ELIGIBILITY REQUIREMENT CHECKLIST

NAME:________________________________________________________________________________

*Please print in 2 copies (long bond paper) and present this to the HRMS Office at the day of submission and let the HRMS staff received and
sign this form.

PRC License Holders

Please Check or Put remarks

With Signature and No Tape at

a. Original and Unexpired PRC ID (Plastic Card); the Back/ Not Defaced/ Not
Expired

b. Authentication Request Form (Pages 1-2) with ISO logo at the

right bottom corner and printed in long, neat bond paper; No Erasures/ Long Bond Paper/
With ISO Logo/Expanded

c. Action Request for Authentication (www.prc.gov.ph); Venue Davao/ Check if selected

Authentication of PIC Card
Neat/ Long Bond Paper/With
d. Photocopy of Original and Unexpired PRC ID (Plastic Card)
Signature at the Back of PRC ID/
printed in long, neat bond paper; and
Scanned and Cropped ID not
allowed
Either violet or brown
e. One (1) Documentary Stamp If violet- 1 Stamp
If brown-2 stamps

CS Prof/FOE/PD 907/CS Eligibility Holders

(CS exam taken in Davao City/Region)
Please Check or Put remarks
a. Original CS Certificate (not authenticated);

Name,DOB,Birth Place,Rating,
Eligibility Details must be the
b. Personal Data Sheet printed in long, neat bond paper; and
Same in the Certificate/ With
Signatures

c. Photocopy of Original CS Certificate (printed in long, neat bond

paper)

CS Prof/FOE/PD 907/CS Eligibility Holders

(CS Exam taken outside Davao City/Region)
Please Check or Put remarks

a. Original CS Certificate (not authenticated);

b. Personal Data Sheet printed in long, neat bond paper; Name,DOB,Birth Place,Rating,
Eligibility Details must be the
c. Photocopy of Original CS Certificate; Same in the Certificate/ With
d. ERRF and Declaration Form (https://tinyurl. Completely Signatures
Filled out Details
com/CSCERRF2022);
e. Original Two (2) Government Valid IDs (Plastic Card); and
f. Authentication Fee Php 50

NAPOLCOM/MARINA License Holders

Please Check or Put remarks
a. Original Napolcom/Marina Certificate (Not the Authenticated);
b. Certificate of Competency/OIC (for marina license holders only);
and
c. Photocopy of Original Napolcom/Marina Certificate (printed in
long, neat bond paper)

CERTIFICATION
This is to certify that the abovementioned requirements was evaluated by the personnel below and that all requirements

will be returned only once the agency requested authentication are done.

Evaluated By: Date:

HRMS Staff