APPOINTMENT DATE: January 12, 2023 (04:00 PM TO 05:00 PM) - PRC Lucena

OR: E2022-12-03338198 | AMOUNT: PHP 75.00

Professional Regulation Commission

ORDER OF PAYMENT

Archives and Records Division

DATE FILED: ____________________
Dec 22, 2022

NAME: ________________________________________________________________________________________________________________________________________
DE LOS REYES, MAYBELYN RAMIREZ

PROFESSIONAL TEACHER 077152

NAME OF BOARD EXAM TAKEN: ______________________________________ APPLICATION NO: ______________________________________________
Official Receipt No: _____________________
E2022-12-03338198 Date: ______________________________________
12/22/2022 Requested by: ____________________________
Received by: _____________________________ Due Date/Time: __________________________

No. of Copies: Reference Number:

1 CERTIFICATION OF RATING
CE0Y8YO8P3LT

CLAIM SLIP
APPOINTMENT DATE: January 12, 2023 (04:00 PM TO 05:00 PM) - PRC Lucena
REFERENCE NO: CE0Y8YO8P3LT | OR: E2022-12-03338198 | AMOUNT: PHP 75.00

DATE FILED: _____________________

Dec 22, 2022 NO OF COPIES: ___________________________
1 DUE DATE/TIME: _________________________
NAME: ________________________________________________________________________________________________________________________________________
DE LOS REYES, MAYBELYN RAMIREZ

PROFESSION: ______________________________________
PROFESSIONAL TEACHER DATE OF EXAM: ____________________________________________
-

ARD-01
Rev.01
November 3, 2017
Page 1 of 2