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 umias! "aimtim pa rin akong manunumpa na sa lahat ng panahon at pook na kinaroroonan ay mahigpit akong manghahaakan 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 $aa ako ng %iyos!
A ) ___________ __________________ ______________ __________ ___
$ilagdaan at Pinanumpaan sa harap ko ngayong ika)____________ ng ________________________ taon ng ating Panginoon _____________________ sa ___________________________, Pilipinas! FOR PR" PRO"ESS#NG
Please present this slip at 2ssuance 7indo ____________________ to claim your professional identification card on ________________________! &$3"+ RPRS$"A"28 RPRS$"A"28 72"5 PR3PR 2%$"212CA"23$ 2%$"212CA"23$ S534'% PRS$" SPC2A' P37R 31 A""3R$9* A4"53R2:A"23$ A4"53R2:A"23$ '""R 1R3M "5 R62S"R% PR31SS23$A'(! 13R C3$12RMA"23$ P'AS CA'' 4P &<( =>?)<<)@! ____________________________________________ ___________________________ _________________
&Registration 3fficer( REG- 01 Rev. 00 February 25, 2015 Page 1 of 2
PRO"EURES
S$e% 1. Accomplish this 3ath 1orm! S$e% 2. Pay for to 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 bron bron 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 Poer 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 Poer of Attorney and appropriate identification papers!