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

This document is an action sheet for the authentication of professional documents for Maricar Baril Raymundo, a registered professional teacher. The appointment for document claiming is scheduled for June 24, 2022, with a processing fee of PHP 150.00, and it outlines the necessary requirements for authentication and claiming procedures.

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Maricar Raymundo

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

Uploaded by

Maricar Raymundo

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: CEG1LWJIAVC6 | OR: E2022-06-01954488 | Amount: PHP 150.

00
Jun 24, 2022 (08:00 AM TO 09:00 AM) - PRC Legazpi
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: Jun 23, 2022 Please underline: MALE/FEMALE

_______
NAME: RAYMUNDO, MARICAR BARIL
_____________________________________________________________________________________________
Last Name First Name Middle Name Married Name
PROFESSION: PROFESSIONAL TEACHER REGISTRATION NO.: 1724411 REGISTRATION DATE: 01/15/2019
(For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): 09/07/2025 TEL./CP NO.: 09127528626

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

FOR PRC PROCESSING

150.00
Amount: ____________________________ Processed by: Prepared by:
_

E2022-06-01954488
O. R. No.: ___________________________
06/23/2022 ___________________________________ ____________________________________
Date: ___________________________
Signature over printed name Signature over printed name
PAYMAYA-VISA
Issued by: ___________________________
- Date: ______________________________ Date: ________________________________
Date due: __________________________

NOTE: AUTHENTICATION REQUIRES A VALID PROFESSIONAL IDENTIFICATION CARD.

AUTHENTICATION CLAIM SLIP

PLEASE FILL OUT THIS CLAIM SLIP

NAME: RAYMUNDO, MARICAR BARIL
_____________________________________ PROFESSION: PROFESSIONAL TEACHER
___________________________
1724411
REGISTRATION NO.: _____________________________________ 01/15/2019
REGISTRATION DATE: ___________________________
DATE FILED: Jun 23, 2022
_____________________________________ -
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