APPOINTMENT DATE: January 24, 2024 (10:00 AM TO 11:00 AM) - PRC Rosales

OR: E2024-01-07331568 | AMOUNT: PHP 75.00

Professional Regulation Commission

ORDER OF PAYMENT

Archives and Records Division

DATE FILED: ____________________
Jan 23, 2024

NAME: ________________________________________________________________________________________________________________________________________
MACTAL, ROMEO JR PADUA

487019
NAME OF BOARD EXAM TAKEN: ______________________________________ APPLICATION NO: ______________________________________________
Official Receipt No: _____________________
E2024-01-07331568 Date: ______________________________________
01/23/2024 Requested by: ____________________________
Received by: _____________________________ Due Date/Time: __________________________

No. of Copies: Reference Number:

1 CERTIFICATION OF RATING
CETD9YCZLOAW

CLAIM SLIP
APPOINTMENT DATE: January 24, 2024 (10:00 AM TO 11:00 AM) - PRC Rosales
REFERENCE NO: CETD9YCZLOAW | OR: E2024-01-07331568 | AMOUNT: PHP 75.00

DATE FILED: _____________________

Jan 23, 2024 NO OF COPIES: ___________________________
1 DUE DATE/TIME: _________________________
NAME: ________________________________________________________________________________________________________________________________________
MACTAL, ROMEO JR PADUA

PROFESSION: ______________________________________ DATE OF EXAM: ____________________________________________

ARD-01
Rev.01
November 3, 2017
Page 1 of 2