Name of Establishment: | |||||||||||||||||
Floor/Bldg/No/Street/Subdivision: | |||||||||||||||||
Barangay/City/Municipality: | |||||||||||||||||
Kind of Business/Economic Activity/Principal Product: | |||||||||||||||||
Number of Workers: |
|
This is to certify as to the accuracy of the data provided in this report.
Name and Signature of Owner/Company Representative:
|
|
Designation:
|
Fax No: |
Contact No:
|
Email Address:
|
![]() Republic of the PhilippinesDEPARTMENT OF LABOR AND EMPLOYMENTIntramuros, Manila |
||||||||
---|---|---|---|---|---|---|---|---|
LIST OF AFFECTED WORKERS DUE TO COVID-19 |
||||||||
No. | Name of Worker | Birthdate | Sex | Home Address | Contact No. | Designation | Employment Status | Salary |