Republic ofthe Dbipines
‘Prolssional Regulation Commis
‘ania
WARNING: — All satements are subject to verification and any file ssterent of misrepresetation made in ths CERTIFICATE OF EXPERIENCE is 2 ground
for disqualification and eximinal proseason fr falfcaton
‘TOTHEBOARD FoR: SOUL WORKER
THEREBY CERTIFY THAT Genome toy 119000 has worked wih the following officliam as follows:
Fron Te [Naot ‘Agengy Name and Address ‘Speaiic Natareof | Name and Signature of
L Haves Tsk/Respensiiies |” Superviser (RSW)
L Imeregement seven wr Tiler
bey aot nd
frer a0eas [Whos gone | 600 [Sen Worerie vacturn Shobu wrivarsiny —_[Wesirers m nm cneifom Mewapy Me consene
T Preeising tommy AC Arve VIA [oere: ov rel vers
‘This into cn fuherthat_Grecegise get oe panto Jas scully
performed the dues enumerated shove under my direc supervision. 1 being registred
Social Worker with Registration No OO090LL, dated July 06,1995, thny
‘Annual Revistrtin (ID) stl enforce and wil expire on March 17. 2025
be mei
‘ator be
‘must on
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‘April 27, 1998 :
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MULTI-PURPOSE CLEARANCE
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NO DEROGATORY RECORD
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