Application Form for DOLE registration of Job, Contractors and Sub Contractors (Semi-Annually). Fill up this form and submit it to your RDO DOLE thru Email.

1. 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 and Address
of Clients
Nature of
Business
Services
Provided to
Clients
Number of
Personnel
Assigned to
each client
Description of the
Phase of the
Contract
Number of
Employees
Covered in 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.
Name of Officer / Staff Position Postal Address