Aep Cancellation NCR 2024

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PM-NCR-03.01-F.19-B-R.

01

Republic of the Philippines


DEPARTMENT OF LABOR AND EMPLOYMENT
NATIONAL CAPITAL REGION

CANCELLATION FORM
ALIEN EMPLOYMENT PERMIT (AEP)

Information of Foreign National:


Name (Last, First, MI)

Nationality: Date of Birth: Passport Number:


picture
Address in the Philippines: Email: Contact Number in the
Philippines:

AEP information: (for cancellation)


AEP Number: Date Issued: Validity Period
from: To:

COMPANY NAME (previous Company Address: Email address: Contact


employer) Number:

POSITION:

Name of Representative/Agent:

CURRENT EMPLOYER: (If applicable)


Name of Company: Address:

Contact Number: Email address:

Name of Representative/Agent:

This is to certify that all information stated above Certified true and correct:
are true and correct:

Signature over Printed Name of Employee Signature over Printed Name of Employer
(Foreign National)

Date: Date:

Please see checklist at the back.


PM-NCR-03-01-F-19-A-R.01
Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
NATIONAL CAPITAL REGION
G/F DOLE-NCR Bldg., 967 Maligaya Street, Malate, Manila
Telephone Nos. 400-6011 or 303-0364

CHECKLIST FOR AEP CANCELLATION

Instructions: Checkboxes below are to be filled out by the foreign national/previous employer

If requested by the Foreign National(FN):

1. Duly accomplished Cancellation Form;


2. Letter request addressed to the Regional Director. In case of unsurrendered AEP, state reason/s;
3. Original AEP card;
If lost, submit the following:
1. Notarized Affidavit of Loss;
2. Police Report; and
3. Photocopy of Passport Bio page.

4. Certificate of Employment or Clearance with signed received stamp;


5. Corporate ID of the signatory of clearance; and
6. Attach a copy of ID for Accredited Personnel/Employer's Authorized Representative.

If requested by the previous employer:

1. Duly accomplished Cancellation Form;


2. Letter request addressed to the Regional Director. In case of unsurrendered AEP, state reason/s;
3. Original AEP card;
If lost, submit the following:
1. Notarized Affidavit of Loss;
2. Police Report; and
3. Photocopy of Passport Bio page.

3. Corporate ID of the signatory of clearance; and


4. Attach a copy of ID for Accredited Personnel/Employer's Authorized Representative.

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