Dole Ncr - Aep Application Form.pdf i502x

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PM-NCR-03.01-F.02 Republic of the Philippines DEPARTMENT OF LABOR AND EMPLOYMENT NATIONAL CAPITAL REGION G/F DOLE NCR Bldg., Maligaya St., l\/alate, Manila

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ALIEN EMPLOYMENT PERMIT (AEP) APPLICATION FORM (Please provide all the required informatron and afflx required signature/s Any

Picture in white background

in any ing

misrepresentation/s, false statemenVs or fraud in this application or documenus is a ground for denial/ revocation/cancellation of the permit.)

TYPE OF

APPLICATION: I ] NEW

I I RENEWAL

PERSONAL DATA NAME:

SEX:_

(Last name)

(N,iiddle name)

(First name)

CITIZENSHIP:

CIVIL STATUS DATE OF BIRTH HIGHEST EDUCATIONAL ATTAINIVIENT/COURSE FINISHED ADDRESS IN THE PHILS

TIN PLACE OF BIRTH

E-t\itAtL

PERMANENT ADDRESS ABROAD PORT NO PLACE OF ISSUE VISA

PORT VALID UNTIL DATE OF ISSU F VALID UNTIL

EMPLOYMENT HISTORY IN THE PHILIPPINES: Please attach additional sheet if necessa EMPLOYER'S BUSINESS NAME AND AODRESS POStTtON DURATION OF EMPLOYMENT

PRESENT EMPLOYMENT: POSITION: NATURE OF ASSIGNMENT: PLACE/S OF ASSIGNMENT NAME AND ADDRESS OF

[

[

] INVESToR, [ ] INTRA-CORPORATE TRANSFEREE, [ ] SERVICE SELLER, ]PROFESSIONAL, [ ] CONTRACTUAL SERVICE SUPPLIER, [ ]SPECIALIST

EMPLOYER

NATURE OF BUSINESS TOTAL EMPLOYMENT (Exclude Foreign Nationals)

_

NUI\,BER OF FOREIGN NATIONALS

Have your application for AEP been previously denied? [ ] yes Have your AEP been previously cancelledirevoked? [ ] yes I Please state reason for denial/cancellation/revocation:

[]no

lno

When? When?

What actjons have you taken?

SIGNATURE OF APPLICANT

DATE FILED

INDORSEMENT BY THE EMPLOYER:

NAME AND SIGNATURE OF COMPANY OFFICER

-

POSITION lN THE COI\ilPANY

_