as the appointment time, the type of documents to be authenticated, and the required fees. Important notes emphasize the necessity of bringing original documents and photocopies for the authentication process.

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9 views

doc (6)

This document is an action sheet for the authentication of documents for Ian Pasion Lacostales, a professional teacher, scheduled for February 19, 2025. It includes details such as the appointment time, the type of documents to be authenticated, and the required fees. Important notes emphasize the necessity of bringing original documents and photocopies for the authentication process.

Uploaded by

ianlacostales468
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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REFERENCE NO: CELOTBCIP1TE | OR: E2025-02-10997388 | Amount: PHP 75.

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.: - REGISTRATION DATE: -
(For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): 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
X CERTIFICATION OF PASSING NO. OF COPIES 1 LEGAL
PROFESSIONAL IDENTIFICATION CARD NO. OF COPIES STATEBOARD
REPORT OF RATINGS NO. OF COPIES OTHERS
OTHERS NO. OF COPIES

FOR PRC PROCESSING


75.00
Amount: ____________________________ Processed by: Prepared by:
_

E2025-02-10997388
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
___________________________
-
REGISTRATION NO.: _____________________________________ -
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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