APPOINTMENT DATE: May 06, 2022 (08:00 AM TO 09:00 AM) - PRC Lucena

OR: E2022-04-01150383 | AMOUNT: PHP 75.00

Professional Regulation Commission

ORDER OF PAYMENT

Archives and Records Division

DATE FILED: ____________________
Apr 04, 2022

NAME: ________________________________________________________________________________________________________________________________________
PELONIO, LANIE ATIENZA

PROFESSIONAL TEACHER 363366

NAME OF BOARD EXAM TAKEN: ______________________________________ APPLICATION NO: ______________________________________________
Official Receipt No: _____________________
E2022-04-01150383 Date: ______________________________________
04/04/2022 Requested by: ____________________________
Received by: _____________________________ Due Date/Time: __________________________

No. of Copies: Reference Number:

1 CERTIFICATE OF PASSING
CEHO0SDTPCGS

CLAIM SLIP
APPOINTMENT DATE: May 06, 2022 (08:00 AM TO 09:00 AM) - PRC Lucena
REFERENCE NO: CEHO0SDTPCGS | OR: E2022-04-01150383 | AMOUNT: PHP 75.00

DATE FILED: _____________________

Apr 04, 2022 NO OF COPIES: ___________________________
1 DUE DATE/TIME: _________________________
NAME: ________________________________________________________________________________________________________________________________________
PELONIO, LANIE ATIENZA

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