You are on page 1of 2

Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT


REGIONAL OFFICE NO.______

2X2
PICTURE
in white background

ALIEN EMPLOYMENT PERMIT (AEP) APPLICATION FORM


(Please supply all required information. Misrepresentation, false statement or fraud in this application or in any
supporting document is ground for denial/ revocation/cancellation of the permit.)
TYPE OF APPLICATION:

[ ] NEW

[ / ] RENEWAL
/

PERSONAL DATA
Lee
Sun Suk
NAME: _____________________________________________________________________________________
(First name)
(Middle name)
(Last name)
F
KOREAN
SEX:________
CITIZENSHIP:__________________________________
TIN: ____________________________
289-898-618-000
CIVIL STATUS Married
DATE OF BIRTH Dec.21,1973 PLACE OF BIRTH _________________________
Korea
and Counseling MA ( De La Sallle University
HIGHEST EDUCATIONAL ATTAINMENT/COURSE FINISHED: Guidance
________________________________________
ADDRESS IN THE PHILS. _____________________________________________________________________
Lin-San Bldg. By-Pass Road, Aguinaldo Highway, San Vicente 2, Silang, Cavite, Philippines 4118
_________________________________________________________ E-MAIL __________________________
liss1221@hanmail.net
PERMANENT ADDRESS ABROAD ______________________________________________________________
Sanggye5dong 389-129 Nowon-Gu Seoul, Korea
___________________________________________________________________________________________
M10794388
PASSPORT NO._________________________
PASSPORT VALID UNTIL ______________________________
20 April 2026
Korea
PLACE OF ISSUE________________________DATE
OF ISSUE_______________________________________
20 April 2016
VISA __________________________________ VALID UNTIL _________________________________________
EMPLOYMENT HISTORY IN THE PHILIPPINES: (Please attach additional sheet if necessary)

Employers Business Name and Address

N/A

Position

Duration of Employment

Administrator

PRESENT EMPLOYMENT:

Administrator
POSITION __________________________________________________________________________________
NATURE OF ASSIGNMENT: [ ] INVESTOR, [ ] INTRA-CORPORATE TRANSFEREE, [ ] SERVICE SELLER,
[ / ] PROFESSIONAL, [ ] CONTRACTUAL SERVICE SUPPLIER, [ ] SPECIALIST
LIn-San Bldg. By-Pass Road, Aguinaldo Highway 2, San Vicente, Silang, Cavite,Philippines 4118
PLACE/S OF ASSIGNMENT ____________________________________________________________________
NAME AND ADDRESS OF EMPLOYER ___________________________________________________________
___________________________________________________________________________________

E-MAIL ADDRESS____________________________TEL..____________________________________________
liss1221@hanmail.net
(046) 4132471
NATURE OF BUSINESS _______________________________________________________________________
school
TOTAL EMPLOYMENT (Exclude Foreign Nationals) _______
NUMBER OF FOREIGN NATIONALS __________
12
1

Have your application for AEP been previously denied? [ ] yes [ / ] no When? __________________
Have your AEP been previously cancelled/revoked? [ ] yes [ / ] no
When? __________________
Please state reason for denial/cancellation/revocation:________________________________________
N/A
___________________________________________________________________________________
N/A
What actions have you taken? __________________________________________________________

Sun Suk Lee


___________________________________
SIGNATURE OF APPLICANT

May 4, 2016
______________________________
DATE FILED

INDORSEMENT BY THE EMPLOYER:

Dr. Amelia D. Reyes


__________________________________________
NAME AND SIGNATURE OF COMPANY OFFICER

PRESIDENT, BOARD OF DIRECTORS


_________________________________

POSITION IN THE COMPANY

SUBSCRIBED AND SWORN to before me this ______day of _______________________20_____. Affiant


M10794388
exhibited his/her Passport No. _______________________issued
at_____________________________________
Republic of Korea
20 April
on____________________
20________.
16

NOTARY PUBLIC

AEP APPLICATIONS EVALUATION SHEET


[To be accomplished by the DOLE Regional/Field Office]

Name of Alien :
Position/s
:
Nationality
:
Company
:
Address
:
AEP Number :

____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
___________________ Validity : ________________ Industry Code: _____________

I. CHECKLIST OF REQUIREMENTS
(Original and other documents, when applicable, should be presented for validation. AEP Card must be
surrendered to the issuing DOLE-Regional Office upon expiration of AEP or termination of employment.)

DOCUMENTS SUBMITTED
[ ] NEW

[ ] RENEWAL

[ ] Application Form duly accomplished


[ ] Contract of Employment/ Appointment or
Board Secretarys Certificate of election
[ ] Photocopy of Employers Mayors Permit
to operate business
[ ] Photocopy of passport with visa or
Certificate of Recognition for refugees
[ ] if filed by a representative, authorization
from the company or foreign national

[ ] Application Form duly accomplished


[ ] Renewal of Employment Contract/Appointment
or Board Secretarys Certificate of election
[ ] Photocopy of Employers Mayors Permit
to operate business
[ ] Photocopy of passport with visa or
Certificate of Recognition for refugees
[ ] If filed by a representative, authorization
from the company or foreign national
[ ] Photocopy of AEP previously issued

II.

EVALUATION AND ACTION TAKEN


1.

ASSESSMENT AND EVALUATION OF APPLICATION

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
RECOMMENDATION:

_______________________________________________________________________________
________________________

_____________________

EVALUATOR

DATE RECEIVED

2. RECOMMENDATION

[ ] FOR APPROVED

________________________
3. ACTION TAKEN

DATE RECEIVED
[ ] APPROVED

__________________________
REGIONAL DIRECTOR

III.

PAYMENTS

AMOUNT

DATE RELEASED

[ ] OTHERS

_____________________

CHIEF

________________________

________________________
DATE RELEASED

[ ] OTHERS ______________________________

________________________
DATE RECEIVED

OFFICIAL RECEIPT No.

__________________________
DATE RELEASED

DATE

Fees
_____________
_______________________
_________________
Fines
_____________
_______________________
_________________
Date of Publication: ____________________ Newspaper ______________________________