Please Make Sure That You Have The Original Copy of The Document/S To Be Authenticated

This document contains an action sheet from the Professional Regulation Commission (PRC) regarding the authentication of documents for Sitti-Aniza Saiduiddin Dulanding. It details that Dulanding paid PHP 225 to have 3 copies of her Board Rating Certification authenticated in Zamboanga on February 6, 2023 from 3-4 PM. It provides her contact information and registration details as a professional teacher. The document also contains claiming instructions for Dulanding to present when picking up her authenticated documents on the scheduled date.

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Gerland Gregorio Esmedina

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Please Make Sure That You Have The Original Copy of The Document/S To Be Authenticated

Uploaded by

Gerland Gregorio Esmedina

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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REFERENCE NO: CEKG0LDVXIPF | OR: E2023-01-03795645 | Amount: PHP 225.

00
Feb 06, 2023 (03:00 PM TO 4:00PM) - PRC Zamboanga
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 25, 2023 Please underline: MALE/FEMALE

_______
NAME: DULANDING, SITTI-ANIZA SAIBUDDIN
_____________________________________________________________________________________________
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.: 0905 807 7301

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 3 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

225.00
Amount: ____________________________ Processed by: Prepared by:
_

E2023-01-03795645
O. R. No.: ___________________________
01/25/2023 ___________________________________ ____________________________________
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: DULANDING, SITTI-ANIZA SAIBUDDIN
_____________________________________ PROFESSION: PROFESSIONAL TEACHER
___________________________
-
REGISTRATION NO.: _____________________________________ -
REGISTRATION DATE: ___________________________
DATE FILED: Jan 25, 2023
_____________________________________ -
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