Special Working Permit

TIEZA application form for special working permit

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TOURISM INFRASTRUCTURE AND ENTERPRISE ZONE AUTHORITY
8th Flr., 142 Amorsolo St., Legaspi Village, Makati City 1229
Website: www.tieza.com.ph
E – mail: tez.secretariat@gmail.com
Tel no.: (+632) 4639936 ; (+632) 5519556

Application no.____________

SPECIAL WORKING PERMIT APPLICATION FORM
DIRECTION:
1.
2.
3.
4.
5.
6.
7.
8.

Attach your 2x2 colored photograph
with white background using
permanent glue in the permanent
photograph box.

Fill out the form properly and completely
Mark the box with “X” or “N/A” if not applicable. Do not leave any blank spaces
Write legibly on the application form
Application form with any erasure or alteration will not be accepted
Application form must be notarized upon submission
Requirements must be completely attached with the application form
To be accomplished in Triplicate copies
Note: SWP is valid for six (6) months

The photograph must be taken within
the last three months from the date
of application.
A scanned photograph is not allowed.
A photograph of the applicant
wearing eyewear or headwear is not
acceptable

TYPE OF APPLICATION
_______ NEW

________ EXTENSION

APPLICANT’S TRAVEL INFORMATION
NATIONALITY

PASSPORT NO.

DATE OF ISSUE (dd/mm/yyyy)

DATE OF EXPIRY(dd/mm/yyyy)

PLACE OF ISSUANCE

DATE OF LATEST ARRIVAL(dd/mm/yyyy)

CARRIER NUMBER

PERSONAL INFORMATION
LAST NAME

FIRST NAME

ALIAS

DATE OF BIRTH (DD/MM/YYYY)

COUNTRY OF BIRTH

MAIDEN NAME

AGE

SEX

STATUS

HOME COUNTRY ADDRESS

PHILIPPINE ADDRESS

HEIGHT (cm)

WEIGHT (kg)

CONTACT NO. (HOME COUNTRY)
E-MAIL ADDRESS

CONTACT NO.

(PHILIPPINES)

ORGANIZATIONAL INFORMATION
NAME OF TEZ/RTE

COMPLETE ADDRESS OF TEZ / RTE

DESIGNATION / REGISTRATION NO.

TYPE OF TEZ / RTE

POSITION IN THE COMPANY

VALIDITY OF CONTRACT
(dd/mm/yyyy)

CONTACT PERSON IN THE COMPANY

RELATION TO THE PETITIONER

CONTACT NUMBER

E-MAIL ADDRESS:

*FOR PERMIT EXTENSION
DATE OF PERMIT ISSUANCE (dd/mm/yyyy)

DATE OF PERMIT EXPIRY (dd/mm/yyyy)

NO. OF MONTHS REQUESTED FOR EXTENSION

Information above made available to applicant in language that he/she understands

____________________________________
Applicant’s Signature over Printed Name

____________________________________
Petitioner

______________________
Date

SUBSCRIBED AND SWORN to before me this _______ day of ___________, affiant exhibiting to me his/her government issued identification card.

Doc. No ________
Series No. ______
Book No. _______
Notary Public
Application and Documents Reviewed by:
_________________________
Name of Verifier

________________________
Signature

___________________
Date

Comments / Remarks:
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________

REQUIREMENTS FOR SPECIAL WORKING PERMIT

1.
2.
3.
4.

Duly accomplished and notarized TIEZA SWP Application Form
Curriculum Vitae / Resume
Photocopy of applicant’s passport bio-page and latest admission with valid authorized stay
Employment Contract, Secretary’s Certificate of Election, Appointment, Assignment, Secondment or Deployment of
Applicant, or equivalent document indicating duration of employment, compensation and other benefits, and scope
of duties
5. NBI Clearance or Police Clearance
6. Letter of Request from the petitioning company for issuance of Special Working Permit