APPOINTMENT DATE: August 24, 2023 (04:00 PM TO 05:00 PM) - Robinsons Place Bacolod

OR: E2023-08-05748896 | AMOUNT: PHP 75.00

Professional Regulation Commission

ORDER OF PAYMENT

Archives and Records Division

DATE FILED: ____________________
Aug 02, 2023

NAME: ________________________________________________________________________________________________________________________________________
GOMEZ, JONAS DELFINADO

PROFESSIONAL TEACHER 454373

NAME OF BOARD EXAM TAKEN: ______________________________________ APPLICATION NO: ______________________________________________
Official Receipt No: _____________________
E2023-08-05748896 Date: ______________________________________
08/02/2023 Requested by: ____________________________
Received by: _____________________________ Due Date/Time: __________________________

No. of Copies: Reference Number:

1 CERTIFICATION OF RATING
CEV5M8FTH7WI

CLAIM SLIP
APPOINTMENT DATE: August 24, 2023 (04:00 PM TO 05:00 PM) - Robinsons Place Bacolod
REFERENCE NO: CEV5M8FTH7WI | OR: E2023-08-05748896 | AMOUNT: PHP 75.00

DATE FILED: _____________________

Aug 02, 2023 NO OF COPIES: ___________________________
1 DUE DATE/TIME: _________________________
NAME: ________________________________________________________________________________________________________________________________________
GOMEZ, JONAS DELFINADO

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