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Registry of Establishment (Rule 1020)

This document is an application for registration of an establishment with the Department of Labor and Employment in the Philippines. It collects information such as the business name, address, main economic activity, legal and economic organization, total employment numbers including regular employees, non-regular employees, male employees, female employees, alien workers and minor employees. It also requests information on subcontractors, technical equipment used, materials handled and chemicals used. Spaces are provided to update the name or address if they have changed. The applicant certifies the accuracy of the data and provides contact information.

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Eugene Wenceslao Lota
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618 views1 page

Registry of Establishment (Rule 1020)

This document is an application for registration of an establishment with the Department of Labor and Employment in the Philippines. It collects information such as the business name, address, main economic activity, legal and economic organization, total employment numbers including regular employees, non-regular employees, male employees, female employees, alien workers and minor employees. It also requests information on subcontractors, technical equipment used, materials handled and chemicals used. Spaces are provided to update the name or address if they have changed. The applicant certifies the accuracy of the data and provides contact information.

Uploaded by

Eugene Wenceslao Lota
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DOLEBWCIP3 Seriesof___________

RepublicofthePhilippines
ApplicationNo.______
DEPARTMENTOFLABORANDEMPLOYMENT
NationalCapitalRegion

RegistryofEstablishments

1a.BusinessName:________________________________________________________EIN
1b.RegisteredName:______________________________________________________
1c.TaxIdentificationNumber(TIN):___________________________________________

2.Address:_________________________________________________________________
Floor/Bldg.No./Street/SubdivisionBrgy./City/MunicipalityProvinceZipCodeGEOCODE

3.TelephoneNo. 4.FaxNo. 5.EmailAddress:


6.NameofManager/Owner

7.MainEconomicActivity:____________________________________________________PSIC
MajorProducts/GoodsorServices:___________________________________________Code

8.LegalOrg
anization(CheckAppropriateBox) 9.EconomicOrganization(CheckAppropriateBox)

SingleProprietorship SingleEstablishment
Partnership BranchOnly
GovernmentCorporation Establishmentandmainoffice
PrivateCorporation MainOfficeonly
Others.Specify_________________________ Ancillaryunit(exceptmainoffice)

10.TotalEmployment:_________Regular:____________NonRegular:_________
Male:____________AlienWorkers:______________Minors:Below15yearsold:___________
Female:__________16below18yearsold:________

11.TotalNumberofSubcontractors:____________________ 12.TotalNumberofSubcontractedEmployees:
___________

13.TechnicalInformation(Checkandenumerateaspossible)
Machinery,EquipmentandOtherDevicesinUse

CircularsawMachineDrillPressBoilerPressureVesselInternalCombustionEngine

EngineDieselGasolineOthers,specify_______________________
MaterialsHandlingEquipment

PowerTrucksHandTrucksConveyorsForkliftCranesOthers,specify_______

ChemicalorSubstancesUsedorHandled:___________________________________

ForUpdatingpurposes,accomplishalso:
14.IfnameofEstablishmenthasbeenchanged,stateformername:_____________________________________________
15.IflocationofEstablishmenthasbeenchanged,state formeraddress:__________________________________________

_______________________________________________________________

Floor/Bldg.No./Street/SubdivisionBrgy./City/MunicipalityProvinceZipCodeGEOCODE

CERTIFICATION

Thisistocertifyastotheaccuracyofthedataprovidedinthisform:
Name/SignatureofPersonAccomplishingtheForm:
Position: FaxNo.:
TelephoneNo.: EmailAddress:

DateFiled:____________________ DateApproved:____________ Approvedby:

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