APPOINTMENT DATE: April 01, 2020 (08:00 AM TO 09:00 AM) - Robinsons Place Ormoc

OR: 003604141727 | AMOUNT: PHP 300.00

Professional Regulation Commission

ORDER OF PAYMENT

Archives and Records Division

DATE FILED: ____________________
Feb 05, 2020

NAME: ________________________________________________________________________________________________________________________________________
AMPONG, ADRIAN FRED BALONDO

PROFESSIONAL TEACHER 200743

NAME OF BOARD EXAM TAKEN: ______________________________________ APPLICATION NO: ______________________________________________
Official Receipt No: _____________________
003604141727 Date: ______________________________________
02/05/2020 Requested by: ____________________________
Received by: _____________________________ Due Date/Time: __________________________

No. of Copies: Reference Number:

4 CERTIFICATE OF PASSING
CEWCGKZPRWQA

CLAIM SLIP
APPOINTMENT DATE: April 01, 2020 (08:00 AM TO 09:00 AM) - Robinsons Place Ormoc
REFERENCE NO: CEWCGKZPRWQA | OR: 003604141727 | AMOUNT: PHP 300.00

DATE FILED: _____________________

Feb 05, 2020 NO OF COPIES: ___________________________
4 DUE DATE/TIME: _________________________
NAME: ________________________________________________________________________________________________________________________________________
AMPONG, ADRIAN FRED BALONDO

PROFESSION: ______________________________________
PROFESSIONAL TEACHER DATE OF EXAM: ____________________________________________
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ARD-01
Rev.01
November 3, 2017
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