1. Panunumpa ng Propesyonal.doc

Republic of the Philippines

Professional Regulation Commission Manila

Paste here your recent PASSP3R" S2: colored picture in hite background

PANUNUMPA NG PROPESYONAL PROPESYO NAL

ith complete name tag

 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 ipinaha ipinahayag yag ng mga sadyang sadyang itinakdang itinakdang may kapangy kapangyarih arihan an ng Republi Republika ka ng Pilipina Pilipinas; s; at kusa kong babalikatin ang pananagutang ito, na alang ano mang pasubali o hangaring umias! "aimtim pa rin akong manunumpa na sa lahat ng panahon at pook na kinaroroonan ay mahigpit akong manghahaakan sa mga etikal at tuntuning propesyonal ng mga  ____________  __________________ _____________ __________ ___ sa Pilipinas, Pilipinas, at marapat marapat kong kong gagampanan gagampanan ng buong husay sa abot ng  

(Propesyon)

aking makakaya ang mga  ____________  __________________ ____________! ______!

tungkulin

at

pananagutang

iniatang

sa

isang

itinakdang

(Propesyon)

#asihan $aa ako ng %iyos!

 A ) ___________ __________________ ______________ __________ ___

 ____________  ___________________ ______________ _____________ ____________  ______  & 'agda( ____________ __________________ ___________ _____ ____________ __________________ _____________  _______ 

&Blg! $g Sedula(

&#inuha sa(

&Petsa(

$ilagdaan at Pinanumpaan sa harap ko ngayong ika)____________ ng ________________________  taon ng ating Panginoon _____________________ sa ___________________________, Pilipinas! FOR PR" PRO"ESS#NG

Selyo %okumentaryo

3# to Pay+ __________________________________  3R $o!+ _____________________________________  %ate Paid+ ___________________________________  Profession+ __________________________________  Registration $o!+ ______________________________  Registration %ate+ _____________________________ 

 __________________________________  &Pinunong "agapanumpa(  __________________________________  &#atungkulang 3pisyal(

PERSONAL A!A "elephone*Contact $umber+ Citi.enship+ Ci/il Status+ Se-+ 1ather 0s $ame*Citi.enship+

P'AS 12'' 34" "52S C'A2M S'2P

%ate of -amination+ %ate of Birth+ Spouse0s $ame*Citi.enship+ Mother 0s $ame*Citi.enship+

"LA#M SL#P

$AM+ $AM+ __________ ________________ ____________ ____________ ____________ ___________ _____ R62S"R R62S"RA A"23$ $3! ___________ ________________ ___________ ____________ ______

PR31S PR31SS23$ S23$++ _______ ____________ ___________ ____________ ____________ _________  ___  R62S" R62S"RA RA"23$ "23$ %A"+ %A"+ ______________ ____________________ ____________  ______ 

Please present this slip at 2ssuance 7indo ____________________ to claim your professional identification card on  ________________________! &$3"+ RPRS$"A"28 RPRS$"A"28 72"5 PR3PR 2%$"212CA"23$ 2%$"212CA"23$ S534'% PRS$" SPC2A' P37R 31 A""3R$9* A4"53R2:A"23$ A4"53R2:A"23$ '""R 1R3M "5 R62S"R% PR31SS23$A'(! 13R C3$12RMA"23$ P'AS CA'' 4P &<( =>?)<<)@!  ____________________________________________   ___________________________ _________________ 

&Registration 3fficer( REG- 01 Rev. 00 February 25, 2015 Page 1 of 2

PRO"EURES

S$e% 1. Accomplish this 3ath 1orm! S$e% 2. Pay for to pcs documentary stamps &one stamp on this form and one for the Certificates of Registration at the Customer Ser/ice Center!

Present duly accompli accomplishe shed d oath oath form for /erific /erificatio ation n of records records and assessm assessment ent at S$e% &. Present 7indo 
RE)U#REMEN!S ! %uly accomplished accomplished 3ath 1orm or Panunumpa Panunumpa ng Propesyonal Propesyonal ! "o pieces passport si.e colored colored picture in hite background ith complete complete name tag &for 3ath 1orm and Certificate of Registration( @! "o &<( pcs of documentary documentary stamps &for 3ath 1orm and Certificate of Registration( Registration( D! 3ne &( short bron bron en/elope ith ith name and profession profession $e $e regist registran rants ts shou should ld come come pers person onall ally y to the the PRC PRC Centr Central al 3ffic 3ffice e or to the the neare nearest st Regional 3ffice to file his*her application for registration and to affi- his*her signature on the registry book!  Applicant  Applicant for registration under the Special Professional Professional 'icensure Board Board -amination and thos those e ho ho left left for abro abroad ad immed immediat iately ely after after their their e-ami e-aminat nation ions s or befor before e the resu results lts of the e-aminations are released shall+ ! "ake his*her his*her professional professional oath before before the Philippine Philippine Consul! ! Submit a Special Poer of of Attorney notari.ed notari.ed by the Philippine Philippine Consul! Consul!

Certificates of Registration shall be claimed at the Central 3ffice or the Regional 3ffice here the application application for the same has been filed! Representati/es Representati/es must present Special Special Poer of Attorney and appropriate identification papers!

REG- 01 Rev. 00 February 25, 2015 Page 2 of 2