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PRC Form
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is/has been employed with the above-named office/company located at
20 aton
Issued on
Doc. No.Page No.Book No.Series of
R. JIGGER FRANCIA BUGTONG
2. This form is good only one office/company.3. Certificate of employment must accompany this Certificate of Experience.
Notary PublicIMPORTANT :1. The Certifying officer should be a registered professional of the same discipline whose date of registraion is prior to the date
Certificate of Registration No.
Affiant exhibited to
of employment and PRC ID must be valid.
Affiant (Certifying Officer) (Signature above printed name)
me this Community Tax Certificate No. issued at
POSITION HELD
CERTIFICATE OF EXPERIENCE TO THE BOARD OF: ELECTRICAL ENGINEERING
for the period and performed duties indicated below:SPECIFIC WORK/FUNCTIONS
ADDRESS/E-MAIL/TELEPHONE NO./FAXNO.
day ofSUBSCRIBED AND SWORN to before me this
NAME OF COMPANY / OFFICE
PRC Form No. 104 (revised March 2003)
This is to CERTIFY that MFROM TO