Professional Regulation Commission

APPLICATION FOR CREDITING SELF DIRECTED AND/OR LIFELONG LEARNING

CPD Council for/of CRIMINOLOGY

Part I. Personal Information

Name: Ponciano Dugenia Edaño Jr

Profession: Criminology License No: 0013427

Date Issued: 11/21/2001 Valid Until: 2020

Residence Address: 0011 Purok Badian, Barangay Paglaum, Dumalinao, Zamboanga del Sur

Telephone No: N/A Fax No.:

Cellphone No.: 0926-484-4789 Email Address: jredanz.ponz@gmail.com

Company Name (if employed): Philippine National Police Position: Police Chief Master Sergeant

Company Address: Camp Abelon, Lumbia District, Pagadian Telephone No.:

CIty

Self-Directed and/or Lifelong Learning:

___ Invention / Patent ___ Online Training

___ Post-Graduate Studies ___ Seminars / Technical Sessions / Conference
___ Authorship ___ Company sponsored training programs
___ Diploma Program ___ Professorial Chair
x Others:COVID-19
___ _________________________
Front Liner
Part II. Acknowledgment
I HEREBY CERTIFY that the above information written by me are true and correct to the best of my knowledge and belief. I
further authorize PRC and other agencies to investigate the authenticity of all the documents presented.

Ponciano Dugenia Edaño Jr

_______________________________
Signature Over Printed Name

Police Chief Master Sergeant

_______________________________
Position

February 15, 2021

_______________________________
Date
 Republic of the Philippines
Professional Regulation Commission
Manila

ORDER OF PAYMENT

Order of Payment # SDL-2021-4218

Payor PONCIANO DUGENIA EDAÑO JR
Date February 15, 2021

FEE AMOUNT
PAYMENT FOR SELF DIRECTED LEARNING APPLICATION PHP 500
TOTAL AMOUNT PHP 500