QCG.BPLD.BPD.F.

04

Republic of the Philippines

QUEZON CITY
Metro Manila
BUSINESS PERMITS AND LICENSING DEPARTMENT
OCCUPATIONAL PERMIT

Name of Applicant CHARLENE C DABALOS

Address: LOT 1, BLK. 2 - ST. SITIO PANAKLAYAN SAPIKA
HOA, BRGY. MUZON SAN JOSE DEL MONTE CITY, BULACAN
Date of Birth: 09/29/1997
Age: 25
Gender: FEMALE/SINGLE
Nationality: FILIPINO
Work Title: MARKETING HEAD
Signature of Applicant

ATTACHMENTS
Occupational Permit Health Certificate NBI / Police Clearance Community Tax Certificate
Official Receipt No.: Health Certificate No.: NBI/Police Clearance No. CTC No.
5143616 3NWIV3ZD
Date of Payment: Date Issued: Date Issued:
09/08/2023
To comply with Health Certificate requirement of the QCHD as Place Issued:
mandated under Chapter II, Section 4 of City Ordinance SP-2503, S-2016.

OP No.: M-2023-09-08-BPLO-A176-000489
Date Issued: 09/08/2023
Printed by: PRECIOUS JUWEL VERSOLA CALAYCAY
For and by the Authority of the City Mayor:
MA. JOSEFINA G. BELMONTE

MA. MARGARITA T. SANTOS

City Government Department Head III
Note: The Occupational Permit is Valid for 1 year
from the date of issuance

QCG.BPLD.BPD.F.04

Republic of the Philippines

QUEZON CITY
Metro Manila
BUSINESS PERMITS AND LICENSING DEPARTMENT
OCCUPATIONAL PERMIT

Name of Applicant CHARLENE C DABALOS

Address: LOT 1, BLK. 2 - ST. SITIO PANAKLAYAN SAPIKA
HOA, BRGY. MUZON SAN JOSE DEL MONTE CITY, BULACAN
Date of Birth: 09/29/1997
Age: 25
Gender: FEMALE/SINGLE
Nationality: FILIPINO
Work Title: MARKETING HEAD
Signature of Applicant

ATTACHMENTS
Occupational Permit Health Certificate NBI / Police Clearance Community Tax Certificate
Official Receipt No.: Health Certificate No.: NBI/Police Clearance No. CTC No.
5143616 3NWIV3ZD
Date of Payment: Date Issued: Date Issued:
09/08/2023
To comply with Health Certificate requirement of the QCHD as Place Issued:
mandated under Chapter II, Section 4 of City Ordinance SP-2503, S-2016.

OP No.: M-2023-09-08-BPLO-A176-000489
Date Issued: 09/08/2023
Printed by: PRECIOUS JUWEL VERSOLA CALAYCAY
For and by the Authority of the City Mayor:
MA. JOSEFINA G. BELMONTE

MA. MARGARITA T. SANTOS

City Government Department Head III
Note: The Occupational Permit is Valid for 1 year
from the date of issuance