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NSRP Form 2 (NSRP) Form 2 (Establishment)

Blu form for National Skills Registration Program for establishment

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: NSRP Reg Form 2
Revised September 2017

Republic of the Philippines
Department of Labor and Employment
NATIONAL SKILLS REGISTRATION PROGRAM
Establishment Registration Form

INSTRUCTIONS: Please fill out the form legibly with ballpen. Print in block letters.
Check appropriate boxes. Please do not leave any items unanswered. Indicate “NA” if not applicable. You may use
extra sheet if needed. Submit accomplished form to the Public Employment Service Office (PESO) Manager or staff.
I.
ESTABLISHMENT DETAILS
Establishment Name:
Acronym/Abbreviation:
Tax Identification Number:
Employer type:
(check only 1)
Total Work Force:

□ Government
□ Recruitment & Placement Agency (Local)
□ DO 174-17, Subcontractor
□ Micro (1-9)

□ Small (10-99)

□ Private
□ Licensed Recruitment Agency (Overseas)

□ Medium (100-199)

□ Large (200 and up)

Line of Business/Industry (check BIR 2303):
Address:
Barangay:
City/Municipality:
Province:
II.
ESTABLISHMENT CONTACT DETAILS
Title: □ Mr.
□ Ms.
□ Miss
□ Others (please specify): _______________________
Contact Person (Full name):
Position:
Telephone No:
Mobile No:
Fax No:
Email Address:

III.

VACANCY DETAILS

Position Title:
Job Description:

Nature of Work:
□ Permanent
□ Contractual
□ Project-based

□ Internship / OJT
□ Part-time
□ Work from home / online job

Place of Work:
Salary:
Vacancy Count:
IV.

QUALIFICATION REQUIREMENTS

Work Experience (month/s):
Sex:

□ Male

□ Female

Religion:
□ No Preference

Civil Status:

□ Single

□ Married

□ No Preference

Other qualifications:

Accepts Disability:

□ Yes

□ No

If “yes”:

□ Visual
□ Physical

□ Hearing
□ Speech
□ Others (please specify)
_____________________________

Educational Level:

Course/major:

License:
Certification:

Eligibility:
Language/dialect Spoken:

Preferred Residence:
Accepts:
V.

□ PESO

□ SPES

□ GIP

□ JobStart Philippines

□ K-12 AMP

□ TraBAJO

POSTING DETAILS

Posting Date (mm/dd/year):
Valid Until (mm/dd/year):

CERTIFICATION/AUTHORIZATION
This is to certify that all data/information that I have provided in this form are true to the best of my knowledge.This is also to
authorized the DOLE to include the establishment profile in the PESO Employment Information System (PEIS). It is understood
that the establishment profile and contact details shall be made available to the jobseekers, PESOs, DOLE Regional Offices and
Filed Offices, Bureau of Local Employment and others who have acess to the PEIS. I am also aware that DOLE is not obliged to
seek applicants on our behalf.
______________________________________________
Signature over printed name of Authorized Representative

________________________
Date

FOR USE OF PESO ONLY. PLEASE DO NOT WRITE BELOW THIS DOTTED LINE.
Assesed by:

Encoded by:

______________________________

___________

______________________________

____________

Signature over Printed Name of Encoder

Date

Signature over Printed Name of Assessor

Date
 
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