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Republic of the Philippines
Republic of the Philippines
Republic of the Philippines
Republic of the Philippines
Republic of the Philippines
Professional Regulation Commission
Professional Regulation Commission
Professional Regulation Commission
Professional Regulation Commission
Professional Regulation Commission
Manila
Manila
Manila
Manila
Manila
PANUNUMPA NG PROPESYONAL
CLAIM SLIP
Please present this slip at Issuance Window______________________ to claim your
professional identification card on
___________________________.
(NOTE: REPRESENTATIVE WITH PROPER IDENTIFICATION SHOULD PRESENT SPECIAL POWER OF
ATTORNEY / AUTHORIZATION
LETTER FROM THE REGISTERED PROFESSIONAL). FOR CONFIRMATION PLEASE CALL UP (02) 7
36-22-48.
Ako, si_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, ng
___________________________________________________________________________
PRC REG Form No. 001 (Rev. Nov 2007)
(Lagda)
ay taimtim na nanunumpa na itataguyod ko at ipagtatanggol ang Saligang Batas ng
Pilipinas, na ako ay tunay na mananalig at tatalima rito; na susundin ko ang mga
batas, mga utos na legal, at mga atas na ipinahayag ng mga sadyang itinakdang m
ay kapangyarihan ng Republika ng Pilipinas; at kusa kong babalikatin ang pananag
utang ito, na walang ano mang pasubali o hangaring umiwas.
Taimtim pa rin akong manunumpa na sa lahat ng panahon at pook na kinaroroonan ay
mahigpit akong manghahawakan sa mga etikal at tuntuning propesyonal ng mga_____
____________________________ sa Pilipinas, at marapat kong gagampanan ng
(Pook na Sinilangan, Bayan/Lungsod, Probinsya)
buong husay sa abot ng aking makakaya ang mga tungkulin at pananagutang iniatang
sa isang
itinakdang____________________.
(Propesyon)
_______________________________
A - _______________________
_____________________
____________________
(Blg. ng Sedula)
(Kinuha sa)
(Petsa)
Nilagdaan at Pinanumpaan sa harap ko ngayong ika-_________ ng_________________
taon ng ating Panginoon_______________sa_________________________, Pilipinas.
(Pinunong Tagapanumpa)
_______________________________
(Katungkulang Opisyal)
_______________________________
PERSONAL DATA
Telephone/Contact Number :
Citizenship:
Date of Examination:
Date of Birth:
Spouseâ s Name/Citizenship:
Fatherâ s Name/Citizenship:
Motherâ s Name/Citizenship:
Kasihan Nawa ako ng Diyos.
(Propesyon)
NAME:______________________________________________ PROFESSION:_________________
________________
REGISTRATION NO.__________________________________ REGISTRATION DATE:___________
________________
______________________________________________
Registration Officer
FOR PRC PROCESSING
OK to Pay:___________________________________ OR No.:___________________________
__________ Date Paid:___________________________________ Profession:____________
______________________ Registration No.:______________________________ Registrat
ion Date:_____________________________
Selyo
Dokumentaryo
Civil Status:
Sex:
Paste here
your recent
PASSPORT SIZE
colored picture in
white background with
complete name tag
PLEASE FILL OUT THIS CLAIM SLIP
PROCEDURES
Step 1. Accomplish this Oath Form.
Step 2. Pay for two sets of metered documentary stamps (one stamped on this form
and one
for the Registration Certificate) at the Customer Service Center.
Step 3. Present duly accomplished oath form (where your profession belongs, for
verification
of records and assessment at Window 14, Window 19, Window 28 or at PRC Service C
enter,
Ever-Recto
Step 4. Pay prescribed fees at the Cashier.
Step 5. Sign in the Registry Book and receive your claim slip at:
Window 17
Window 20
Window 27
Step 6. Claim your professional ID as scheduled. Please refer to your claim slip
for
further instructions.
REQUIREMENTS
1. Duly accomplished Oath Form or Panunumpa ng Propesyonal
2. Current Community Tax Certificate (cedula)
3. Two pieces passport size colored picture in white background with complete na
me tag
(for Oath Form and Certificate of Registration)
4. One pc. 1â x1â colored picture in white background with complete name tag
(for Registry of Professionals)
5. Two sets of metered documentary stamps (for Oath Form and Certificate of Regi
stration)
6. One (1) short brown envelope with name and profession
New registrants should come personally to the PRC Central Office or to the neare
st Regional Office to file his/her application for registration and to affix his
/her signature on the registry book.
In case registrant is located abroad, please find below the following requiremen
ts :
1. Take the professionalâ s oath before the Philippine Consul.
2. Special Power of Attorney notarized by the Consul.
3. Copy of passport page showing personal data.
4. Copy of passport page showing date of entry abroad.
Board Certificates shall be claimed at the Central Office or the Regional Office
where the application for the same has been filed. Representatives must present
Special Power of Attorney and appropriate identification papers.
Panunumpa ng Propesyonal
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