Scribd Logo
Upload

Welcome to Scribd!

  • 7 views

    Application Form: Professional Regulation Commission

    Uploaded by

    joeliefebituin288
    Marlyn Macahig has applied to take the Professional Teacher - Elementary examination on September 24, 2023 in Valencia City. She graduated from Roman C. Villalon Memorial Colleges Foundation in Kibawe, Bukidnon in 2015 with a Bachelor of Elementary Education degree. This will be her first time taking the licensure examination. She paid the 900 peso application fee on August 18, 2023 and her application was approved.

    Copyright:

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

    Application Form: Professional Regulation Commission

    Uploaded by

    joeliefebituin288
    7 views1 page
    Marlyn Macahig has applied to take the Professional Teacher - Elementary examination on September 24, 2023 in Valencia City. She graduated from Roman C. Villalon Memorial Colleges Foundation in Kibawe, Bukidnon in 2015 with a Bachelor of Elementary Education degree. This will be her first time taking the licensure examination. She paid the 900 peso application fee on August 18, 2023 and her application was approved.

    Original Title

    Doc

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Marlyn Macahig has applied to take the Professional Teacher - Elementary examination on September 24, 2023 in Valencia City. She graduated from Roman C. Villalon Memorial Colleges Foundation in Kibawe, Bukidnon in 2015 with a Bachelor of Elementary Education degree. This will be her first time taking the licensure examination. She paid the 900 peso application fee on August 18, 2023 and her application was approved.

    Copyright:

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

    Application Form: Professional Regulation Commission

    Uploaded by

    joeliefebituin288
    Marlyn Macahig has applied to take the Professional Teacher - Elementary examination on September 24, 2023 in Valencia City. She graduated from Roman C. Villalon Memorial Colleges Foundation in Kibawe, Bukidnon in 2015 with a Bachelor of Elementary Education degree. This will be her first time taking the licensure examination. She paid the 900 peso application fee on August 18, 2023 and her application was approved.

    Copyright:

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

    APPOINTMENT DATE: Aug 22, 2023 (03:00 PM TO 04:00 PM) - Robinsons Place Valencia

    Professional Regulation Commission

    APPLICATION FORM

    NOT FOR SALE (REPRODUCTION IS ALLOWED)


    REFERENCE NO: EX4OOCV7RRUB
    Application No.
    OR: E2023-08-05952414 | AMOUNT: PHP 900.00
    659534
    First Timer PROFESSIONAL TEACHER
    Name of Examination Elementary
    _________________________________
    X Repeater
    Conditioned Date of Examination SEPTEMBER 24, 2023
    _________________________________
    Absent
    Place of Examination Valencia City
    _________________________________
    ________________
    08/18/2023
    Date(mm/dd/yy)
    NOTICE: All supporting documents shall become part of the records of the Commission. All applications must be filed
    PERSONALLY by the applicant.

    PART I-PERSONAL INFORMATION


    SUR NAME GIVEN NAME/S MIDDLE NAME
    MACAHIG MARLYN DAHAN
    Maiden Surname (for married female only)
    COQUILLA
    Permanent Mailing Address (House no., Street, Village/Subd., Brgy., Town, Prov./City)
    1A PUROK TALAHIRON KIBAWE, BUKIDNON
    Gender Citizenship Contact numbers (Landline & Mobile) E-mail Address
    Male X Female X Filipino Others______ 09652705893 Marlynmacahig91@yahoo.com
    Civil Status Date of Birth(mm/dd/yy) Place of Birth (City/Town,Prov) RURBAN Code(Town/City,Prov)
    Single X Married Widow/er 12/06/1988 KIBAWE, BUKIDNON 101308
    Spouse’s name & Citizenship Father’s Name & Citizenship Mother’s Name & Citizenship
    NELJUN G. MACAHIG / FILIPINO ALEJANDRO C. DAHAN / FILIPINO SOFIA C. DAHAN / FILIPINO
    HAVE YOU EVER BEEN CHARGED AND CONVICTED BY FINAL JUDGEMENT BY ANY COURT OF JUSTICE/MILITARY TRIBUNAL OR
    ADMINISTRATIVE BODY? X No Yes (If yes, attach hereto a copy of the decision)
    PART II – EDUCATIONAL INFORMATION
    Name of School Address/Location of School PRC School code
    ROMAN C. VILLALON MEMORIAL COLLEGES FOUNDATION KIBAWE, BUKIDNON 1847
    Degree/Course Obtained PRC COURSE Code Date Graduated (mm/dd/yy) PRC Board Code
    BACHELOR OF ELEMENTARY EDUCATION 2013 03/30/2015 4000
    Date Graduated PRC SCHOOL
    Other Higher Educational Attainment Name of School Address/Location of School CODE
    (mm/dd/yy)

    PART III – PREVIOUS PRC LICENSURE EXAMINATION/S TAKEN (Last Three Exams)
    Place of Date Taken Result of Examination (pls check)
    Name of Examination Rating Exam No. Verified by
    Examination (mm/yy) Passed Failed Cond.

    Review School/Center: Self-Review School-Based Review Others (specify name) __________________________


    STATUS CODES (refer at the back) 1.) Examination Type (EXcode) 2.) Number of Times Taken 0

    I HEREBY CERTIFY that the information and/or ACTION TAKEN BY THE APPLICATION PROCESSOR
    statements in this application including the supporting ISSUANCE of the FOLOWING FORMS
    documents submitted in support thereof are all true and
    correct to my own knowledge, and that I am fully aware that NOTICE OF ADMISSION PERMANENT EXAMINATION &
    (NOA) REGISTRATION RECORD CARD (PERRC)
    any false information or statement in this application or in its
    attachments shall render me liable for criminal prosecution REMARKS ______________________________________________
    and/or administrative sanction. ______________________________________________________________________________

    PROCESSOR_____________________________ Date ___________


    RIGHT THUMBMARK _______________________ ____________________________________________________________
    Signature of Applicant ACTION TAKEN BY LEGAL OFFICER (if applicable)
    _______________________ REMARKS ______________________________________________
    Date Accomplished ______________________________________________________________________________

    LEGAL OFFICER __________________________ Date ___________


    Subscribed and sworn to before me this __________day of ____________________________________________________________
    _________20____at__________. Affiant applicant exhibited ACTION TAKEN BY THE BOARD
    to me his / her Community Tax Certificate No. APPROVED DISAPPROVED CONDITIONAL
    835
    ________________________issued LGU KIBAWE
    at _______________
    REMARKS ______________________________________________
    on _____________.
    03/01/2022 ______________________________________________________________________________
    DOCUMENTARY STAMP

    CHAIRMAN/ MEMBER ______________________ Date __________


    ____________________________________________________________
    ACTION TAKEN BY THE CASHIER
    _______________________________
    PRC ADMINISTERING OFFICER AMOUNT PAID ____________
    900.00 OFFICIAL RECEIPT NO.E2023-08-05952414
    _____________
    Paymaya - Gcash Payment
    CASHIER _________________________________ 08/18/2023
    Date __________
    ____________________________________________________________
    ACTION TAKEN BY THE ISSUING OFFICER
    Administration of Oath Is Free REMARKS _______________________________________________
    (Office Order No. 2009-377 & 2009-379 ______________________________________________________________________________
    both dated September 3, 2009)
    ISSUING OFFICER ________________________ Date __________

    IMPORTANT: FAILURE TO SUBMIT THIS APPLICATION FORM WITH THE REQUIRED DOCUMENTS SHALL MEAN APP-01
    NON-INCLUSION IN THE LIST OF EXAMINEES IN THE ROOM ASSIGNMENT AND FORFEITURE OF EXAMINATION FEES Rev. 00
    February 25, 2015
    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