APPOINTMENT DATE: May 24, 2023 (01:00 PM TO 02:00 PM) - PRC Calbayog Offsite Office

OR: E2023-05-05063510 | AMOUNT: PHP 150.00

Professional Regulation Commission

ORDER OF PAYMENT

Archives and Records Division

DATE FILED: ____________________
May 23, 2023

NAME: ________________________________________________________________________________________________________________________________________
ALPEZ, ANICA TAN

PROFESSIONAL TEACHER 187477

NAME OF BOARD EXAM TAKEN: ______________________________________ APPLICATION NO: ______________________________________________
Official Receipt No: _____________________
E2023-05-05063510 Date: ______________________________________
05/23/2023 Requested by: ____________________________
Received by: _____________________________ Due Date/Time: __________________________

No. of Copies: Reference Number:

2 CERTIFICATION OF RATING
CEU7SBBA5NN1

CLAIM SLIP
APPOINTMENT DATE: May 24, 2023 (01:00 PM TO 02:00 PM) - PRC Calbayog Offsite Office
REFERENCE NO: CEU7SBBA5NN1 | OR: E2023-05-05063510 | AMOUNT: PHP 150.00

DATE FILED: _____________________

May 23, 2023 NO OF COPIES: ___________________________
2 DUE DATE/TIME: _________________________
NAME: ________________________________________________________________________________________________________________________________________
ALPEZ, ANICA TAN

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