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PICAT Application For Examination and Membership Form (FOR SUBMISSION)

Albert Canceran applied for the February 2023 Certified Bookkeeper examination. He has a Doctor of Medicine degree from Cagayan State University and a Master's in Public Management from the Development Academy of the Philippines. Canceran has passed the Physician's Licensure Examination, Midwife's Licensure Examination, and Nurse's Licensure Examination. He is currently a Medical Officer III for the Department of Education in Cagayan and has previous work experience as a Clinical Lecturer and Doctor to the Barrio.
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0% found this document useful (0 votes)
584 views2 pages

PICAT Application For Examination and Membership Form (FOR SUBMISSION)

Albert Canceran applied for the February 2023 Certified Bookkeeper examination. He has a Doctor of Medicine degree from Cagayan State University and a Master's in Public Management from the Development Academy of the Philippines. Canceran has passed the Physician's Licensure Examination, Midwife's Licensure Examination, and Nurse's Licensure Examination. He is currently a Medical Officer III for the Department of Education in Cagayan and has previous work experience as a Clinical Lecturer and Doctor to the Barrio.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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PHILIPPINE INSTITUTE OF CERTIFIED ACCOUNTING

TECHNOLOGISTS SAMPALOC, MANILA

APPLICATION FOR EXAMINATION


AND MEMBERSHIP FORM
Application Type: [X ] New [ ] Re-exam
Examination Applied for: [X ] CB [ ] CCA [ ] CAT
ExaminationWindow: February 5, 2023 @ 7pm-12 mn
Mode of Examination: [ / ] Online [ ] Testing Center

PERSONAL DATA

Last Name First Name Middle Name

CANCERAN ALBERT BABARAN

Age Date of Birth Sex Place of Birth (City/Municipality, Province)


35 (08/07/1987) [X ] Male [ ] Female BANGAD, SANTA MARIA, ISABELA 3330

Courier Mailing Address (Room/Floor/Unit No./Bldg. Name, House/Lot/Block No., Street, Subd., Brgy, City/Mun, Province)
ZONE 5, BANGAD, SANTA MARIA, ISABELA

Height Weight Civil Status Contact No. Email Address

EDUCATIONAL BACKGROUND

Doctorate Course/Degree DOCTOR OF MEDICINE Year Completed Awards/Recognitions


2015 ACADEMIC MERIT
Name of School CAGAYAN STATE UNIVERSITY/ CARIG SUR, TUGUEGARAO CITY, CAGAYAN
& City/Mun.

Master's Course/Degree MASTER IN PUBLIC MANAGEMENT-MAJOR IN HEALTH SYSTEMS Year Completed Awards/Recognitions
AND DEVELOPMENT 2018

Name of School DEVELOPMENT ACADEMY OF THE PHILIPPINES /TAGAYTAY CITY


& City/Mun.

College Course/Degree BACHELOR OF SCIENCE IN NURSING Year Completed Awards/Recognitions


2008 CUM LAUDE
Name of School MEDICAL COLLEGES OF NORTHERN PHILIPPINES/PENABLANCA, CAGAYAN
& City/Mun.

Vocational Course/Degree NA Year Completed Awards/Recognitions

Name of School
& City/Mun.

High Name of School BUENAVENTURA G. MASIGAN NATIONAL HIGH SCHOOL/ SANTA MARIA, Year & Awards
ISABELA 2004 VALEDICTORIAN
School & City/Mun.

Elementar Name of School BANGAD ELEMENTARY SCHOOL Year & Awards


& City/Mun. 2000 SALUTATORIAN
y

EXAMINATIONS PASSED/ELIGIBILITIES (Submit copies of certificates)


Title of Examination Passed/Title of Eligibility Granted Rating Obtained Examination Date Place of Examination

PHYSICIAN’S LICENSURE EXAMINATION 81.7 SEPTEMBER 10, MANILA


11, 17-18, 2016

MIDWIVE’S LICENSURE EXAMINATION 82.3 NOVEMBER TUGUEGARAO CITY,


14-15, 2009 CAGAYAN

NURSE’S LICENSURE EXAMINATION 80.8 JUNE 1-2, 2008 TUGUEGARAO CITY,


CAGAYAN
EMPLOYMENT HISTORY
Company/Institution, City/Municipality From To Position
(Start Date) (End Date)

DepEd SDO Cagayan 04/01/2022 present MEDICAL OFFICER III

CAGAYAN STATE UNIVERSITY O1/13/2020 03/31/22 CLINICAL LECTURER

DEPARTMENT OF HEALTH 11/03/16 11/03/19 DOCTOR TO THE


BARRIO

I confirm that the above statements are true and correct, and
that I will abide by the rules and regulations of the Institute

ALBERT B. CANCERAN 01/30/2023


Signature over Printed Name of Applicant Date Accomplished

TO BE FILLED-UP BY PICAT OFFICERS:


MIS Application No. _______________ Status:
Received by/Date: _______________________________________________ [ ] Paid Processed by/Date:
______________________________________________ [ ] Exam Completed Approved by/Date:
______________________________________________ [ ] Certificate Sent

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