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REG- 01
Rev. 01
January 3, 2019
Page 1 of 1
Republic of the Philippines
Professional Regulation Commission
NATIONAL CAPITAL REGION
PANUNUMPA NG PROPESYONAL
Ako, si ______________________________________________________________________, ng
_____________________________________________________________________________________
(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 ____________________________
sa Pilipinas, at marapat kong gagampanan ng buong husay sa abot ng
(Propesyon)
aking makakaya ang mga tungkulin at pananagutang iniatang sa isang itinakdang
________________________.
(Propesyon)
Kasihan Nawa ako ng Diyos.
______________________________________
(Lagda)
_________________________
(ID na inisyu ng gobyerno at bilang)
Nilagdaan at Pinanumpaan sa harap ko ngayong ika-____________ ng ________________________
taon ng ating Panginoon _____________________ sa ___________________________, Pilipinas.
PERSONAL DATA
Telephone/Contact Number: Date of Examination:
Citizenship: Date of Birth:
Civil Status: Sex: Spouse’s Name/Citizenship:
Father’s Name/Citizenship: Mother’s Name/Citizenship:
CONFORME
I agree to the PRC Privacy Notice and give my consent to the collection and processing of my personal data in
accordance thereto
Signature of professional
PLEASE FILL OUT THIS CLAIM SLIP
NAME: _______________________________________ 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).
____________________________________________
(Registration Officer)
__________________________________
(Pinunong Tagapanumpa)
__________________________________
(Katungkulang Opisyal)
__________________________________
Passport size
colored picture
with COMPLETE
Name Tag
in plain white
background taken
within the last 3
months
CLAIM SLIP
(REPRODUCTION IS ALLOWED)
NOT FOR SALE
MARK JOSHUA MORANDARTE MACASPAC
MALOLOS, BULACAN
CIVIL ENGINEER
CIVIL ENGINEER
09614293822 May 2022
FILIPINO Dec 01, 1997
SINGLE MALE
JOSELITO F. MACASPAC / FILIPINO ALMA M. MACASPAC / FILIPINO
MARK JOSHUA MORANDARTE MACASPAC CIVIL ENGINEER

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doc (5).pdf

  • 1. REG- 01 Rev. 01 January 3, 2019 Page 1 of 1 Republic of the Philippines Professional Regulation Commission NATIONAL CAPITAL REGION PANUNUMPA NG PROPESYONAL Ako, si ______________________________________________________________________, ng _____________________________________________________________________________________ (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 ____________________________ sa Pilipinas, at marapat kong gagampanan ng buong husay sa abot ng (Propesyon) aking makakaya ang mga tungkulin at pananagutang iniatang sa isang itinakdang ________________________. (Propesyon) Kasihan Nawa ako ng Diyos. ______________________________________ (Lagda) _________________________ (ID na inisyu ng gobyerno at bilang) Nilagdaan at Pinanumpaan sa harap ko ngayong ika-____________ ng ________________________ taon ng ating Panginoon _____________________ sa ___________________________, Pilipinas. PERSONAL DATA Telephone/Contact Number: Date of Examination: Citizenship: Date of Birth: Civil Status: Sex: Spouse’s Name/Citizenship: Father’s Name/Citizenship: Mother’s Name/Citizenship: CONFORME I agree to the PRC Privacy Notice and give my consent to the collection and processing of my personal data in accordance thereto Signature of professional PLEASE FILL OUT THIS CLAIM SLIP NAME: _______________________________________ 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). ____________________________________________ (Registration Officer) __________________________________ (Pinunong Tagapanumpa) __________________________________ (Katungkulang Opisyal) __________________________________ Passport size colored picture with COMPLETE Name Tag in plain white background taken within the last 3 months CLAIM SLIP (REPRODUCTION IS ALLOWED) NOT FOR SALE MARK JOSHUA MORANDARTE MACASPAC MALOLOS, BULACAN CIVIL ENGINEER CIVIL ENGINEER 09614293822 May 2022 FILIPINO Dec 01, 1997 SINGLE MALE JOSELITO F. MACASPAC / FILIPINO ALMA M. MACASPAC / FILIPINO MARK JOSHUA MORANDARTE MACASPAC CIVIL ENGINEER