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AA Reporting Form 1

Republic of the Phillippines


NATIONAL CAPITAL REGION
NAME OF ACCREDITED AGENT
First Semester 2022

Quarterly Summary of AEP/Exclusion/Exemption Processed

Application Filed Applications Approved


Pending
Name of Company
Application/s
*Type of Application *Type of Application
New Renewal Total New Renewal Total
(AEP/Exclusion/Exemption) (AEP/Exclusion/Exemption)

8
*One Application per foreign national

Prepared by: Verified correct:

Name/Position Name/Position

DOLE DO 221-A series of 2022

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