DEPARTMENT OF LABOR AND EMPLOYMENT

RO IV-A EMER FORM 1 V. REGION IV-A

Batangas Provincial Office MONTH: _______________
2016
Jamayca Bldg., Ayala Highway, Lipa City, Batangas
(043) 404-9085; (043) 981-2959; dole4a.bpo@gmail.com

ESTABLISHMENT MONTHLY EMPLOYMENT REPORT

I. Name of Establishment : TIN :

Address
Nature of Business
Name of Head of Company
Total No. of Regular Workers
Total No. of Employment
: E-mail Address :
: Tel. No. : Fax No. :
: Nationality : Official Title :
: Male Female Is the company engage in subcontracting?
: Male Female YES NO

II. A. LIST OF VACANCIES OR JOB OPENING (Use separate sheet if necessary)

No. of Vacancy Civil Status Experience Required
Job Title Age Educational Attainment Basic Salary Reason for Vacancy
M F NP* S M NP* (in years)

*NP - No Preference

B. NUMBER OF NEW EMPLOYEES HIRED (Use separate sheet if necessary)

Civil Status Years of Work Hired
Name of Employee Address Age Educational Attainment Skills Occupation
M F W/S** Experience Thru***

**W/S - Widow/ Separated ***JF - Job Fair, WI - Walk-in, PJN - PhilJob.net

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C. TOTAL NUMBER OF ALIEN WORKERS (Use separate sheet if necessary)
Name of Alien Citizenship AEP Number Position PSOC Date Issued
 Printed Name & Signature of Officer giving the information Official Title Date Submitted

MER SHALL BE SUBMITTED EVERY 30TH OF THE MONTH AS STATED UNDER SEC 9 (Submission of Report), RULE OF THE OMNIBUS RULES IMPLEMENTING THE LABOR CODE