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QCG.BPLD.BPD.F.

04 (2023)

Occupational Permit No.: OP23-0118207

Name of the Applicant: JOVELYN MIRANDA CABERES

Address: # 104 4TH ST. FORTUNE VILLAGE 5, BRGY.

PASO DE BLAS VALENZUELA CITY, NCR, .

Date of Birth: 08/29/1998

Age: 25

Gender: FEMALE/SINGLE

Nationality: FILIPINO

Work Title: CALL CENTER AGENT


Signature of Applicant

ATTACHMENTS

Official Receipt Police / NBI Clearance Health Certificate


Date Issued: Official Receipt No.: Police / NBI Clearance No.: Health Certificate No.:
10/27/2023 5228690 36852075
Valid Until: Date of Payment: Date Issued: Date Issued:
10/27/2024 10/27/2023 10/02/2023

Remarks: To comply with Health Certificate requirement of the QCHD as mandated under Chapter II, Section 4 of City Ordinance SP-2503, S-2016.

For and by the Authority of the City Mayor:


MA. JOSEFINA G. BELMONTE
APPLICABLE LAWS:
1. Article 22 of the Quezon City Revenue Code.
2. Joint Memorandum Circular No.: 01 Series of 2021.
WARNING:
Faking, Forging or Tampering this document is punishable
by law and shall be dealt with accordingly!
MA. MARGARITA T. SANTOS, DPA
City Government Department Head III

ANY ERASURE/ALTERATION WILL INVALIDATE THIS PERMIT

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