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The document is an action sheet for the authentication of professional documents for Virgilio Jr Valmadrid Corpuz, a civil engineer, with an appointment scheduled at PRC Baguio on March 27, 2025. It includes details such as the registration number, date filed, and the type of documents to be authenticated, specifically the Professional Identification Card. The total processing fee is PHP 225.00, and important notes regarding the authentication process are also provided.

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Vj Corpuz
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1 views

doc (3)

The document is an action sheet for the authentication of professional documents for Virgilio Jr Valmadrid Corpuz, a civil engineer, with an appointment scheduled at PRC Baguio on March 27, 2025. It includes details such as the registration number, date filed, and the type of documents to be authenticated, specifically the Professional Identification Card. The total processing fee is PHP 225.00, and important notes regarding the authentication process are also provided.

Uploaded by

Vj Corpuz
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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REFERENCE NO: CE8BCRPULE1V | OR: E2025-03-11297908 | Amount: PHP 225.

00
Mar 27, 2025 (09:00 AM TO 10:00 AM) - PRC Baguio
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: Mar 22, 2025 Please underline:_____


MALE/FEMALE
NAME: CORPUZ, VIRGILIO JR VALMADRID N/A
_____________________________________________________________________________________________
Last Name First Name Middle Name Married Name
PROFESSION: CIVIL ENGINEER REGISTRATION NO.: 0191197 REGISTRATION DATE: 01/30/2023
(For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): 12/04/2026 TEL./CP NO.: 09268558622

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 3 STATEBOARD
REPORT OF RATINGS NO. OF COPIES OTHERS
OTHERS NO. OF COPIES

FOR PRC PROCESSING


225.00
Amount: ____________________________ Processed by: Prepared by:
_

E2025-03-11297908
O. R. No.: ___________________________
03/22/2025 ___________________________________ ____________________________________
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: CORPUZ, VIRGILIO JR VALMADRID
_____________________________________ PROFESSION: CIVIL ENGINEER
___________________________
0191197
REGISTRATION NO.: _____________________________________ 01/30/2023
REGISTRATION DATE: ___________________________
DATE FILED: Mar 22, 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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