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Pre-Employment Requirements

Name: _______________________________
April Anne Faller
Date: _______________________________
2/24/2022
Penrod Enterprises / Medical Billing Specialist
Account/Department: _________________

MUST BE SUBMITTED BEFORE THE EMPLOYEE’S START DATE SUBMITTED HR SIGNATURE


One (1) pc 2x2 and One (1) pc 1x1 ID pictures colored with white
1
background 
2 Three (3) photocopies of your Birth Certificate (NSO/PSA) 
Three (3) photocopies of your Dependent's Birth certificate(i.e.,
3 your brother or sister 21 years and below or the Marriage Contract
of your parents if any one of them is 60 years old and above) 
Three (3) photocopies of your Marriage Certificate (if married)
4 N/A
(NSO/PSA)

Three (3) photocopies of legitimate Child/Children's Birth


5
Certificate (NSO/PSA) 
6 Photocopy of SSS Form E-1 or SSS electronic ID 
Photocopy of TIN card, PHILHEALTH, Pag-Ibig ID (BACK TO
7
BACK) 
Photocopy of 2 valid IDs (Passport, SSS/UMID, Postal ID, Driver's
8 License, Voter’s ID etc.) (BACK TO BACK) w/ 3 specimen
signatures 
9 Medical Exam 
10 NBI (original copy)

FORMS THAT MUST BE ACCOMPLISHED on the EMPLOYEE’S START


SUBMITTED HR SIGNATURE
DATE (to be provided by HR)

11 BIR form 1905/1902 


12 PhilHealth Member Registration Form (PMRF) 
13 Member’s Change of Information Form (MCIF) 
14 Union Bank Application Form

HRD
201

21F, CyberOne Bldg., Eastwood Cyberpark, Bagumbayan, Quezon City 1110


hr@sourcefit.com; hrteam@sourcefit.com
0999-887-8131; +632-8470-2484
Pre-Employment Requirements

FORMS THAT MUST BE SUBMITTED WITHIN FIRST 30 DAYS OF


SUBMITTED HR SIGNATURE
EMPLOYMENT
One (1) photocopy of Official Transcript of Records or Certified
15 True Copy of Grades or One (1) Certificate of
Graduation/Diploma

16 Pag-ibig / SSS loan voucher (if with pending loans) N/A
17 Photocopy of Employment Certificate from previous employer/s 
18 Clearance Certificate from previous employer/s

19
Photocopy of BIR Form 2316 / Certification (no previous
employer for current year/ 2316 not yet available/others)

ACKNOWLEDGMENT

I hereby acknowledge that the above pre-employment requirements have been properly explained to me. I
further acknowledge that my non-compliance to and/or non-submission of such requirements can be taken by
Sourcefit management as a ground for terminating my employment with the company.

April Anne Faller


________________________________________________ 2/24/2022
__________________
Employee signature over printed name Date

HRD
201

21F, CyberOne Bldg., Eastwood Cyberpark, Bagumbayan, Quezon City 1110


hr@sourcefit.com; hrteam@sourcefit.com
0999-887-8131; +632-8470-2484

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