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Certificate of Experience

This document is a Certificate of Experience from a company certifying an individual's employment. It contains the company name and address, the individual's name, and the dates and positions held by the individual. The certifying officer must sign and have their registration information included to verify the accuracy of the employment details provided. This certificate is required to be submitted along with a Certificate of Employment to a Board for consideration.

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JOHN PAUL BALSOMO
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1K views1 page

Certificate of Experience

This document is a Certificate of Experience from a company certifying an individual's employment. It contains the company name and address, the individual's name, and the dates and positions held by the individual. The certifying officer must sign and have their registration information included to verify the accuracy of the employment details provided. This certificate is required to be submitted along with a Certificate of Employment to a Board for consideration.

Uploaded by

JOHN PAUL BALSOMO
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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__________________________________________________

NAME OF COMPANY/ OFFICE


_________________________________________________
ADDRESS/E-MAIL/TELEPHONE NO./FAX NO.

CERTIFICATE OF EXPERIENCE

WARNING: All statements are subject to verification and any false statement of misrepresentation made in this CERTIFICATE is a ground for disqualification and criminal prosecution.

TO THE BOARD FOR: ______________________

This is to CERTIFY that Mr./Ms. ______________________________________is/has been employed with the above- namedoffice/company located at
____________________________________for the period and performed duties indicated below:

FROM TO POSITION HELD SPECIFIC WORK/FUNCTIONS

SUBSCRIBE AND SWORN to before me this ____day of


______________________________ __________, 20 ____ at __________. Affiant exhibited to
Affiant (Certifying Officer) me this Community Tax Certificate No. _______ issued at
(Signature over printed name) _________ on _________.

Certificate of Registration No. __________issued on _________


NOTARY PUBLIC
IMPORTANT:
1. The certifying officer should be a registered professional of the same discipline whose date of registration is prior to the date
of employment and PRC ID must be valid. Doc. No. __________
2. This form is good only for one office/company. Page No. __________
3. Certificate of Employment must accompany this Certificate of Experience. Book No. __________
Series of __________

APP-04
Note: For examinees in Environmental Planning, the Certifying Officer should be the Rev. 00
Immediate Supervisor, whether or not he/she is a Registered Environmental Planner. February 25, 2015
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