Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT

Regional Office No. XII, Koronadal City

[Date]

[Name of Establishment Head]

[Address]

Dear Mr./Ms.[Establishment Last Name],

Greetings!

This is to acknowledge receipt of your application for [DO174-17 (Contractor/Sub-

Contractor), Alien Employment Permit (AEP), Registration of Workers
Association (RWA), Construction Safety and Health Program (CSHP)].
However, upon evaluation of the documents the following deficiencies were noted:

➢ [Please enumerate];
➢ [Please enumerate].

Based on the above premises, your application is hereby DENIED without prejudice
to re-filing the said application upon completion of the required documents.

For further clarification, you may contact us at telephone number [FO landline] or
email us at [FO email].

Thank you and God bless!

Very truly yours,

[FIELD OFFICE HEAD]

[Chief LEO/Field Office Head]

Received by :_________________
Date : _________________

102 Acepal Building, Mabini Extension, Koronadal City,  Phones/Telefax: (083) 228-2190; 520-0125; 520-0568
Email: dole12.ro@gmail.com  Website: www.ro12.dole.gov.ph