Republic of the Philippines Republic of the Philippines

Department of Labor and Employment Department of Labor and Employment

Region IX Region IX
Municipality of GUIPOS Municipality of GUIPOS
BARANGAY LOCAL GOVERNMENT UNIT OF BAGONG OROQUIETA BARANGAY LOCAL GOVERNMENT UNIT OF BAGONG OROQUIETA

DOLE Tulong Panghanapbuhay sa Ating DOLE Tulong Panghanapbuhay sa Ating

Disadvantaged/Displaced Workers (TUPAD) Disadvantaged/Displaced Workers (TUPAD)

CLAIM STUB CLAIM STUB

Checked by: _________________________________ No: _____________________________ Checked by: _________________________________ No: _____________________________
Signature Over Printed Name Signature Over Printed Name

Republic of the Philippines Republic of the Philippines

Department of Labor and Employment Department of Labor and Employment
Region IX Region IX
Municipality of GUIPOS Municipality of GUIPOS
BARANGAY LOCAL GOVERNMENT UNIT OF BAGONG OROQUIETA BARANGAY LOCAL GOVERNMENT UNIT OF BAGONG OROQUIETA

DOLE Tulong Panghanapbuhay sa Ating DOLE Tulong Panghanapbuhay sa Ating

Disadvantaged/Displaced Workers (TUPAD) Disadvantaged/Displaced Workers (TUPAD)

CLAIM STUB CLAIM STUB

Checked by: _________________________________ No: _____________________________ Checked
Checked by:
by: _________________________________
_________________________________ No:
No: _____________________________
_____________________________
Signature Over Printed Name Signature
Signature Over
Over Printed
Printed Name
Name

Republic of the Philippines Republic of the Philippines

Department of Labor and Employment Department of Labor and Employment
Region IX Region IX
Municipality of GUIPOS Municipality of GUIPOS
BARANGAY LOCAL GOVERNMENT UNIT OF BAGONG OROQUIETA BARANGAY LOCAL GOVERNMENT UNIT OF BAGONG OROQUIETA

DOLE Tulong Panghanapbuhay sa Ating DOLE Tulong Panghanapbuhay sa Ating

Disadvantaged/Displaced Workers (TUPAD) Disadvantaged/Displaced Workers (TUPAD)

CLAIM STUB CLAIM STUB

Checked by: _________________________________ No: _____________________________ Checked by: _________________________________ No: _____________________________
Signature Over Printed Name Signature Over Printed Name