PRC

N OT FOR S A L E This form is prenumbered REPRODUCTION IS NOT ALLOWED

R epublic of the Philippines Professional Regulation Commission Manila TEACHERS APPLICATION FORM (TAF)

OPTForm No. 101-2 (Rev. 04-2011)

PASTE HERE
PASSPORT SIZE PHOTO with COMPLETE Name Tag in plain white background

SECONDARY
PERRC NO. __Examination _ _ _ _ _ __ (Permanent
(take n within 3 mos.)

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HE C K M AJ O R:

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A G RI C UL TU

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(N VA LU ES ED UC ATI ON

E W) TLE/ TEC HNO LOG Y EDU CATI ON

REPE ATER W A R N I N G : T h i s a p p li c a t i o n m u s t b e fi ll e d o u t p e r s o n a ll y b y t h e a p p li c a n t . A ll d o c u m e n t s s u b m i t t e d s h a ll f o r m p a r t o f t h e r e c o r d s o f t h i s C o m m i s s i o n a n d a

_ _ BACHELOR S DEGREE _ FOR _ No. of Equivalent _ f units in Non-BSED _ Prof. Ed. o Graduates G RADU _ ATE r _ Part III PREVIOUS LICENSURE _ t EXAMINATION FOR TEACHERS _ h (LET) TAKEN MONTH & YEAR PLACE OF EXAMINA _ LAST e E X A MI N A T _ Manila Others:__________________ I ON T A K E N _ S I HEREBY CERTIFY that the information and/or _ E statements in this application including the exhibits _ C BY THE submitted in support thereof are all true and correct of _ O my own knowledge, and that I am fully aware that any _ N Remarks: false information or statement in this application or in its _ attachments shall render me liable for criminal D _ prosecution and /or administrative sanction. A Processed by _ R I AM WILLING TO BE SUBJECTED TO A _ Y Date: Teacher Licensure VALIDATING EXAMINATION IN CASE THE TEST RESULTS _ Examination to be IN MY PLACE OF EXAMINATION ARE STATISTICALLY given on _ IMPROBABLE. SEPTEMBER 25, ONAL _ 2011 APPE Amount: RIGHT THUMBMARK _ h ARAN _ CE a Signature of Applicant SHAL s _ O. L BE _ REQ b Subscribed and sworn to before me this day of _ UIRE e D IN _ e THE 20 n _ FILIN at _ G OF C THIS _ . Affiant O APPL _ applicant exhibited to me his/her Community Tax N ICATI D Certificate No. _ ON. I issued _ T at Part _ I IN _ O on LAST NAME N _ A _ . L PERMANENT MAILING ADDRESS (House _ L D PRC Administering Officer _ Y o Administration of Oath is FREE (Office c _ Order No.2009-377 & 2009-379 both dated Gender u A _ September 3, 2009 m FE MA L E P MA L E e _ P Republic n Civil Status _ R t
SINGLE MARRIED SPOUSE NAME & CITIZENSHIP

re su bje ct to ver ific ati on. An y fal se sta te me nt or mi sre pre se nta tio n ma de in thi s ap pli cat ion is a gro un d for dis qu alif ica tio n an d cri mi nal pro se cut ion /ad mi nis tra tiv e sa nct ion for fal sifi cat ion . PERS

hereto a copy of the decision)

P a r t I I E D U C A T I O N A L I N F O R M A T I O N

AP i CATION n STUB f (This o serves yourr m Notice Admis n) y

o MAJOR u t ACKNOWLEDGEMENT THE h a t I acknowledge receipt y & an o he a u subjects r Signa Mr./ M s .
COU RSE CO DATE

COURSE COMPLETED

MAJOR FIELD OF STUDY

a p p l i c a t i o n

WIDOW/ER

HAVE YOU EVER BEEN CONVICTED IN A FINAL JUDGMENT BY ANY COURT, MILITARY TRIBUNAL OR ADMINISTRATIVE BODY? YES NO (If yes, attach

Philippines a PROFE r y REGULATION COMMISSION S t Ma a m p

T h i s i s t o

PASTE HERE
PASSPOR T SIZE

PHOTO with COMPLETE Name Tag in plain white background (taken within 3 mos.) Scanned/Photocopied picture not acceptable

O V E D P E N D I N G

F I N A L R E V I E W A N D V E R I F I C A T I O N

o f y o u r c r e d e n t i a l s . Very truly yours,

PRC Issuing Officer / Date

O R M T O T H E I S S U I N G O F F I C E R W I L L E X C L U D E T H E A P P L I C A N T F R O M

T H E L I S T O F E X A M I N E E S A N D F O R F E I T U R E O F T H E A M O U N T P A I D .

NO TE: PE
RR C NO .

F A I L U R E T O S U B M I T T H E E V A L U A T E D A P P L I C A T I O N F

REQUIREME NTS Original and photocopy of Birth Certificate issued by the National Statistics Office (NSO) in security paper Original and photocopy of Marriage Certificate issued by NSO in security paper (for married female applicants) For NON-AVAILABILITY OF RECORDS - Negative Certification issued by NSO and Certificate of Live Birth/Marriage from the Local Civil Registrar (LCR) duly authenticated by authorized NSO Statistician For NON-READABLE entries in NSO Birth/Marriage Certificate - A clear copy of LCR Form 102 or Form 1A duly signed/certified by the Local Civil Registrar FOR EDUCATION GRADUATES: Original and photocopy of the Official Transcript of Records with SCANNED PICTURE, remarks FOR BOARD EXAMINATION PURPOSES ONLY, bearing the exact date of graduation and Special Order Number FOR NON-EDUCATION GRADUATES: Original and photocopy of the Official Transcript of Records for degree earned bearing the exact date of graduation and Special Order Number and Official Transcript of Records for 18 units in Professional Education courses with SCANNED PICTURE, remarks FOR BOARD EXAMINATION PURPOSES ONLY Original and photocopy of College Diploma if exact date of graduation is not indicated on the Official Transcript of Records CHED recognition or permit to operate for graduates of new schools/programs Three (3) recent identical copies of passport size pictures in plain white background with complete name tag One (1) piece window envelope with metered postage stamp for ordinary mail (for Report of Rating) Examination fee of PhP900.00 Current Community Tax Certificate (Cedula) INSTRUCTION IN APPLYING FOR EXAMINATION 1. Secure Teachers Application Form (TAF) from the PRC Public Assistance Unit (PAU) at the ground floor. 2. Present duly accomplished TAF and required documents to processor at OPTApplication Windows for evaluation and issuance of Permanent Examination and Registration Record Card (PERRC). 3. Proceed to PRC Customer Service Center for documentary stamp and window envelope with metered postage stamps. 4. Pay examination fee at the Cashier. Get Official Receipt. 5. Submit ALL DOCUMENTS to Issuing Officer at OPT-Application Windows or other designated windows for issuance of Application Stub and Program of Examination. 6. Keep Application Stub and Official Receipt and present them to proctors on examination day. 7. Verify from the PRC Website at www.prc.gov.ph or Masterlist posted at the various filing centers two to three days before the examination day, for the Room Assignments. INSTRUCTION IN FILLING-UP THE CODES 1. 2.
3.

Refer to the MASTERLIST OF ADDRESS /RURBAN CODES posted at the premises of the filing center for the CODES of the Town, City or Province of your Residence and Postal Address and Place of Birth (This is different from the ZIP CODE) Refer to the MASTERLIST OF SCHOOL CODES also posted at the filing center for the
School/College/University and Location Refer to the MASTERLIST OF COURSE CODES for the Course Code

4.

For STATUS CODES, use the following:

a. EX CODE - Examination Type Code

Print 1 for Complete/First Timer and 2 for Repeaters

b. NX CODE - Number of Times Taken

Print 0 for None

Print 1 for Once

Print 2 for Twice...and so on

IMPORTAN T 1. Keep this stub with you. Application Number will be used when you fill out the Identification Sheet on the day of examination (present this stub when you verify your test results/apply for registration). 2. Verify from the PRC Website at www.prc.gov.ph or Masterlist posted at the various filing centers two to three days before the examination day, for the Room Assignments. 3. Bring pencits (No. 1 or 2), ballpen ( with black ink only), one piece long brown envelope, one long transparent plastic envelope, this stub and Official Receipt with you in the examination room. 4. Report to your school assignment before 6:30 am on examination day. Late examinees will not be admitted. Failure to come on your scheduled examination will mean forfeiture of examination fee. D-OPT-SAT/CLC //MyDocs/FORMS//Applications\TAF_back