Professional Documents
Culture Documents
01/2006)
PERSONALLY BY THE Republic of the Philippines
PROFESSIONAL
Professional Regulation Commission
RENEWAL Lucena City
DUPLICATE Paste here
REPRINT REGISTRATION DIVISION
your recent
PASSPORT SIZE
CHANGE OF NAME colored picture with
CHANGE OF DATE OF BIRTH APPLICATION FOR PROFESSIONAL IDENTIFICATION CARD complete name tag in
PLS. PRINT LEGIBLY plain white background
Step 1 Present duly accomplished form together with the requirements at the designated window
for assessment.
Step 2 Pay prescribed fee at the Cashier (Window 17)
Step 3 Submit this form and get your claim slip at the following profession counters:
Window 2 - UNIT C; Window 3 - UNIT B; Window 7 - UNIT A
Step 4 Claim your professional license as scheduled. Please refer to your claim slip for further
instruction.
REQUIREMENTS