APPOINTMENT DATE: Jun 25, 2019 (PM) - Robinsons Sta.

Rosa | OR: - | AMOUNT: PHP -

REFERENCE NO: INXNUFU4UJ32

NOT FOR SALE (REPRODUCTION IS ALLOWED)

Republic of the Philippines

Professional Regulation Commission
Manila Paste here
your recent
PASSPORT SIZE
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PANUNUMPA NG PROPESYONAL with complete
name tag

PRECIOUS ANN MAGTIBAY BRUCE

Ako, si ______________________________________________________________________, ng
_____________________________________________________________________________________
CALAPAN, ORIENTAL MINDORO
(Pook na Sinilangan, Bayan/Lungsod, Probinsya)
ay taimtim na nanunumpa na itataguyod ko at ipagtatanggol ang Saligang Batas ng Pilipinas, na ako ay
tunay na mananalig at tatalima rito; na susundin ko ang mga batas, mga utos na legal, at mga atas na
ipinahayag ng mga sadyang itinakdang may kapangyarihan ng Republika ng Pilipinas; at kusa kong
babalikatin ang pananagutang ito, na walang ano mang pasubali o hangaring umiwas.

Taimtim pa rin akong manunumpa na sa lahat ng panahon at pook na kinaroroonan ay mahigpit

akong manghahawakan sa mga etikal at tuntuning propesyonal ng mga
PROFESSIONAL TEACHER
____________________________ sa Pilipinas, at marapat kong gagampanan ng buong husay sa abot ng
(Propesyon)
aking makakaya ang mga tungkulin at pananagutang iniatang sa isang itinakdang
PROFESSIONAL TEACHER
________________________.
(Propesyon)

Kasihan Nawa ako ng Diyos.

______________________________________
( Lagda)
07997124
A - ____________________________ CALAPAN
_______________________ Jan 18, 2019
_________________________
(Blg. Ng Sedula) (Kinuha sa) (Petsa)

Nilagdaan at Pinanumpaan sa harap ko ngayong ika-____________ ng ________________________

taon ng ating Panginoon _____________________ sa ___________________________, Pilipinas.

FOR PRC PROCESSING

-
OK to Pay: __________________________________ __________________________________
Selyo -
OR No.: _____________________________________ (Pinunong Tagapanumpa)
Dokumentaryo -
Date Paid: ___________________________________
PROFESSIONAL TEACHER
Profession: __________________________________ __________________________________
Registration No.: ______________________________ (Katungkulang Opisyal)
Registration Date: _____________________________

PERSONAL DATA
Telephone/Contact Number: 09502599908 Date of Examination: Mar 01, 2019
Citizenship: FILIPINO Date of Birth: Apr 23, 1981
Civil Status: MARRIED Sex: FEMALE Spouse’s Name/Citizenship: RIC R. BRUCE / FILIPINO
Father’s Name/Citizenship: GAUDENCIO MAGTIBAY / FILIPINO Mother’s Name/Citizenship: YOLANDA MERCADO DIMAANO / FILIPINO

PLEASE FILL OUT THIS CLAIM SLIP

CLAIM SLIP

PRECIOUS ANN MAGTIBAY BRUCE

NAME: _______________________________________ PROFESSIONAL TEACHER
PROFESSION: _________________________________
REGISTRATION NO. ____________________________ 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
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