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ELIGIBILITY REQUIREMENT CHECKLIST
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NAME:________________________________________________________________________________
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*Please print in 2 copies (long bond paper) and present this to the HRMS Office at the day of submission and let the HRMS staff received and sign this form.
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PRC License Holders
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Please Check or Put remarks
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a.    Original and Unexpired PRC ID (Plastic Card);With Signature and No Tape at the Back/ Not Defaced/ Not Expired
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b.    Authentication Request Form (Pages 1-2) with ISO logo at the right bottom corner and printed in long, neat bond paper;No Erasures/ Long Bond Paper/ With ISO Logo/Expanded
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c.    Action Request for Authentication (www.prc.gov.ph);Venue Davao/ Check if selected Authentication of PIC Card
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d.    Photocopy of Original and Unexpired PRC ID (Plastic Card) printed in long, neat bond paper; andNeat/ Long Bond Paper/With Signature at the Back of PRC ID/ Scanned and Cropped ID not allowed
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e.    One (1) Documentary StampEither violet or brown
If violet- 1 Stamp
If brown-2 stamps
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CS Prof/FOE/PD 907/CS Eligibility Holders
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(CS exam taken in Davao City/Region)
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Please Check or Put remarks
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a.    Original CS Certificate (not authenticated);
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b.    Personal Data Sheet printed in long, neat bond paper; andName,DOB,Birth Place,Rating, Eligibility Details must be the Same in the Certificate/ With Signatures
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c.    Photocopy of Original CS Certificate (printed in long, neat bond paper)
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CS Prof/FOE/PD 907/CS Eligibility Holders
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(CS Exam taken outside Davao City/Region)
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Please Check or Put remarks
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a.    Original CS Certificate (not authenticated);
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b.    Personal Data Sheet printed in long, neat bond paper;Name,DOB,Birth Place,Rating, Eligibility Details must be the Same in the Certificate/ With Signatures
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c.    Photocopy of Original CS Certificate;
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d.    ERRF and Declaration Form (https://tinyurl.com/CSCERRF2022);Completely Filled out Details
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e.    Original Two (2) Government Valid IDs (Plastic Card); and
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f.     Authentication Fee Php 50
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NAPOLCOM/MARINA License Holders
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Please Check or Put remarks
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a.    Original Napolcom/Marina Certificate (Not the Authenticated);
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b.    Certificate of Competency/OIC (for marina license holders only);and
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c.    Photocopy of Original Napolcom/Marina Certificate (printed in long, neat bond paper)
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CERTIFICATION
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This is to certify that the abovementioned requirements was evaluated by the personnel below and that all requirements
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will be returned only once the agency requested authentication are done.
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Evaluated By:Date:
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HRMS Staff
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