Scribd
Upload
2 views

doc (1)

This document is an action sheet for the authentication of documents for Mark Anthony Tejada Aligarbess, a professional teacher, with an appointment scheduled for January 30, 2025. The authentication includes a certification of board rating and requires a payment of PHP 150.00, along with a valid professional identification card and photocopies of the documents to be authenticated. Important notes emphasize the need to bring original documents and the correct number of photocopies.

Uploaded by

Antonaitte Aligarbes Domaoal
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
2 views

doc (1)

This document is an action sheet for the authentication of documents for Mark Anthony Tejada Aligarbess, a professional teacher, with an appointment scheduled for January 30, 2025. The authentication includes a certification of board rating and requires a payment of PHP 150.00, along with a valid professional identification card and photocopies of the documents to be authenticated. Important notes emphasize the need to bring original documents and the correct number of photocopies.

Uploaded by

Antonaitte Aligarbes Domaoal
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

REFERENCE NO: CE16939K3CZN | OR: E2025-01-10491103 | Amount: PHP 150.

00
Jan 30, 2025 (01:00 PM TO 02:00 PM) - PRC XII - Koronadal Regional Office
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 08, 2025 Please underline:_____


MALE/FEMALE
NAME: ALIGARBES, MARK ANTHONY TEJADA
_____________________________________________________________________________________________
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.: 09658607762

PLEASE CHECK BOX FOR TYPE OF DOCUMENT TO BE AUTHENTICATED:


CERTIFICATE OF REGISTRATION (COR) NO. OF COPIES PURPOSE:
X CERTIFICATION OF BOARD RATING NO. OF COPIES 2 LOCAL
CERTIFICATION OF GOOD STANDING NO. OF COPIES ABROAD
CERTIFICATION OF PASSING NO. OF COPIES LEGAL
PROFESSIONAL IDENTIFICATION CARD NO. OF COPIES STATEBOARD
REPORT OF RATINGS NO. OF COPIES OTHERS
OTHERS NO. OF COPIES

FOR PRC PROCESSING


150.00
Amount: ____________________________ Processed by: Prepared by:
_

E2025-01-10491103
O. R. No.: ___________________________
01/08/2025 ___________________________________ ____________________________________
Date: ___________________________
Signature over printed name Signature over printed name
maya-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: ALIGARBES, MARK ANTHONY TEJADA
_____________________________________ PROFESSION: PROFESSIONAL TEACHER
___________________________
-
REGISTRATION NO.: _____________________________________ -
REGISTRATION DATE: ___________________________
DATE FILED: Jan 08, 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

You might also like