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TIME RECEIVED: ____________________

TIME RELEASED: ____________________

Professional Regulation Commission

APPLICATION FOR PROFESSIONAL IDENTIFICATION CARD (PIC)

NOT FOR SALE (REPRODUCTION IS ALLOWED)

APPOINTMENT DATE: December 27, 2019 (10:00 AM TO 11:00 AM) - Robinsons General Santos
REFERENCE NO: DU71P910QKNU | OR: - (01/01/1970) | Amount: PHP -

VELA, ARIEL JAY BELGIRA


NAME:
FILIPINO September 07, 1994
CITIZENSHIP: BIRTHDATE:

CANNERY
PERMANENT MAILING ADDRESS:
09467296516 arieljay61@yahoo.com
TEL. NO. / CP NO.: EMAIL ADDRESS:
April 02, 2018 September 07, 2021
REGISTRATION DATE: EXPIRATION DATE:
PROFESSIONAL TEACHER 1628665
PROFESSION: LICENSE NO.:

ID CLAIM SLIP
ISSUED BY: ________________________________ DATE FILED: ______________________

VELA, ARIEL JAY BELGIRA -


NAME: AMOUNT:

PROFESSION: PROFESSIONAL TEACHER OR: -

LICENSE NO..: 1628665 DATE: -

APPLICATION TYPE: ORIGINAL ID X DUPLICATE REPRINT CHANGE OF NAME

Please present this slip to claim your professional ID on at Window


(NOTE: REPRESENTATIVE WITH PROPER IDENTIFICATION SHOULD PRESENT SPECIAL POWER OF ATTORNEY / AUTHORIZATION LETTER FROM THE REGISTERED
PROFESSIONAL AND THIS ORIGINAL CLAIM SLIP). FOR CONFIRMATION PLEASE CALL UP (02) 736-22-48.

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