Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT

Regional Office No. X
Cagayan De Oro City

GOVERNMENT INTERNSHIP PROGRAM (GIP) CHECKLIST

To be accomplished by the Applicant

Name of Intern:_____________________Gender:________________Age:________
Address: ____________________________________________________________
Contact No.:______________________Birthday: ____________________________
Educational Attainment:_____________________Course:_____________________
Employment Period:__________________Office Assignment:__________________
Name of Beneficiary: _________________Relationship: ______________________

I. Checklist of Requirements:
(Original and other documents, when applicable, should be presented for validation.)

Documents Submitted: (2 COPIES EACH)

1. Photocopy of Birth Certificate

2. GIP Form A or GIP Application Form with recent 2x2 picture
3. Certificate of Indigency (1 Original, 1 photocopy)
4. Good Moral Character Certification
5. For College Graduates/Level:
i. Transcript of Records or Certificate of Graduation issued by the School Registrar
(photocopy)
6. For High School Graduates:
i. Form 137/138 (photocopy)
7. For Voc-Tech Graduates:
i. NCII or Certificate of Graduation (photocopy)
8. Internship Agreement

9. Cedula

6/F Trinidad Building, Corrales Ave. -Yacapin St., Cagayan de Oro City
858-1658; 882-0164 dole10.tssd@gmail.com http://ro10.dole.gov.ph