PRC Form No.

104 (revised March 2003)

Department of Labor and Employment

NAME OF COMPANY / OFFICE
LUCENA GRAND CENTRAL TERMINAL INC.
ADDRESS/E-MAIL/CELLPHONE NO.

CERTIFICATE OF EXPERIENCE
WARNING: All statements are subject to verification and any false statement or misrepresentation made in this CERTIFICATE is a ground for disqualification and criminal prosecution

TO THE BOARD OF : ENVIRONMENTAL PLANNER LICENSURE EXAMINATION

This is to certify that GEAR G. ARELLANO has been employed with the above-named office located at LUCENA GRAND CENTRAL TERMINAL INC. for the period and
performed duties indicated below:
FROM TO POSITION HELD SPECIFIC WORK / FUNCTIONS
SENA Desk Officer *Appointed as the Secretariat of the Quezon Tripartite Wage & Productivity Board.
11/2/2015 PRESENT L/R Focal Person * Serves as an arbitrator on labor issues in a public fora.
Prov.Mgt.Team * Participate in the planning of the conduct of Certification Elections in Quezon Province.
Secretariat of PTWPB *Participates in the planning of activities & gathering of data for the Quezon Tripartite Wage & Productivity Board.
*Participates in the drafting of annual plans & activities in the different units DOLE Quezon Provincial Office.
*Participate in the strategy formulation for conciliations and arbitrations of labor seads (issues).
*Participate in the planning of the strategic allocation of budgets for union activities in Quezon Province.
*Participate in the planning of strategies to reconcile parties in a Collective Bargaining Agreement (CBA) dispute.
*Participate in the Preparation of the Annual Plan for union activities in Quezon Province.

SUBSCRIBED AND SWORN to before me this _____ day of __________

Affiant (Certifying Officer) ________ at ____________________. Affiant exhibited to be this CTC
(Signature Above Printed Name) No. ______________ issued at _________________ on ______________

Certificate of Registration No. ________________issued on _______________________

IMPORTANT : Notary Public

1 The certifying officer should be a registered professional of the same discipline whose Doc No. ________________
date of registration is prior to the date of employment and PRC ID must be valid Page No. _______________
2 This form is good only for one office/company Book No. _______________
3 Certificate of Employment must accompany this Certificate of Experience Series of ________________
Note: For Examinees in Environmental Planning, the Certifying Officer should be the
immediate Supervisor, whether or not he/she is a Registered Environmental Planner.