DEPARTMENT OF LABOR AND EMPLOYMENT



Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT

National Capital Region

APPLICATION FOR REGISTRATION OF JOB / SERVICE CONTRACTOR / SUB CONTRACTOR

1. Business Name: TIN: ___________________

2. Business Address:

3. Telephone No.: Fax: E-mail:

4. Contact Person / Position:

5. Areas of Operation:

6. Nature of Business:

7. Industries of Operation:

8. Number of Regular Workers: Total: Male: Female:

9. Names, Position and Address of Officers / Staff: (use additional sheet if necessary)

10. Proof of compliance with substantial capital requirement.

|Name of Officer / Staff |Position |Postal Address |

| | | |

| | | |

| | | |

| | | |

| | | |

| | | |

| | | |

| | | |

|Name and Address of Clients |Nature of |Services Provided to |Number of Personnel |Description of the Phase of the |Number of Employees Covered in |

| |Business |Clients |Assigned to each client |Contract |each phase |

| | | |Male |Female | |Male |Female |

| | | | | | | | |

| | | | | | | | |

| | | | | | | | |

| | | | | | | | |

UNDERTAKING:

That I, , Filipino of legal age,

(name) (position)

of after having been duly sworn to in accordance with law,

(company)

do hereby depose and say:

1. That our company shall abide by all applicable laws rules and regulations of the Department of Labor and Employment;

2. That the remittance / payments to SSS, HDMF, PhilHealth, ECC and BIR have been made during the

reporting period.

In witness whereof, I have hereunto affixed my signature this ____________day of __________________ 2017 in the City of __________________________ .

______________________

(Affiant’s Name / Signature)

SUBSCRIBED AND SWORN to before me this ___________________ day of ________________________, 20___

issued at __________________________on _________________________

Doc. No. ___________

Page No.___________ NOTARY PUBLIC

Book No.___________

Series of ___________

Note: All contracts entered into after this registration shall be reported to the DOLE Regional Office on or before the 10th day of the month immediately following the date of entry into contract.

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download