Professional Documents
Culture Documents
Paste here
your recent
PASSPORT SIZE
colored picture in
white background
PANUNUMPA NG PROPESYONAL
with complete
name tag
Ako, si ______________________________________________________________________, ng
_____________________________________________________________________________________
(Pook na Sinilangan, Bayan/Lungsod, Probinsya)
tungkulin
at
pananagutang
iniatang
sa
isang
itinakdang
(Propesyon)
A - ____________________________
(Blg. Ng Sedula)
______________________________________
( Lagda)
_______________________ _________________________
(Kinuha sa)
(Petsa)
Selyo
Dokumentaryo
OK to Pay: __________________________________
OR No.: _____________________________________
Date Paid: ___________________________________
Profession: __________________________________
Registration No.: ______________________________
Registration Date: _____________________________
__________________________________
(Pinunong Tagapanumpa)
__________________________________
(Katungkulang Opisyal)
PERSONAL DATA
Telephone/Contact Number:
Citizenship:
Civil Status:
Sex:
Fathers Name/Citizenship:
Date of Examination:
Date of Birth:
Spouses Name/Citizenship:
Mothers Name/Citizenship:
CLAIM SLIP
NAME: _______________________________________
REGISTRATION NO. ____________________________
PROFESSION: _________________________________
REGISTRATION DATE: __________________________
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) 736-22-48.
____________________________________________
(Registration Officer)
REG- 01
Rev. 00
February 25, 2015
Page 1 of 1
PROCEDURES
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 name tag
(for Oath Form and Certificate of Registration)
4. Two (2) pcs of documentary stamps (for Oath Form and Certificate of Registration)
5. One (1) short brown envelope with name and profession
New registrants should come personally to the PRC Central Office or to the nearest
Regional Office to file his/her application for registration and to affix his/her signature on the
registry book.
Applicant for registration under the Special Professional Licensure Board Examination and
those who left for abroad immediately after their examinations or before the results of the
examinations are released shall:
1. Take his/her professional oath before the Philippine Consul.
2. Submit a photocopy of his/her passport pages showing its personal details, date of entry
and departure from the Philippines.
3. Submit a Special Power of Attorney notarized by the Philippine Consul.
Certificates of Registration 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.
REG- 01
Rev. 00
February 25, 2015
Page 2 of 2