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LICENSED TEACHER'S PROFILE

First Name:
Middle Name:
Last Name:
Suffix/ Ext.:
Birthday
Status:
Gender:
Highest Educational Attainment:
Course/ Major
Minor:
No. of teaching minutes per
week:
License Type ( Elem. / Secondary):
For new LET passers with certificate of rating
Date of Issuance of Cert. of Rating:
For Licensed Teachers
Licensed no.:
Registration Date:
Expiration Date:

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