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Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT


Regional Office No. ______

LICENSE FOR PRIVATE EMPLOYMENT AGENCY


Pursuant to the Labor Code, as amended, and its Implementing Rules and Regulations, this license to recruit,
process, and deploy workers is hereby granted to:

NAME OF AGENCY

with

PEA LICENSE NO. ______ and OFFICE ADDRESS

This license shall only be valid in the Philippines for the period of _______ to _______ unless sooner
revoked, cancelled, or suspended for violation of the Labor Code, as amended, and related issuances. Transfer or
use by any other person or entity renders this license null and void.

IN WITNESS THEREOF, I have hereunto set my hand and caused the Official Seal of REGIONAL OFFICE,
Department of Labor and Employment, to be affixed at the ___________, Philippines, this DATE.

REGIONAL DIRECTOR
(Renewal of this license is fifteen (15) days before expiration date, per Department Order Nos. 216 and 217, Series of 2020)

New
TIN: Renewal

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