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

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    Mark Jerome Luna
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    Mark Jerome Pintor Luna has scheduled an appointment on July 12, 2022 from 11:00 AM to 12:00 PM at the PRC Lucena office to authenticate two copies of his Professional Identification Card. His registration number is 1495614 and he has been a registered professional teacher since December 14, 2016. He needs to present his valid PIC, which expires on July 29, 2025, and a valid ID to claim the authenticated documents.

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    Mark Jerome Pintor Luna has scheduled an appointment on July 12, 2022 from 11:00 AM to 12:00 PM at the PRC Lucena office to authenticate two copies of his Professional Identification Card. His registration number is 1495614 and he has been a registered professional teacher since December 14, 2016. He needs to present his valid PIC, which expires on July 29, 2025, and a valid ID to claim the authenticated documents.

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    © All Rights Reserved
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    Download as pdf or txt
    10 views1 page

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

    Uploaded by

    Mark Jerome Luna
    Mark Jerome Pintor Luna has scheduled an appointment on July 12, 2022 from 11:00 AM to 12:00 PM at the PRC Lucena office to authenticate two copies of his Professional Identification Card. His registration number is 1495614 and he has been a registered professional teacher since December 14, 2016. He needs to present his valid PIC, which expires on July 29, 2025, and a valid ID to claim the authenticated documents.

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    © All Rights Reserved
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    of 1

    REFERENCE NO: CEP6QUY5A375 | OR: E2022-06-01940480 | Amount: PHP 150.

    00
    Jul 12, 2022 (11:00 AM TO 12:00 PM) - PRC Lucena
    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 21, 2022 Please underline:_____


    MALE/FEMALE
    NAME: LUNA, MARK JEROME PINTOR
    _____________________________________________________________________________________________
    Last Name First Name Middle Name Married Name
    PROFESSION: PROFESSIONAL TEACHER REGISTRATION NO.: 1495614 REGISTRATION DATE: 12/14/2016
    (For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

    VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): 07/29/2025 TEL./CP NO.: 09770060057

    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:
    _

    E2022-06-01940480
    O. R. No.: ___________________________
    06/21/2022 ___________________________________ ____________________________________
    Date: ___________________________
    Signature over printed name Signature over printed name
    PAYMAYA-MASTERCARD
    Issued by: ___________________________
    - Date: ______________________________ Date: ________________________________
    Date due: __________________________

    NOTE: AUTHENTICATION REQUIRES A VALID PROFESSIONAL IDENTIFICATION CARD.

    AUTHENTICATION CLAIM SLIP

    PLEASE FILL OUT THIS CLAIM SLIP


    NAME: LUNA, MARK JEROME PINTOR
    _____________________________________ PROFESSION: PROFESSIONAL TEACHER
    ___________________________
    1495614
    REGISTRATION NO.: _____________________________________ 12/14/2016
    REGISTRATION DATE: ___________________________
    DATE FILED: Jun 21, 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

    (PLEASE MAKE SURE THAT YOU HAVE THE ORIGINAL COPY OF


    THE DOCUMENT/S TO BE AUTHENTICATED)

    PRD-07
    Rev. 00
    October 16, 2020
    Page 1 of 2

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