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PRD-26 Action Sheet For Certification (For LERIS)

This document is an action sheet for certification from the Professional Regulation Commission. It provides instructions for professionals to request certifications of documents like good standing, passing exams, or ratings. The applicant's name, profession, registration number and date are listed. It outlines the basic requirements like a completed online form, valid identification card, and documentary stamp tax. Requirements are also listed for authorized representatives requesting certifications on behalf of applicants. A two-step procedure is provided, involving submitting the application and requirements at a regional office and receiving the signed certification copies.

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259 views1 page

PRD-26 Action Sheet For Certification (For LERIS)

This document is an action sheet for certification from the Professional Regulation Commission. It provides instructions for professionals to request certifications of documents like good standing, passing exams, or ratings. The applicant's name, profession, registration number and date are listed. It outlines the basic requirements like a completed online form, valid identification card, and documentary stamp tax. Requirements are also listed for authorized representatives requesting certifications on behalf of applicants. A two-step procedure is provided, involving submitting the application and requirements at a regional office and receiving the signed certification copies.

Uploaded by

vivid.aubergine
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Professional Regulation Commission

ACTION SHEET FOR CERTIFICATION

DATE FILED:

NAME: _________________________________________________________________________________________________
Last Name First Name Middle Name Married Name
PROFESSION: REGISTRATION NO.: REGISTRATION DATE:
(For Professional Teacher, please tick [ ] Elementary [ ] Secondary)
PLACE OF EXAM: ____________________________________ DATE OF EXAM: ______________________________________

VALIDITY DATE (PIC): _________________ TEL. /CP NO.: __________________________ SEX: _________________

PLEASE CHECK BOX FOR TYPE OF DOCUMENT TO BE REQUESTED:

CERTIFICATION OF GOOD STANDING NO. OF COPIES PURPOSE:


CERTIFICATION OF PASSING NO. OF COPIES LOCAL OTHERS
CERTIFICATION OF REPORT OF RATING NO. OF COPIES ABROAD
OTHERS NO. OF COPIES STATEBOARD Please specify: NCLEX, CGFNS, etc.
LEGAL

REMINDER: CERTIFICATION REQUIRES A VALID PROFESSIONAL IDENTIFICATION CARD (PIC).

Basic Requirements:

1. Duly accomplished online application form


2. Valid Professional Identification Card (PIC)/e-PIC
3. One (1) Documentary Stamp Tax (DST) per copy

Requirements for Authorized Representative:

1. Non-registered professional must present any valid government-issued ID and Special Power of Attorney
(SPA) duly executed individually by the applicant.
2. Registered professional must present a valid Professional Identification Card/e-PIC and authorization letter
duly signed by the concerned applicant.

Procedures:

Step 1. On the appointment date, proceed to the appointment place and submit the duly accomplished online
application form and all documentary requirements to the designated window of the concerned PRC Regional
Office/Offsite Service Center for processing of documents; and

Step 2. Receive the signed copy/ies of the requested certification and sign on the releasing log sheet.

PRD-26
Rev. 00
June 5, 2023
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