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Contractors/Sub Contractors Application Form

BLU application form for contractors/subcontractors

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Form No. 1

Republic of the Philippines
Department of Labor and Employment
REGIONAL OFFICE NO. _____

APPLICATION FOR REGISTRATION OF JOB CONTRACTORS/SUBCONTRACTORS
1.
2.
3.
4.
5.
6.
8.
9.

Business Name: __________________________________________TIN________________
Business Address: ___________________________________________________________
Telephone No. __________________Fax: ______________Email: ____________________
Contact Person and Position: ___________________________________________________
Areas of Operation: __________________________________________________________
Nature of Business: ____________________ 7. Industries to be covered_______________
Number of Regular Workers: ______
Male _____ Female______
Names, Positions and Addresses of Officers and Staff:
Names of Officers/Staff

Position

Postal Address

10. List of Clients (use additional sheet if necessary)
Name and Address of
Client/Principal

Nature of
Business

Services Provided
to
Clients/Principal

Description of the
Phase of the
Contract

Number of Employees
Covered in each Phase of
the Contract
Male
Female

11. UNDERTAKING:
That I, ____________________, Filipino, of legal age, ________________, __________________
name

civil status

position

Of ____________________________, after having been duly sworn to in accordance with law, do
name of company

hereby depose and say:
1. That our company shall abide by all applicable laws and regulations of the Department of Labor
and Employment;
2. That the remittances to SSS, HDMF, Philhealth, ECC and BIR will be paid religiously by the
company.
In witness whereof, I have hereunto affixed my signature this __ day of ________ 20__ in
____________________________________
_______________________________
(Affiant’s Name /Signature)
SUBSCRIBED AND SWORN to before me this ___day of ________2009. Affiant exhibited to me
his/her Residence Certificate No. ____________, issued at _________ on ___________.
Doc. No.
Page No.
Book No.
Series of

__________
__________
__________
__________

Note: All contracts entered into after this registration shall be reported to the DOLE Regional Office on or before the

10th day of the month immediately following the date of entry into contract.

Instructions in Accomplishing Form No. 1
APPLICATION FOR REGISTRATION OF JOB CONTRACTOR/ SUBCONTRACTOR
This form shall be accomplished by the contractor/sub-contractor in triplicate
and submitted to the DOLE Regional Field Office having jurisdiction on the place of the
contractors/sub-contractors’ main office.
1. Business Name
Enter the business name of the contractor/subcontractor registered with the
SEC, DTI, CDA, or DOLE.
2. Business Address
Enter the business address of the contractor/sub-contractor
3. Telephone No.
Enter the telephone number(s) of the contractor/sub-contractor.
4. Contact Person/Position
Enter the name of the President or General Manager or any other officer of the
company who can provide information on the entries. Indicate the position of
the officer.
5. Areas of Operation
Enter or enumerate the area(s) or places covered by the contractor/
subcontractor.
6. Nature of Business
Indicate the kind of business the contractor/sub-contractor is engaged in i.e.,
janitorial services, messengerial, trucking services, etc.
7. Industries to be covered
Indicate the kind of industries of the clients/prospective clients to be covered.
8. Number of Regular Workers/Male/Female
Enter the number of regular workers of the contractor/sub-contractor broken
down into male and female.
9. Names, Positions, and Address of Officers/Staff
Enumerate the names of the officers and staff of contractors/sub-contractor,
their respective positions in the company and their respective home addresses.
This does not include the names of the workers to work with the principal.
Additional sheet may be used if necessary.
10. List of Actual Clients
Enumerate the name(s) and addresses of the clients with which the
contractor/sub-contractor have existing contracts, its nature of business,
services to be provided to the client, number of personnel assigned to each
client, description of each phase of the contract, the number of employees
covered in each phase of the contract, disaggregated into male and female.
11. Undertaking
Indicate the needed information in the blank spaces provided in the undertaking.
The signature of the President or General Manager and the date of
signing should appear in the designated portion of the form.
 
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