Professional Regulation Commission

COMPLETION REPORT ON CPD PROGRAM

CPD Council for ARCHITECTURE

Part I. General Information
Name of Provider:
UNITED ARCHITECTS OF THE PHILIPPINES DUBAI CHAPTER
Accreditation No.: Expiry Date:
2009-001 07 August 2018
Contact Person: Designation:
Ar. JAIME TASARRA JR., uap President UAP Dubai Chapter
Contact No.:
+97155 1322 124 / +63995 8316 380
Part II. Program Accreditation
Title of the Program:
HEALTH FACILITY PLANNING
Accreditation No.: Date of Accreditation:
2009-001-531 26 January 2018
Date Started: Date Completed:
9 March 2018 9 March 2018
Place / Venue:
Dubai, United Arab Emirates
Total Number of Participants: Date Applied:
21 January 2018
Executive Summary:

Part III. Acknowledgment

I HEREBY CERTIFY that the above information SUBSCRIBED AND SWORN to before me this _____
written by me are true and correct to the best of my day of _______________ 20__ at
knowledge and belief. I further authorize PRC and ____________________, affiant exhibited to me
other agencies to investigate the authenticity of all the his/her valid government issued ID _______________
documents presented. issued at _______________ on _______________.

_____________________________
Signature Over Printed Name _____________________________
_____________________________ (Notary Public)
Position
_____________________________
Date

SID-CPD-05
Rev. 01
July 26, 2016
Page 1 of 2
 PROCEDURE FOR COMPLETION REPORT
Step 1. Secure Application Form at the Standards and Inspection Division counter (Window 3) or download
at PRC website (www.prc.gov.ph).
Step 2. Fill-out Application Form and comply the required documents. Please provide one (1) set for
receiving copy.
Step 3. Proceed to Standards and Inspection Division processing window for submission.
CHECKLIST OF REQUIREMENTS
SUPPORTING DOCUMENTS
[ ] List of Participants (Name & PRC License No.)
[ ] List of Lecturers, Resource Speakers, etc. (Name & PRC License No.)
[ ] Summary of evaluation of Speakers in Tabular Form
[ ] Others ____________________
Note:
Completion Report must be submitted within fifteen (15) working days after the CPD program offering.

SID-CPD-05
Rev. 01
July 26, 2016
Page 2 of 2