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Misamis Oriental Medical Society Inc.
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PROCEDURE FOR ACCREDITATION AS LOCAL CPD PROVIDER
Step 1.
Secure Application Form at the Standards and Inspection Division counter (Window 3) or download at PRC website (www.prc.gov.ph).
Step 2.
Fill-out Application Form and comply the required documents. Application should be filed in three (3) copies: One(1) original signed and two (2) photo copies with the complete requirements with folder and fastener. (Please provide one (1) set for receiving copy)
Step 3.
Proceed to Standards and Inspection Division processing window for evaluation and assessment.
Step 4.
Pay prescribed fee (in cash, Postal Money Order, Manager's check, Bank Draft payable to Professional Regulation Commission) of Five Thousand Pesos (P 5,000.00).
Step 5.
Submit Application Form with attached supporting documents and three (3) photocopies of official receipt to the Standards and Inspection Division designated window.
CHECKLIST OF REQUIREMENTS
SUPPORTING DOCUMENTS
Individual / Sole Proprietor
[ ]
Resume must include: relevant Educational background, current employment,profession, valid Professional Identification Card, principal area of professioanal work & No. of years in the practice of the regulated profession
[ ]
company Profile must include Mission, Vision, Core Values and if any, a list of previous training activities conducted
[ ]
List and photographs of training equipment and facilities
[ ]
Instructional Design (one)
[ ]
Annual plan of proposed CPD Activities
[ ]
DTI Certificate of Registration (authenticated copy)
[ ]
NBI Clearance (original)
[ ]
BIR Certificate of Registration (authenticated copy)
[ ]
Notarized Affidavit of Undertaking(___________)
Firm / Partnership / Corporation
[ ]
Company Profile must Include Mission, Vision, Core Values and if any, a list of previous training activities conducted
[ ]
List of Officers with valid Professional ID Card (if applicable)
[ ]
List and photographs of training equipment and facilities
[ ]
Instructional Design (one)
[ ]
Annual plan of proposed CPD Activities
[ ]
Appointment paper from the managing partner or Board Resolution of a Corporation authorizing a partner or officer to manage the CPD activities
[ ]
SEC Certificate of Registration and Articles of Incorporation or Partnership and their respective By-laws (authenticated copy)
[ ]
BIR Certificate of Registration (authenticated copy)
[ ]
Notarized Affidavit of Undertaking(___________)
Government Institution / Agency
[ ]
Agency Profile must include Name of Head of Agency and the Head of Department in charge of continuing education/training
[ ]
Copy of charter or Republic Act establishing the agency
[ ]
List and photographs of training equipment and facilities
[ ]
Instructional Design (one)
[ ]
Annual plan of proposed CPD Activities
[ ]
Office Order from the head of Agency appointing its officer to namange the CPD activities
[ ]
Notarized Affidavit of Undertaking(___________)
Renewal
[ ]
List of CPD activities for the last 3 year
[ ]
List and photographs of training equipments and facilities
[ ]
Annual plan of proposed CPD Activities
[ ]
General Information Sheet for Corporation or Partnership
[ ]
Amended Articles of Incorporation or Partnership and their respective by-laws, if there are changes
[ ]
Appointment paper from the managing partner or Board Resolution of a Corporation authorizing a partner or officer to manage the CPD activities or Office Order from the head of government agency appointing its officer to manage the CPD activities, if there are changes.
[ ]
Notarize Affidavit of Undertaking (____________)
Additional Requirements:
[ ]
Short brown envelope for the Certificate of Accreditation
[ ]
One set of metered documentary stamps worth Twenty-Five Pesos (P25.00) to be affixed to the Certificate of Accreditation. (Available at PRC Customer Service and PRC Regional Offices)
Note:
1.
Representative/s filing application/s for accreditation and claiming the Certificate of Accreditation in behalf of the applicant must present a letter of authorization and valid identification cards of both the authorized signatory and the representative.
2.
The period for processing the application is 30 days.
3.
If additional requirement/s is/are needed, a period of 7 days is given to submit the same. Failure to comply within the period shall be construed as abandonment of application and the prescribed fee shall be forfeited in favor of the government.
Close
PROCEDURE FOR ACCREDITATION AS FOREIGN CPD PROVIDER
Step 1.
Secure Application Form at the Standards and Inspection Division counter (Window 3) or download at PRC website (www.prc.gov.ph).
Step 2.
Fill-out Application Form and comply the required documents. Application should be filed in three (3) copies: One(1) original signed and two (2) photo copies with the complete requirements with folder and fastener. (Please provide one (1) set for receiving copy)
Step 3.
Proceed to Standards and Inspection Division processing window for evaluation and assessment.
Step 4.
Pay prescribed fee (in cash, Postal Money Order, Manager's check, Bank Draft payable to Professional Regulation Commission) of Eight Thousand Pesos (P 8,000.00).
Step 5.
Submit Application Form with attached supporting documents and three (3) photocopies of official receipt to the Standards and Inspection Division designated window.
CHECKLIST OF REQUIREMENTS
SUPPORTING DOCUMENTS
Initial
[ ]
Company Profile (must include Mission, Vision, Core Values and if any, a list of previous training activities conducted)
[ ]
List of Officers with current Professional ID Card (if applicable)
[ ]
List and photographs of training equipment and facilities
[ ]
Instructional Design (one)
[ ]
Annual plan of proposed CPD Activities
[ ]
Appointment paper from the managing partner or Board Resolution of a Corporation or its equivalent authorizing a partner or officer to manage the CPD activities
[ ]
Proof of Registration of its creation in the country/state of the applicant which must be duly authenticated by the Philippine Embassy/Consulate/Legation in the said country/state and accompanied by an official English translation thereof
[ ]
Notarized Affidavit of Undertaking (_________) before Philippine Embassy / Consulate / Legation in the country/state of the applicant
Renewal
[ ]
List of CPD activities for the last 3 years
[ ]
List and photographs of training equipment and facilities
[ ]
Annual plan of proposed CPD Activities
[ ]
General Information Sheet for Corporation or Partnership or its equivalent
[ ]
Amended Articles of Incorporation or Partnership and their respective by-laws or its equivalent, if there are changes
[ ]
Appointment paper from the managing partner or Board Resolution of Corporation or its equivalent authorizing a partner or an officer to manage the CPD activities, if there are changes
[ ]
Notarized Affidavit of Undertaking(___________) before Philippine Embassy /Consulate / Legation in the country/state of the applicant
Additional Requirements:
[ ]
Short brown envelope for the Certificate of Accreditation
[ ]
One set of metered documentary stamps worth Twenty-Five Pesos (P25.00) to be affixed to the Certificate of Accreditation. (Available at PRC Customer Service and PRC Regional Offices)
Note:
1.
Representative/s filing application/s for accreditation and claiming the Certificate of Accreditation in behalf of the applicant must present a letter of authorization and valid identification cards of both the authorized signatory and the representative.
2.
The period for processing the application is 30 days.
3.
If additional requirement/s is/are needed, a period of 7 days is given to submit the same. Failure to comply within the period shall be construed as abandonment of application and the prescribed fee shall be forfeited in favor of the government.
Close
Professional Regulation Commission
APPLICATION FORM
Accreditation as Local CPD Provider
Part I. Personal / Corporate Information
Name of Provider:
Classification :
Address:
Telephone no. :
E-mail Address :
Contact Person :
Fax no. :
Website. :
Contact no. :
Part II. Acknowledgement
I HEREBY CERTIFY that the above information written by me are true and correct to the best of my knowledge and belief. I further authorize PRC and other agencies to investigate the authenticity of all the documents presented.
Signature Over Printed Name
Position
Date
SUBSCRIBED AND SWORN to before me this day of 20 at , affiant exhibited to me his/her valid government issued ID issued at on .
(Notary Public)
Part III. Action Taken
Standard & Inspection Division - CPD :
Cash Division :
Reviewed by :
OIC, Standards and Inspection Division
ACTION TAKEN BY THE CPD COUNCIL
Chairperson
Member
Member
Close
Save
Procedure
Professional Regulation Commission
APPLICATION FORM
Accreditation as Foreign CPD Provider
Part I. Personal / Corporate Information
Name of Provider:
Address:
Telephone no. :
E-mail Address :
Contact Person :
Fax no. :
Website. :
Contact no. :
Part II. Acknowledgement
I HEREBY CERTIFY that the above information written by me are true and correct to the best of my knowledge and belief. I further authorize PRC and other agencies to investigate the authenticity of all the documents presented.
Signature Over Printed Name
Position
Date
SUBSCRIBED AND SWORN to before me this day of 20 at , affiant exhibited to me his/her valid government issued ID issued at on .
(Notary Public)
Part III. Action Taken
Standard & Inspection Division - CPD :
Cash Division :
Reviewed by :
OIC, Standards and Inspection Division
ACTION TAKEN BY THE CPD COUNCIL
Chairperson
Member
Member
Close
Save
Procedure
Professional Regulation Commission
APPLICATION FORM
Crediting of Self-Directed and/or Lifelong Learning
Part I. Personal Information
Name:
Profession :
Date Issued :
License No. :
Valid Until :
Address:
Telephone No. :
Cellphone No. :
Company Name (if employed) :
Company Address :
Fax No. :
E-mail Address :
Position :
Telephone No. :
Self-Directed and/or Lifelong Learning
Part II. Acknowledgement
I HEREBY CERTIFY that the above information written by me are true and correct to the best of my knowledge and belief. I further authorize PRC and other agencies to investigate the authenticity of all the documents presented.
Signature Over Printed Name
Position
Date
SUBSCRIBED AND SWORN to before me this day of 20 at , affiant exhibited to me his/her valid government issued ID issued at on .
(Notary Public)
Part III. Action Taken
Standard & Inspection Division - CPD :
Cash Division :
Reviewed by :
OIC, Standards and Inspection Division
ACTION TAKEN BY THE CPD COUNCIL
Chairperson
Member
Member
Close
Save
Procedure
Angelo"Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum."