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APPOINTMENT DATE: March 22, 2023 (01:00 PM TO 02:00 PM) - Robinsons Place Tagum

OR: E2023-03-04431202 | AMOUNT: PHP 75.00

Professional Regulation Commission

ORDER OF PAYMENT

Archives and Records Division


DATE FILED: ____________________
Mar 14, 2023

NAME: ________________________________________________________________________________________________________________________________________
DORONIO, JAPHET DELA CERNA

NURSE 000778
NAME OF BOARD EXAM TAKEN: ______________________________________ APPLICATION NO: ______________________________________________
Official Receipt No: _____________________
E2023-03-04431202 Date: ______________________________________
03/14/2023 Requested by: ____________________________
Received by: _____________________________ Due Date/Time: __________________________

No. of Copies: Reference Number:


1 CERTIFICATE OF PASSING
CE015X5TUYLA

CLAIM SLIP
APPOINTMENT DATE: March 22, 2023 (01:00 PM TO 02:00 PM) - Robinsons Place Tagum
REFERENCE NO: CE015X5TUYLA | OR: E2023-03-04431202 | AMOUNT: PHP 75.00

DATE FILED: _____________________


Mar 14, 2023 NO OF COPIES: ___________________________
1 DUE DATE/TIME: _________________________
NAME: ________________________________________________________________________________________________________________________________________
DORONIO, JAPHET DELA CERNA

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