APPOINTMENT DATE: February 28, 2023 (09:00 AM TO 10:00 AM) - PRC Rosales

OR: E2023-02-04211864 | AMOUNT: PHP 75.00

Professional Regulation Commission

ORDER OF PAYMENT

Archives and Records Division

DATE FILED: ____________________
Feb 27, 2023

NAME: ________________________________________________________________________________________________________________________________________
DELA CRUZ, LAINIE JANE MANIGBAS

CIVIL ENGINEER 014303

NAME OF BOARD EXAM TAKEN: ______________________________________ APPLICATION NO: ______________________________________________
Official Receipt No: _____________________
E2023-02-04211864 Date: ______________________________________
02/27/2023 Requested by: ____________________________
Received by: _____________________________ Due Date/Time: __________________________

No. of Copies: Reference Number:

1 CERTIFICATE OF PASSING
CEL0GF4H09ON

CLAIM SLIP
APPOINTMENT DATE: February 28, 2023 (09:00 AM TO 10:00 AM) - PRC Rosales
REFERENCE NO: CEL0GF4H09ON | OR: E2023-02-04211864 | AMOUNT: PHP 75.00

DATE FILED: _____________________

Feb 27, 2023 NO OF COPIES: ___________________________
1 DUE DATE/TIME: _________________________
NAME: ________________________________________________________________________________________________________________________________________
DELA CRUZ, LAINIE JANE MANIGBAS

PROFESSION: ______________________________________
CIVIL ENGINEER DATE OF EXAM: ____________________________________________
-

ARD-01
Rev.01
November 3, 2017
Page 1 of 2
APPOINTMENT DATE: February 28, 2023 (09:00 AM TO 10:00 AM) - PRC Rosales
OR: E2023-02-04211952 | AMOUNT: PHP 75.00

Professional Regulation Commission

ORDER OF PAYMENT

Archives and Records Division

DATE FILED: ____________________
Feb 27, 2023

NAME: ________________________________________________________________________________________________________________________________________
DELA CRUZ, LAINIE JANE MANIGBAS

CIVIL ENGINEER 014303

NAME OF BOARD EXAM TAKEN: ______________________________________ APPLICATION NO: ______________________________________________
Official Receipt No: _____________________
E2023-02-04211952 Date: ______________________________________
02/27/2023 Requested by: ____________________________
Received by: _____________________________ Due Date/Time: __________________________

No. of Copies: Reference Number:

1 CERTIFICATION OF RATING
CEVWV1I0P9BN

CLAIM SLIP
APPOINTMENT DATE: February 28, 2023 (09:00 AM TO 10:00 AM) - PRC Rosales
REFERENCE NO: CEVWV1I0P9BN | OR: E2023-02-04211952 | AMOUNT: PHP 75.00

DATE FILED: _____________________

Feb 27, 2023 NO OF COPIES: ___________________________
1 DUE DATE/TIME: _________________________
NAME: ________________________________________________________________________________________________________________________________________
DELA CRUZ, LAINIE JANE MANIGBAS

PROFESSION: ______________________________________
CIVIL ENGINEER DATE OF EXAM: ____________________________________________
-

ARD-01
Rev.01
November 3, 2017
Page 1 of 2
REFERENCE NO: CEUNN9AWQ6C8 | OR: E2023-02-04212888 | Amount: PHP 75.00
Feb 28, 2023 (09:00 AM TO 10:00 AM) - PRC Rosales
NOTE: This appointment date might be different to the date of claiming of the requested authenticated documents
Professional Regulation Commission
ACTION SHEET FOR AUTHENTICATION

DATE FILED: Feb 27, 2023 Please underline: MALE/FEMALE

_______
NAME: DELA CRUZ, LAINIE JANE MANIGBAS
_____________________________________________________________________________________________
Last Name First Name Middle Name Married Name
PROFESSION: CIVIL ENGINEER REGISTRATION NO.: - REGISTRATION DATE: -
(For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): TEL./CP NO.: 09386591674

PLEASE CHECK BOX FOR TYPE OF DOCUMENT TO BE AUTHENTICATED:

CERTIFICATE OF REGISTRATION (COR) NO. OF COPIES PURPOSE:
CERTIFICATION OF BOARD RATING NO. OF COPIES LOCAL
CERTIFICATION OF GOOD STANDING NO. OF COPIES ABROAD
X CERTIFICATION OF PASSING NO. OF COPIES 1 LEGAL
PROFESSIONAL IDENTIFICATION CARD NO. OF COPIES STATEBOARD
REPORT OF RATINGS NO. OF COPIES OTHERS
OTHERS NO. OF COPIES

FOR PRC PROCESSING

75.00
Amount: ____________________________ Processed by: Prepared by:
_

E2023-02-04212888
O. R. No.: ___________________________
02/27/2023 ___________________________________ ____________________________________
Date: ___________________________
Signature over printed name Signature over printed name
PAYMAYA-GCASH
Issued by: ___________________________
- Date: ______________________________ Date: ________________________________
Date due: __________________________

NOTE: AUTHENTICATION REQUIRES A VALID PROFESSIONAL IDENTIFICATION CARD.

AUTHENTICATION CLAIM SLIP

PLEASE FILL OUT THIS CLAIM SLIP

NAME: DELA CRUZ, LAINIE JANE MANIGBAS
_____________________________________ PROFESSION: CIVIL ENGINEER
___________________________
-
REGISTRATION NO.: _____________________________________ -
REGISTRATION DATE: ___________________________
DATE FILED: Feb 27, 2023
_____________________________________ -
DATE DUE: _____________________________________

PLEASE PRESENT THIS SLIP TO CLAIM DOCUMENTS AT ______________ ON ______________________. PRC REGISTERED
REPRESENTATIVE SHOULD PRESENT ANY VALID GOVERNMENT-ISSUED ID AND AUTHORIZATION LETTER; IF NOT REGISTERED
PROFESSIONAL, PRESENT SPECIAL POWER OF ATTORNEY(SPA)AND ANY VALID GOVERNMENT-ISSUED ID.

REGISTRATION OFFICER

(PLEASE MAKE SURE THAT YOU HAVE THE ORIGINAL COPY OF

THE DOCUMENT/S TO BE AUTHENTICATED)

PRD-07
Rev. 00
October 16, 2020
Page 1 of 2
REFERENCE NO: CE14PIAXRL28 | OR: E2023-02-04212820 | Amount: PHP 75.00
Feb 28, 2023 (09:00 AM TO 10:00 AM) - PRC Rosales
NOTE: This appointment date might be different to the date of claiming of the requested authenticated documents
Professional Regulation Commission
ACTION SHEET FOR AUTHENTICATION

DATE FILED: Feb 27, 2023 Please underline: MALE/FEMALE

_______
NAME: DELA CRUZ, LAINIE JANE MANIGBAS
_____________________________________________________________________________________________
Last Name First Name Middle Name Married Name
PROFESSION: CIVIL ENGINEER REGISTRATION NO.: - REGISTRATION DATE: -
(For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): TEL./CP NO.: 09386591674

PLEASE CHECK BOX FOR TYPE OF DOCUMENT TO BE AUTHENTICATED:

CERTIFICATE OF REGISTRATION (COR) NO. OF COPIES PURPOSE:
X CERTIFICATION OF BOARD RATING NO. OF COPIES 1 LOCAL
CERTIFICATION OF GOOD STANDING NO. OF COPIES ABROAD
CERTIFICATION OF PASSING NO. OF COPIES LEGAL
PROFESSIONAL IDENTIFICATION CARD NO. OF COPIES STATEBOARD
REPORT OF RATINGS NO. OF COPIES OTHERS
OTHERS NO. OF COPIES

FOR PRC PROCESSING

75.00
Amount: ____________________________ Processed by: Prepared by:
_

E2023-02-04212820
O. R. No.: ___________________________
02/27/2023 ___________________________________ ____________________________________
Date: ___________________________
Signature over printed name Signature over printed name
PAYMAYA-GCASH
Issued by: ___________________________
- Date: ______________________________ Date: ________________________________
Date due: __________________________

NOTE: AUTHENTICATION REQUIRES A VALID PROFESSIONAL IDENTIFICATION CARD.

AUTHENTICATION CLAIM SLIP

PLEASE FILL OUT THIS CLAIM SLIP

NAME: DELA CRUZ, LAINIE JANE MANIGBAS
_____________________________________ PROFESSION: CIVIL ENGINEER
___________________________
-
REGISTRATION NO.: _____________________________________ -
REGISTRATION DATE: ___________________________
DATE FILED: Feb 27, 2023
_____________________________________ -
DATE DUE: _____________________________________

PLEASE PRESENT THIS SLIP TO CLAIM DOCUMENTS AT ______________ ON ______________________. PRC REGISTERED
REPRESENTATIVE SHOULD PRESENT ANY VALID GOVERNMENT-ISSUED ID AND AUTHORIZATION LETTER; IF NOT REGISTERED
PROFESSIONAL, PRESENT SPECIAL POWER OF ATTORNEY(SPA)AND ANY VALID GOVERNMENT-ISSUED ID.

REGISTRATION OFFICER

(PLEASE MAKE SURE THAT YOU HAVE THE ORIGINAL COPY OF

THE DOCUMENT/S TO BE AUTHENTICATED)

PRD-07
Rev. 00
October 16, 2020
Page 1 of 2
REFERENCE NO: CEHEH4YW97LB | OR: E2023-02-04213008 | Amount: PHP 75.00
Feb 28, 2023 (09:00 AM TO 10:00 AM) - PRC Rosales
NOTE: This appointment date might be different to the date of claiming of the requested authenticated documents
Professional Regulation Commission
ACTION SHEET FOR AUTHENTICATION

DATE FILED: Feb 27, 2023 Please underline: MALE/FEMALE

_______
NAME: DELA CRUZ, LAINIE JANE MANIGBAS
_____________________________________________________________________________________________
Last Name First Name Middle Name Married Name
PROFESSION: CIVIL ENGINEER REGISTRATION NO.: 0183943 REGISTRATION DATE: 06/15/2022
(For Professional Teacher, please tick [ ] Elementary [ ] Secondary)

VALIDITY DATE OF PROFESSIONAL IDENTIFICATION CARD (PIC): 12/19/2025 TEL./CP NO.: 09386591674

PLEASE CHECK BOX FOR TYPE OF DOCUMENT TO BE AUTHENTICATED:

CERTIFICATE OF REGISTRATION (COR) NO. OF COPIES PURPOSE:
CERTIFICATION OF BOARD RATING NO. OF COPIES LOCAL
CERTIFICATION OF GOOD STANDING NO. OF COPIES ABROAD
CERTIFICATION OF PASSING NO. OF COPIES LEGAL
X PROFESSIONAL IDENTIFICATION CARD NO. OF COPIES 1 STATEBOARD
REPORT OF RATINGS NO. OF COPIES OTHERS
OTHERS NO. OF COPIES

FOR PRC PROCESSING

75.00
Amount: ____________________________ Processed by: Prepared by:
_

E2023-02-04213008
O. R. No.: ___________________________
02/27/2023 ___________________________________ ____________________________________
Date: ___________________________
Signature over printed name Signature over printed name
PAYMAYA-GCASH
Issued by: ___________________________
- Date: ______________________________ Date: ________________________________
Date due: __________________________

NOTE: AUTHENTICATION REQUIRES A VALID PROFESSIONAL IDENTIFICATION CARD.

AUTHENTICATION CLAIM SLIP

PLEASE FILL OUT THIS CLAIM SLIP

NAME: DELA CRUZ, LAINIE JANE MANIGBAS
_____________________________________ PROFESSION: CIVIL ENGINEER
___________________________
0183943
REGISTRATION NO.: _____________________________________ 06/15/2022
REGISTRATION DATE: ___________________________
DATE FILED: Feb 27, 2023
_____________________________________ -
DATE DUE: _____________________________________

PLEASE PRESENT THIS SLIP TO CLAIM DOCUMENTS AT ______________ ON ______________________. PRC REGISTERED
REPRESENTATIVE SHOULD PRESENT ANY VALID GOVERNMENT-ISSUED ID AND AUTHORIZATION LETTER; IF NOT REGISTERED
PROFESSIONAL, PRESENT SPECIAL POWER OF ATTORNEY(SPA)AND ANY VALID GOVERNMENT-ISSUED ID.

REGISTRATION OFFICER

(PLEASE MAKE SURE THAT YOU HAVE THE ORIGINAL COPY OF

THE DOCUMENT/S TO BE AUTHENTICATED)

PRD-07
Rev. 00
October 16, 2020
Page 1 of 2