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APPOINTMENT DATE: February 10, 2023 (01:00 PM TO 02:00 PM) - PRC CALBAYOG OFFSITE OFFICE

OR: E2023-02-03964605 | AMOUNT: PHP 150.00

Professional Regulation Commission

ORDER OF PAYMENT

Archives and Records Division


DATE FILED: ____________________
Feb 07, 2023

NAME: ________________________________________________________________________________________________________________________________________
DATO, DAISY JADE MENDOZA

PROFESSIONAL TEACHER 394289


NAME OF BOARD EXAM TAKEN: ______________________________________ APPLICATION NO: ______________________________________________
Official Receipt No: _____________________
E2023-02-03964605 Date: ______________________________________
02/07/2023 Requested by: ____________________________
Received by: _____________________________ Due Date/Time: __________________________

No. of Copies: Reference Number:


2 CERTIFICATION OF RATING
CEN2ODBYL4PW

CLAIM SLIP
APPOINTMENT DATE: February 10, 2023 (01:00 PM TO 02:00 PM) - PRC CALBAYOG OFFSITE OFFICE
REFERENCE NO: CEN2ODBYL4PW | OR: E2023-02-03964605 | AMOUNT: PHP 150.00

DATE FILED: _____________________


Feb 07, 2023 NO OF COPIES: ___________________________
2 DUE DATE/TIME: _________________________
NAME: ________________________________________________________________________________________________________________________________________
DATO, DAISY JADE MENDOZA

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