APPOINTMENT DATE: Oct 26, 2023 (10:00 AM TO 11:00 AM) - Lucky Chinatown

REFERENCE NO: INTOFPJ8YNE1 | OR: E2023-10-06452697 (10/23/2023) | AMOUNT: PHP 1050.00

NOT FOR SALE (REPRODUCTION IS ALLOWED)

Republic of the Philippines

Professional Regulation Commission
Manila Paste here
your recent
PASSPORT SIZE
colored picture in
white background
PANUNUMPA NG PROPESYONAL with complete
name tag

ANGELO MAULEON CORPUZ

Ako, si ______________________________________________________________________, ng
_____________________________________________________________________________________
CANDELARIA, QUEZON
(Pook na Sinilangan, Bayan/Lungsod, Probinsya)
ay taimtim na nanunumpa na itataguyod ko at ipagtatanggol ang Saligang Batas ng Pilipinas, na ako ay
tunay na mananalig at tatalima rito; na susundin ko ang mga batas, mga utos na legal, at mga atas na
ipinahayag ng mga sadyang itinakdang may kapangyarihan ng Republika ng Pilipinas; at kusa kong
babalikatin ang pananagutang ito, na walang ano mang pasubali o hangaring umiwas.

Taimtim pa rin akong manunumpa na sa lahat ng panahon at pook na kinaroroonan ay mahigpit

akong manghahawakan sa mga etikal at tuntuning propesyonal ng mga
REGISTERED ELECTRICAL ENGINEERsa Pilipinas, at marapat kong gagampanan ng buong husay sa abot ng
____________________________
(Propesyon)
aking makakaya ang mga tungkulin at pananagutang iniatang sa isang itinakdang
REGISTERED ELECTRICAL ENGINEER
________________________.
(Propesyon)

Kasihan Nawa ako ng Diyos.

______________________________________
( Lagda)
615300221
A - ____________________________ BIR
_______________________ Sep 30, 2022
_________________________
(Blg. Ng Sedula) (Kinuha sa) (Petsa)

Nilagdaan at Pinanumpaan sa harap ko ngayong ika-____________ ng ________________________

taon ng ating Panginoon _____________________ sa ___________________________, Pilipinas.

FOR PRC PROCESSING

1050.00
OK to Pay: __________________________________ __________________________________
Selyo E2023-10-06452697
OR No.: _____________________________________ (Pinunong Tagapanumpa)
Dokumentaryo Oct 23, 2023
Date Paid: ___________________________________
Profession: REGISTERED ELECTRICAL ENGINEER
__________________________________ __________________________________
Registration No.: ______________________________ (Katungkulang Opisyal)
Registration Date: _____________________________

PERSONAL DATA
Telephone/Contact Number: 09672876934 Date of Examination: Sep 01, 2023
Citizenship: FILIPINO Date of Birth: Dec 25, 1999
Civil Status: SINGLE Sex: MALE Spouse’s Name/Citizenship:
Father’s Name/Citizenship: ANTONIO B. CORPUZ / FILIPINO Mother’s Name/Citizenship: MARILYN M. CORPUZ / FILIPINO

PLEASE FILL OUT THIS CLAIM SLIP

CLAIM SLIP

ANGELO MAULEON CORPUZ

NAME: _______________________________________ REGISTERED ELECTRICAL ENGINEER
PROFESSION: _________________________________
REGISTRATION NO. ____________________________ REGISTRATION DATE: __________________________
Please present this slip at Issuance Window ____________________ to claim your professional identification card on
________________________.
(NOTE: REPRESENTATIVE WITH PROPER IDENTIFICATION SHOULD PRESENT SPECIAL POWER OF ATTORNEY/ AUTHORIZATION
LETTER FROM THE REGISTERED PROFESSIONAL). FOR CONFIRMATION PLEASE CALL UP (02) 736-22-48.

____________________________________________
(Registration Officer)

REG- 01
Rev. 00
February 25, 2015
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