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Application Form Registration of Job, Service Contractor, Sub Contractor

This document is an application for registration as a job/service contractor submitted to the Department of Labor and Employment in the Philippines. It provides details about Servmoreph Corporation such as its business address in Muntinlupa City, areas of operation, and number of regular employees. The application also includes an undertaking signed by the corporate secretary pledging to abide by all applicable labor laws and regulations. It notes the requirement to report all new contracts to the DOLE regional office within 10 days.

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Jane Perez
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200 views1 page

Application Form Registration of Job, Service Contractor, Sub Contractor

This document is an application for registration as a job/service contractor submitted to the Department of Labor and Employment in the Philippines. It provides details about Servmoreph Corporation such as its business address in Muntinlupa City, areas of operation, and number of regular employees. The application also includes an undertaking signed by the corporate secretary pledging to abide by all applicable labor laws and regulations. It notes the requirement to report all new contracts to the DOLE regional office within 10 days.

Uploaded by

Jane Perez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT


National Capital Region

APPLICATION FOR REGISTRATION OF JOB / SERVICE CONTRACTOR / SUB CONTRACTOR

1. Business Name: SERVMOREPH CORPORATION TIN: 010-506-784


2. Business Address: Unit 812, 2301 Civic Place Condominium, Civic Drive, FCC Alabang, Muntinlupa City
3. Telephone No.: Fax: E-mail:
4. Contact Person / Position: FLORENCE D. DEGUITO / CORPORATE SECRETARY
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 Nature of Services Number of Description of the Number of


of Clients Business Provided to Personnel Phase of the Employees
Clients Assigned to Contract Covered in each
each client 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 10 th
day of the month immediately following the date of entry into contract.

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