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~ e J l u h I i t
 
of
t ~ e
 
J ~ i 1 i p J l i n e g ;
JIrofusionnl
~ t g u l r i t i o n
 
< n o m m i s ~ i o n
~ l t n H l t
PANUNUMPA NG PROPESYONAL
Ako, s
i
.______________________________
ng
Paste hereyour recent
PASSPORTSIZE
colored picture
In
while background
withcompletename
tag
(Pook na Sinifangan, Bayan/lungsod, Probinsya)
ay taimtim
na
nanunumlJa
na
itataguyod ko at ipagtatanggol ang Saligang Batas rig Pilipinas, naako ay tunay
na
mananalig at tatalima rito;
na
susundin ko ang mga batas, mga utos
na
legal, atmga atas
na
ipinahayag ng mga sadyang itinakdang may kapangyarihan
ng
Republika
ng
Pilipinas;at kusa kong babalikatin
ang
pananagutang
ito, na
walang ana mang pasubali
0
hangaring umiwas.Taimtirn
pa
rin akong manunumpa
na
sa lahat
ng
panahon at pook na kinaroroonan ay
mahigpit akong
manghahawakan
sa
mga
etikal
at
tuntuning propesyonal
ngmga sa Piliplnas, at marapat kong gagampanan
ng
( P r o p e s ~ - - - - - -
.
buong husay
sa
abot ng aking makakaya ang mga tungkulin at pananagutang iniatang sa isangitinakdang
- - - - - - - ; r ; : : ~ . : - : - : - : c - - . - - - -
(PlfJpesyon)
Kasihan Nawa ako
ng
Diyos.
(Lagda)
A -
-----,,=-c
(Big.
ng
Sedula)(Kinuha sa)(Petsa)
Nilagdaan at Pinanumpaan
sa
harap
ko
ngayong ika
hg
_taon
ng
ating Panginoon
sa
, Pilipinas.
FOR PRe PROCESSING
SelyaDakLimentarya
OK
to
Pay:
ORNo.:
__
.
__
DatePaid:Profession:
.
RegistrationNo.:
. __(Pinunong Tagapanumpa)(Katungkulang Opisyal)
R e ~ ~ s _ l r a _ l i o _ n _ O ~ : . : : : l e : . . . : :
 
==========-1
TeiephonefContact
Number:Cillzenship:
Civil
Slalus:
Father'sName/Cilizenship:
PERSONAL
DATA
------_
...
------
Dale of Examination:
Dale of Birth:
Sex:
Spouse's
Name/Cilizenship:Mother'sName/Cilizenship
. _ - - - - - - - - - - _ . _ - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - -
.
PLEASE
FILL OUT THISCLAIMSLIP
(
CLAIM SLIP
):
'-------------"
NAME:PROFESSION:
REGISTRATlmJ
NO.
_
REGISTRATiON
DATE:
-------
Please
present
this slip
at
Issuance
Window
__
_
__
to
claim
your professional Identification
card oh
(NOTE:
REPRESENTATIVE WITH
PROPER IDENTIFICATION SHOULD
PRESENT
SPECIAL
POWER
OF
ATTORNEY
I
AUTHORIZATIONLETTER
FROM THE
REGISTERED
PROFESSIONAL).
FOR
CONFIRMATION PLEASE
CALL
UP
(02) 736-22-48.
RegistrationOfficer
 
C ~
__
R_O_C_E_D_UR_E_S
~ )
 
Step
1.
Accomplish
this
Oath
Form.
Step
2.
Pay
for two
sets
of
metered documentary stamps
(one
stamped
Oil
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
atWindow
14,
Window'j
9,
Window28
or
at
PRC
Service Center,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
10
as
scheduled. Please refer
toyour
claim slip
for
further instructions.
C
R_E_Q_U_'_R_E_M_E_N_:r_S
~ )
 
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.
One
pc.
1
"x1" colored
picture
in
white background with
complete
name
tag
(for Registry
of
Profflssionals) .
5.
Two sets
of
metered
documentary
stamps (for Oath Form and Certificate
of
Registration)6.
One
(1) short
brown
envelope
with
name
and profession
New
registrants should
come
personally to the PRC Central Office
or
to the nearestRegional 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 requirements:
1.
Take the professional's oath before the Philippine Consul.
2.
Special Power
of
Attorney notarized bythe 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 wherethe application for the
same
has been filed. Representatives
must
present,Special Power
of
Attorney and appropriate identification papers.
of 00

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