Scribd Logo
Upload

Welcome to Scribd!

  • 44 views

    Professional Regulation Commission

    Uploaded by

    Jean Rose Iglesias
    Velly Jane Nastor Galo is applying for renewal of her Professional Identification Card (PIC) as a professional teacher. Her PIC will expire on April 28, 2023. She graduated from Central Luzon State University in February 2016. She is submitting some but not all of the required continuing professional development units and undertakes to submit the balance for the next renewal of her PIC. The document provides instructions for representatives applying for a PIC on behalf of a professional and emphasizes following the appointment date for PIC renewals.

    Copyright:

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

    Professional Regulation Commission

    Uploaded by

    Jean Rose Iglesias
    44 views1 page
    Velly Jane Nastor Galo is applying for renewal of her Professional Identification Card (PIC) as a professional teacher. Her PIC will expire on April 28, 2023. She graduated from Central Luzon State University in February 2016. She is submitting some but not all of the required continuing professional development units and undertakes to submit the balance for the next renewal of her PIC. The document provides instructions for representatives applying for a PIC on behalf of a professional and emphasizes following the appointment date for PIC renewals.

    Original Title

    doc.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Velly Jane Nastor Galo is applying for renewal of her Professional Identification Card (PIC) as a professional teacher. Her PIC will expire on April 28, 2023. She graduated from Central Luzon State University in February 2016. She is submitting some but not all of the required continuing professional development units and undertakes to submit the balance for the next renewal of her PIC. The document provides instructions for representatives applying for a PIC on behalf of a professional and emphasizes following the appointment date for PIC renewals.

    Copyright:

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

    Professional Regulation Commission

    Uploaded by

    Jean Rose Iglesias
    Velly Jane Nastor Galo is applying for renewal of her Professional Identification Card (PIC) as a professional teacher. Her PIC will expire on April 28, 2023. She graduated from Central Luzon State University in February 2016. She is submitting some but not all of the required continuing professional development units and undertakes to submit the balance for the next renewal of her PIC. The document provides instructions for representatives applying for a PIC on behalf of a professional and emphasizes following the appointment date for PIC renewals.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    TIME RECEIVED:

    TIME RELEASED:

    Professional Regulation Commission

    APPLICATION FOR PROFESSIONAL IDENTIFICATION CARD (PIC)

    NOT FOR SALE (REPRODUCTION IS ALLOWED)

    APPOINTMENT DATE: July 16, 2020 (10:00 AM TO 11:00 AM) - OSSCO Nueva Ecija
    REFERENCE NO: REC9K2I4C25P | OR: 9229009196 | Amount: PHP 450.00
    NAME: GALO, VELLY JANE NASTOR

    CITIZENSHIP: FILIPINO BIRTHDATE: April 28, 1995

    PERMANENT MAILING ADDRESS: CALLEJON/BRGY.G.S. ROSARIO


    TEL. NO. / CP NO.: 09359006068 EMAIL ADDRESS: vellyjanegalo@yahoo.com
    SCHOOL GRADUATED: CENTRAL LUZON STATE UNIVERSITY DATE GRADUATED: February 12, 2016
    REGISTRATION DATE: June 08, 2017 EXPIRATION DATE: April 28, 2023
    PROFESSION: PROFESSIONAL TEACHER LICENSE NO.: 1542148

    DECLARATION AND ATTESTATION

    I am aware and I give my consent to the collection of the data required by this application form and
    the taking of my photograph, and if applicable, the taking of my fingerprints.

    I further attest that all particulars and supporting documents provided by me are correct and
    complete. I am aware that any false statement or fraudulent document will lead to the rejection of my
    application or to the cancellation of my PIC already issued, and may also render me liable under applicable
    administrative and criminal laws.

    SIGNATURE OF LICENSEE

    UNDERTAKING

    (To be filled up by professionals, except for Real Estate Practitioners, who failed to comply with the
    required CPD Credit Units for the renewal of Professional Identification Card)

    For this compliance period, I am submitting CPD units of the total required CPD Credit units. I
    hereby undertake to submit the balance of CPD credit units in addition to the required CPD units (or a
    total of units) for the next renewal of my PIC. I understand that in the event I fail to comply, my PIC will
    not be renewed.

    SIGNATURE OF LICENSEE

    NOTE:
    1) ALL REAL ESTATE PRACTITIONERS CANNOT AVAIL THE UNDERTAKING AND HAVE TO
    PROVIDE PROOF OF COMPLIANCE WITH CPD PRIOR TO RENEWAL OF PIC PURSUANT TO
    SECTION 17, ARTICLE III OF REPUBLIC ACT NO. 9646 OR THE REAL ESTATE SERVICE ACT
    OF THE PHILIPPINES AND BOARD RESOLUTION NO. 49, S. 2015.
    2) REPRESENTATIVE OF THE PROFESSIONAL APPLYING FOR ISSUANCE OF PROFESSIONAL
    IDENTIFICATION CARD (PIC) MUST SUBMIT:
    a) THE PRESCRIBED AUTHORIZATION LETTER AND PHOTOCOPY OF PROFESSIONAL
    IDENTIFICATION CARD (PIC) OF THE REPRESENTATIVE AND EXPIRED PIC OF THE
    PRFESSIONAL; OR
    b) SPECIAL POWER OF ATTORNEY (SPA) AND PHOTOCOPY OF ANY VALID GOVERNMENT
    ISSUED IDENTIFICATION CARD (ID) OF THE REPRESENTATIVE AND THE PROFESSIONAL
    3) STRICTLY FOLLOW THE APPOINTMENT DATE ON RENEWAL OF PROFESSIONAL
    IDENTIFICATION CARD (PIC).

    REG-03
    Rev. 02
    September 15, 2017
    Page 1 of 1

    You might also like

    pFad - Phonifier reborn

    Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

    Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


    Alternative Proxies:

    Alternative Proxy

    pFad Proxy

    pFad v3 Proxy

    pFad v4 Proxy