Online Application for Licensure Examination

Use the form below to submit an application for PRC licensure examination. Enter the required information in the appropriate fields. All fields marked with * are required.

For REPEATERS who have submitted their application using the OAS starting March 2012 ONLY, you may download your old profile by clicking this button. For repeaters who took their last exam earlier than March 2012, kindly encode your full profile.

Examination Details
Date filed *
Name of examination *  
Date of examination *  
Place of examination *  
Examination type *  
Number of times taken * (0 if not applicable)   

FOR LET APPLICANTS ONLY
Level
Major (Sec. Teachers)

FOR MARINE DECK/ENGINE APPLICANTS ONLY
Rank

Applicant's Personal Information
Last name *  
First name *     Name suffix
Middle name *  
Mother's maiden name (for married female)
Date of birth *  
Place of birth
 
Gender *  
Civil status *  
Citizenship *  
Legal status * Have you ever been convicted by final judgement by any court of justice/military tribunal or administrative body?  
Permanent mailing address (No./Street/Barangay) *  
City/Municipality *
 
Spouse's full name
Spouse's citizenship
Father's full name
Father's citizenship
Mother's full maiden name
Mother's citizenship *  
Cellphone no.
Telephone no.
Email address  
Community Tax Cert. (Cedula) *  
Place issued *  
Date issued *  

School Information
Name of school graduated *  
School address *
School code *
Degree/course *  
Date of graduation * Select date  

Review Center Information
Name of review center

Previous Examinations Taken
Name of examination
Place of examination
Date taken  
Rating  
Result of examination

IMPORTANT: Please review all information carefully prior to the submission of your application.