PRC REG Form No. 001 (Rev.

Nov 2007)
Republic of the Philippines
Professional Regulation Commission
Manila
PANUNUMPA NG PROPESYONAL
Paste here your recent PASSPORT SIZE colored picture in white background with complete name
Ako, si _____________________________________________________, ng _________________________
(Propesyon) (Propesyon) (Pook na Sinilangan, Bayan/Lungsod, Probinsya)
Kasihan Nawa ako ng Diyos.
_______________________________
(Lagda)
A - _______________________
(Blg. ng Sedula)
_____________________
(Kinuha sa)
____________________
(Petsa)
Nilagdaan at Pinanumpaan sa harap ko ngayong ika-_________ ng _________________ taon ng ati
FOR PRC PROCESSING
Selyo Dokumentaryo
OK to Pay: ___________________________________ OR No.: ____________________________________
_______________________________
(Pinunong Tagapanumpa)
_______________________________
(Katungkulang Opisyal)
PERSONAL DATA
Telephone/Contact Number : Citizenship: Civil Status: Fatherâ s Name/Citizenship: Sex: Dat
PLEASE FILL OUT THIS CLAIM SLIP
CLAIM SLIP
PROFESSION: _________________________________ REGISTRATION DATE:___________________________
NAME:______________________________________________ REGISTRATION NO. ______________________
Please present this slip at Issuance Window ______________________ to claim your profession
______________________________________________ Registration Officer
PROCEDURES
Step 1. Accomplish this Oath Form. Step 2. Pay for two sets of metered documentary stamps (
REQUIREMENTS
1. Duly accomplished Oath Form or Panunumpa ng Propesyonal 2. Current Community Tax Certifi
New registrants should come personally to the PRC Central Office or to the nearest Regional