SID-CPD-05 Rev 02 Completion Report
SID-CPD-05 Rev 02 Completion Report
SID-CPD-05 Rev 02 Completion Report
Contact No.:
Place / Venue:
Executive Summary:
_____________________________
Signature Over Printed Name _____________________________
_____________________________ (Notary Public)
Position
_____________________________
Date
SID-CPD-05
Rev. 02
March 10, 2017
Page 1 of 2
PROCEDURE FOR COMPLETION REPORT
Step 1. Secure Application Form at the Standards and Inspection Division counter (Window 3) or download
at PRC website (www.prc.gov.ph).
Step 2. Fill-out Application Form and comply the required documents. Please provide one (1) set for
receiving copy.
Step 3. Proceed to Standards and Inspection Division processing window for submission.
CHECKLIST OF REQUIREMENTS
SUPPORTING DOCUMENTS
[ ] List of Participants (Name & PRC License No.)
[ ] List of Lecturers, Resource Speakers, etc. (Name & PRC License No.)
[ ] Actual Program of Activities
[ ] Summary of evaluation of Speakers in Tabular Form
[ ] Others ____________________
Note:
Completion Report must be submitted within thirty (30) calendar days after the CPD program offering.
SID-CPD-05
Rev. 02
March 10, 2017
Page 2 of 2