REQUIREMENTS FOR NEW EMPLOYEES:

1. FILE REQUIREMENTS
2. MEDICAL EXAM
3. MAYOR’S PERMIT

ACEMCP-04-
HRD-008-00
Document
PRE- EMPLOYMENT MEDICAL EXAMINATION no.

PRE EMPLOYMENT REQUIREMENT FORM

Chest X-ray (PA view)
RA 1080 POSITION
Complete Blood Count

Urinalysis REQUIREMENTS REMARKS

Fecalysis Application Letter

Blood Typing Resume

Physical Examination TOR

Diploma
HbSAg ( Qualitative )
Employment Certificate from
Anti-Hbs ( Qualitative ) previous employer

Neuro-Psychiatric Examination Clearance Certificate from

previous employer
Oral Dental Examination
Training Certificates
ECG ( for 35 yrs old and above )
Birth Certificate
Vaccination Marriage Certificate
Hepatitis B vaccine ( if non-reactive) NBI/Police Clearance

Flu vaccine Brgy. Clearance

MMR vaccine Photocopy of SSS w/ No.

Photocopy of PAG-IBIG w/ No.

Checked by: ____________________________________ Photocopy of PhilHealth w/

No.
HRD staff / Date
Photocopy of Tin ID/Form

REQUIREMENTS FOR OCCUPATIONAL PERMIT:

Checked by: ____________________________________
1. Cedula HRD staff / Date
2. Barangay Clearance (*where the applicant
lives)
3. Police Clearance or NBI Clearance 5. 2pcs 1x1 picture
4. Health Certificate 6. Official Receipt for Occupational Permit
ADDITIONAL REQUIREMENT FOR FEMALE
APPLICANTS:
1. Serum Pregnancy Test
ADDITIONAL FOR NURSES:
1. ACLS/BLS ID and Certificate
2. IVT ID and Certificate
ADDITIONAL FOR LICENSED POSITION:
1. Board Certificate
2. Board Rating with breakdown
3. PRC License – not expired
NOTE: Please submit 1pc. 2x2 ID picture upon
submission of requirements.