Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT

REGIONAL OFFICE NO.
ALIEN EMPLOYMENT PERMIT (AEP) APPLICATION FORM
!Ple"se suppl# "ll $e%ui$e& info$'"tion. Mis$ep$esent"tion( f"lse st"te'ent o$ f$"u& in this "pplic"tion o$ in "n#
suppo$tin) &ocu'ent is )$oun& fo$ &eni"l* $e+oc"tion*c"ncell"tion of the pe$'it.,
TYPE OF APPLICATION: [ ] NEW [ ] RENEWAL
PERSONAL DATA
NAME-
!L"st n"'e, !Fi$st n"'e, !Mi&&le n"'e,
.E/- CITI0EN.1IP- TIN-
CI2IL .TAT3. DATE OF BIRT1 PLACE OF BIRT1
1IG1E.T ED3CATIONAL ATTAINMENT*CO3R.E FINI.1ED-
ADDRE.. IN T1E P1IL..
E4MAIL
PERMANENT ADDRE.. ABROAD

PA..PORT NO. PA..PORT 2ALID 3NTIL

PLACE OF I..3EDATE OF I..3E
2I.A 2ALID 3NTIL
EMPLOYMENT HISTORY IN THE PHILIPPINES: !Ple"se "tt"ch "&&ition"l sheet if necess"$#,
E'plo#e$5s Business N"'e "n& A&&$ess Position Du$"tion of E'plo#'ent
PRESENT EMPLOYMENT:
PO.ITION
NAT3RE OF A..IGNMENT- 6 7 IN2E.TOR( 6 7 INTRA4CORPORATE TRAN.FEREE( 6 7 .ER2ICE .ELLER(
6 7 PROFE..IONAL( 6 7 CONTRACT3AL .ER2ICE .3PPLIER( 6 7 .PECIALI.T
PLACE*. OF A..IGNMENT
NAME AND ADDRE.. OF EMPLOYER

E4MAIL ADDRE..TEL..
NAT3RE OF B3.INE..
TOTAL EMPLOYMENT !E8clu&e Fo$ei)n N"tion"ls, N3MBER OF FOREIGN NATIONAL.
1"+e #ou$ "pplic"tion fo$ AEP been p$e+iousl# &enie&9 6 7 #es 6 7 no :hen9
1"+e #ou$ AEP been p$e+iousl# c"ncelle&*$e+o;e&9 6 7 #es 6 7 no :hen9
Ple"se st"te $e"son fo$ &eni"l*c"ncell"tion*$e+oc"tion-

:h"t "ctions h"+e #ou t";en9

.IGNAT3RE OF APPLICANT DATE FILED
INDORSEMENT BY THE EMPLOYER:

NAME AND .IGNAT3RE OF COMPANY OFFICER PO.ITION IN T1E COMPANY
.3B.CRIBED AND .:ORN to befo$e 'e this &"# of <=. Affi"nt
e8hibite& his*he$ P"sspo$t No. issue& "t
on <=.
NOTARY PUBLIC
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PICT3RE
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