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Important Notes:: Professional Regulation Commission Action Sheet For Authentication

This document is an action sheet for the authentication of professional documents for Norhaidah Tando Diranggarun, a registered nurse. The appointment for document claiming is scheduled for September 7, 2023, and the total fee for processing is PHP 300.00, with specific instructions for document presentation and photocopies required for authentication.

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diranggarunnorhaidah
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13 views1 page

Important Notes:: Professional Regulation Commission Action Sheet For Authentication

This document is an action sheet for the authentication of professional documents for Norhaidah Tando Diranggarun, a registered nurse. The appointment for document claiming is scheduled for September 7, 2023, and the total fee for processing is PHP 300.00, with specific instructions for document presentation and photocopies required for authentication.

Uploaded by

diranggarunnorhaidah
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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REFERENCE NO: CEX3VMJKKMMO | OR: E2023-09-06106540 | Amount: PHP 300.

00
Sep 07, 2023 (11:00 AM TO 12:00 PM) - Robinsons Iligan
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: Sep 06, 2023 Please underline: MALE/FEMALE


_______
NAME: DIRANGGARUN, NORHAIDAH TANDO
_____________________________________________________________________________________________
Last Name First Name Middle Name Married Name
PROFESSION: NURSE REGISTRATION NO.: 0841940 REGISTRATION DATE: 08/06/2014
(For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): 01/17/2026 TEL./CP NO.: 09462248942

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

FOR PRC PROCESSING


300.00
Amount: ____________________________ Processed by: Prepared by:
_

E2023-09-06106540
O. R. No.: ___________________________
09/06/2023 ___________________________________ ____________________________________
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: DIRANGGARUN, NORHAIDAH TANDO
_____________________________________ PROFESSION: NURSE
___________________________
0841940
REGISTRATION NO.: _____________________________________ 08/06/2014
REGISTRATION DATE: ___________________________
DATE FILED: Sep 06, 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

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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