Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office 4A (CALABARZON)
NO PENDING CASE ONLINE APPLICATION
(Outside Region IV-A)
ESTABLISHMENT PROFILE
Name of Company/Establishment:
State former Name, if Applicable:
Region
Province
City/Municipality
Barangay
Address (House #, Street):
Nature of Business:
Please specify:
Full Name of Owner/Manager/President:
Name of Applicant:
Position in the Company:
Contact Number:
Email Address:
(This email will receive updates and the certificate.)
Reason for Request:
UPLOAD REQUEST and REQUIREMENTS
The maximum file size for attachments is 5MB.
Rule 1020 registration number:
Copy of Registration Under Rule 1020 registration
(.pdf)
:
Signatory's ID / Company ID
(.jpg, .jpeg, .png)
:
Government Issued ID
(.jpg, .jpeg, .png)
:
With D.O. 174 / PEA License?
Select action
D.O. 174
PEA License
No
Copy of Registration Under D.O.174
(.pdf)
:
Copy of PEA License
(.pdf)
:
I hereby certify that all the information provided by me in this application are true and correct to the best of my knowledge. I understand that all the information I provided will form part of the public record, which may be used for any legal processes of the government. Thus, any misrepresentation of facts may subject my application to denial and myself to possible administrative and/or criminal action. I also do understand that incomplete applications would be subject for denial.
By using this application, you agree that the information submitted shall be used solely fro DOLE IV-A processing of application and report monitoring purposes. We may likewise disclosed establishment's or your personal information to the extent that we are required to do so by the Data Privacy Act of 2012. As a general rule, we may only keep your information until such time that we have attained the purpose by which we collect them. Under the foregoing circumstances and to the extent permissible law, you agree not to take any action against DOLE IV-A for the disclosure and retention of your information.
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