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CESD9O58W2BH: Professional Regulation Commission Order of Payment Archives and Records Division
CESD9O58W2BH: Professional Regulation Commission Order of Payment Archives and Records Division
CESD9O58W2BH: Professional Regulation Commission Order of Payment Archives and Records Division
ORDER OF PAYMENT
NAME: ________________________________________________________________________________________________________________________________________
DOMINGO, CLARIBEL TAN
NURSE 125855
NAME OF BOARD EXAM TAKEN: ______________________________________ APPLICATION NO: ______________________________________________
Official Receipt No: _____________________
100603958360 Date: ______________________________________
01/06/2021 Requested by: ____________________________
Received by: _____________________________ Due Date/Time: __________________________
CLAIM SLIP
APPOINTMENT DATE: January 18, 2021 (09:00 AM TO 10:00 AM) - Robinsons Place Naga
REFERENCE NO: CESD9O58W2BH | OR: 100603958360 | AMOUNT: PHP 300.00
PROFESSION: ______________________________________
NURSE DATE OF EXAM: ____________________________________________
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ARD-01
Rev.01
November 3, 2017
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