POLO-SKILLED-Application Form 01

(Please TYPE/ENCODE, do not write)

APPLICATION FOR EXEMPTION

ON THE BAN ON DIRECT-HIRE
COMPANY NAME :

Name and Position of the Official :

Representative
Authorized Representative
*not listed in the tokibo tohon but authorized by the Company
:
President/CEO to sign the contract (employment documents)
Company Office Address :

Contact Number & Email Address :

Website :
Contact Person
*in-charge of the documents/application
:
*company can only designate 1 contact person preferably HR
personnel, attach calling card/meishi
Position in the Company :
Contact Number & Email Address :
NAME OF THE WORKER :

Position :

This portion is to be filled-up by POLO

DATE DATE RESULT/REMARKS
RfC: Returned for Compliance; EfC: Emailed for Compliance
RECEIVED EVALUATED FI: For Interview; Others

Evaluated by:

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FILIPINO WORKERS HIRED BY THE COMPANY (use additional sheet if necessary)
VISA STATUS INCLUSIVE REASON OF
(permanent EXIT
NAME POSITION DATE OF
resident/eng’g (end of contract,
humanities etc.) EMPLOYMENT terminated, resigned etc.)
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