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    Republic of The Philippines Professional Regulation Commission Manila

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    joyce marie florida malinnag
    This document is an application form for crediting self-directed and lifelong learning for continuing professional development. It requests information such as the applicant's name, license details, education, employment, types of self-directed learning undertaken, and documents submitted as proof. Upon processing and payment, the form would credit the self-directed learning towards the applicant's continuing professional development requirements.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Republic of The Philippines Professional Regulation Commission Manila

    Uploaded by

    joyce marie florida malinnag
    51 views1 page
    This document is an application form for crediting self-directed and lifelong learning for continuing professional development. It requests information such as the applicant's name, license details, education, employment, types of self-directed learning undertaken, and documents submitted as proof. Upon processing and payment, the form would credit the self-directed learning towards the applicant's continuing professional development requirements.

    Original Description:

    CPD points for ECE

    Original Title

    1. Cpd Self-directed Form

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    This document is an application form for crediting self-directed and lifelong learning for continuing professional development. It requests information such as the applicant's name, license details, education, employment, types of self-directed learning undertaken, and documents submitted as proof. Upon processing and payment, the form would credit the self-directed learning towards the applicant's continuing professional development requirements.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    51 views1 page

    Republic of The Philippines Professional Regulation Commission Manila

    Uploaded by

    joyce marie florida malinnag
    This document is an application form for crediting self-directed and lifelong learning for continuing professional development. It requests information such as the applicant's name, license details, education, employment, types of self-directed learning undertaken, and documents submitted as proof. Upon processing and payment, the form would credit the self-directed learning towards the applicant's continuing professional development requirements.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
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    CPD FORM NO.

    03
    Revised 03-19-2013

    Republic of the Philippines


    Professional Regulation Commission
    Manila

    CPD COUNCIL OF ___________________

    APPLICATION OF CREDITING
    OF SELF-DIRECTED AND/OR LIFE LONG LEARNING

    Name_________________________________________________________________________
    Family Name First Name Middle Name

    Professional License No. _________________ Date Issued_________________________


    Date of Last Renewal ____________________ Expiry Date _________________________
    Date of Birth ____________________________

    Residence Address _____________________________________________________________


    _____________________________________________________________
    Telephone No. __________________________ Fax No. ______________________________
    E-mail Address __________________________

    Education
    Higher Educational attainment ______________________________________________

    Current Employment
    Company Name _______________________________ Position ____________________

    Company Address _____________________________ Tel. No. ______________________

    Self-directed and/or Life Long Learning:


    Invention/Patent Online Training
    Post-Graduate Studies Seminars/Convention/Conference
    Authorship Company sponsored training programs
    Diploma Program Professional Chair
    Others _______________________

    Documents Submitted:
    Original and Photo Copy of Certificate of Patent
    Certificate of Attendance Copy of published material/book
    Program of Activities Certificate of Entitlement/ Appointment
    Diploma/TOR/Certificate of as professional Chair
    Completion/etc/
    ____________________________
    Signature over Printed Name
    ____________________________
    Position
    _____________________________
    Date

    Processed by: ________________________


    Date: ________________________

    Amount Paid: ________________________


    O. R. No. /Date. : ________________________
    Date of Payment: ________________________
    Cash Section: ________________________

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