Republic of the Philippines NOT FOR SALE (REPRODUCTION IS ALLOWED)

Professional Regulation Commission

NATIONAL CAPITAL REGION Passport size
colored picture
with COMPLETE
Name Tag
in plain white
PANUNUMPA NG PROPESYONAL background taken
within the last 3
months

RODNIE FLORES BAGUIO

Ako, si ______________________________________________________________________, ng
BAROY, LANAO DEL NORTE
_____________________________________________________________________________________
(Pook na Sinilangan, Bayan/Lungsod, Probinsya)
ay taimtim na nanunumpa na itataguyod ko at ipagtatanggol ang Saligang Batas ng Pilipinas, na ako ay
tunay na mananalig at tatalima rito; na susundin ko ang mga batas, mga utos na legal, at mga atas na
ipinahayag ng mga sadyang itinakdang may kapangyarihan ng Republika ng Pilipinas; at kusa kong
babalikatin ang pananagutang ito, na walang ano mang pasubali o hangaring umiwas.

Taimtim pa rin akong manunumpa na sa lahat ng panahon at pook na kinaroroonan ay mahigpit

PROFESSIONAL TEACHER
akong manghahawakan sa mga etikal at tuntuning propesyonal ng mga ____________________________
sa Pilipinas, at marapat kong gagampanan ng buong husay sa abot ng
(Propesyon)
aking makakaya ang mga tungkulin at pananagutang iniatang sa isang itinakdang
PROFESSIONAL TEACHER
________________________.
(Propesyon)

Kasihan Nawa ako ng Diyos.

______________________________________
(Lagda)
_________________________
(ID na inisyu ng gobyerno at bilang)
Nilagdaan at Pinanumpaan sa harap ko ngayong ika-____________ ng ________________________
taon ng ating Panginoon _____________________ sa ___________________________, Pilipinas.

__________________________________
(Pinunong Tagapanumpa)

__________________________________
(Katungkulang Opisyal)

PERSONAL DATA
Telephone/Contact Number: 09261830605 Date of Examination: Mar 2022
Citizenship:FILIPINO Date of Birth: Sep 15, 1992
Civil Status:SINGLE Sex:MALE Spouse’s Name/Citizenship:
Father’s Name/Citizenship:DEOGRACIAS E. BAGUIO / FILIPINO Mother’s Name/Citizenship: AMY M. FLORES / FILIPINO

CONFORME
I agree to the PRC Privacy Notice and give my consent to the collection and processing of my personal data in
accordance thereto

__________________________________
Signature of professional

PLEASE FILL OUT THIS CLAIM SLIP CLAIM SLIP

RODNIE FLORES BAGUIO

NAME: _______________________________________ PROFESSIONAL TEACHER
PROFESSION: _________________________________
REGISTRATION NO. ____________________________ REGISTRATION DATE: __________________________

Please present this slip at Issuance Window ___________________ to claim your Professional Identification Card on _______________________.

(NOTE: REPRESENTATIVE WITH PROPER IDENTIFICATION SHOULD PRESENT SPECIAL POWER OF ATTORNEY/ AUTHORIZATION
LETTER FROM THE REGISTERED PROFESSIONAL).

____________________________________________
(Registration Officer)
REG- 01
Rev. 01
January 3, 2019
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