APPOINTMENT DATE: January 30, 2026 (03:00 PM TO 04:00 PM) - SM J MALL
OR: E2026-01-32131516 | AMOUNT: PHP 75.00
Professional Regulation Commission
ORDER OF PAYMENT
Archives and Records Division
DATE FILED: ____________________
Jan 28, 2026
NAME: ________________________________________________________________________________________________________________________________________
ECHAVEZ, LEIZEL MAE CARILLOSA
PROFESSIONAL TEACHER 079703
NAME OF BOARD EXAM TAKEN: ______________________________________ APPLICATION NO: ______________________________________________
Official Receipt No: _____________________
E2026-01-32131516 Date: ______________________________________
01/28/2026 Requested by: ____________________________
Received by: _____________________________ Due Date/Time: __________________________
No. of Copies: Reference Number:
1 CERTIFICATE OF PASSING
CEDQY5N3I8BA
CLAIM SLIP
APPOINTMENT DATE: January 30, 2026 (03:00 PM TO 04:00 PM) - SM J MALL
REFERENCE NO: CEDQY5N3I8BA | OR: E2026-01-32131516 | AMOUNT: PHP 75.00
DATE FILED: _____________________
Jan 28, 2026 NO OF COPIES: ___________________________
1 DUE DATE/TIME: _________________________
NAME: ________________________________________________________________________________________________________________________________________
ECHAVEZ, LEIZEL MAE CARILLOSA
PROFESSION: ______________________________________
PROFESSIONAL TEACHER DATE OF EXAM: ____________________________________________
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