APPOINTMENT DATE: August 25, 2023 (11:00 AM TO 12:00 PM) - PRC Lucena

OR: E2023-08-06005068 | AMOUNT: PHP 150.00

Professional Regulation Commission

ACTION SHEET FOR CERTIFICATION

Aug 24, 2023

DATE FILED: _________________________________

MARY GRACE FABULA CALLO

NAME: _______________________________________________________________________________________________________________

PROFESSIONAL TEACHER
PROFESSION: ___________________________________________________________________ LEVEL: ______________________________

1916500
LICENSE NO.: _____________________ May 25, 2022
DATE REGISTERED: _________________________ Nov 02, 2025
DATE OF EXPIRATION:____________________

2
NO. OF COPIES: __________ (P75.00/copy)

for whatever legal purpose it may serve.

PURPOSE: ___________________________________________________________________________________________________________

REFERENCE NUMBER:

CED66VE01OQ7
NOTE: CERTIFICATION REQUIRES A VALID/CURRENT PROFESSIONAL IDENTIFICATION CARD.

CERTIFICATION CLAIM SLIP

SLIP
APPOINTMENT DATE: August 25, 2023 (11:00 AM TO 12:00 PM) - PRC Lucena
OR: E2023-08-06005068 | AMOUNT: PHP 150.00

MARY GRACE FABULA CALLO

NAME: ______________________________________________________ PROFESSIONAL TEACHER
PROFESSION: ___________________________________________

1916500
LICENSE NO.: ________________________________________________ May 25, 2022
DATE REGISTERED: ______________________________________
Aug 24, 2023
DATE FILED. _________________________________________________ DATE DUE: ______________________________________________

REFERENCE NUMBER:

CED66VE01OQ7
REG-05
Rev. 01
September 5, 2016
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