PRC Form No.

104 (Revised July 2002)

PROVINCIAL GOVERNMENT OF AGUSAN DEL NORTE/PROVINCIAL PLANNING AND DEVELOPMENT OFFICE

NAME OF COMPANY / OFFICE

Capitol Building, Butuan City/ adn.ppdo@gmail.com/(085) 342 8064

ADDRESS / E-MAIL / TELEPHONE NO./ FAX NO.

CERTIFICATE OF EXPERIENCE
WARNING: All statements are subject to verification and any false statement or misrepresentation made in this CERTIFICATE is a ground for disqualification and criminal prosecution.

TO THE BOARD OF: _______________________________________________

This is to CERTIFY that KYLLE DENNIS V. DURANGO_ is/has been employed with the above-named office/company located at Capitol Compound, Butuan City for the period and
performed duties indicated below:

POSITION
FROM TO SPECIFIC WORK / FUNCTIONS
HELD

August 16, to date Environmental 1. Assist in carrying out Environmental Guidelines

2015 Management 2. Preparation of Environmental Management Plan
Specialist 3. Preparation of Resettlement Policy Framework and Indigenous People Development Framework
4. Provides Technical Assistance to the participating agencies in carrying out environmental guidelines
5. Preparation of Project Proposals

SUBSCRIBED AND SWORN to before me this _____________ day of

______________, 20 _____ at _______________________________
ROFEL C.CABALTERA Affiant exhibited to me his Community Tax Certificate No. 01716971
issued at Butuan City on February 03, 2017
Affiant (Certifying Officer)
(Signature above printed name)

Certificate of Registration No. ______N/A issued on ____________________ ____________________________________

Notary Public

IMPORTANT: Doc. No.________

1. The certifying officer should be the personnel officer / manager or equivalent position in the office/company. Page No.________
2. This form is good only for one office / company. Book No.________
3. Certificate of Employment must accompany this Certificate of Experience. Series of________