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Rule 1020 Establishment Registration

This document is a registration form for an establishment containing sections for providing information such as the name and address of the establishment, nature of business, number of employees categorized by age and residency status, name and address of any labor union, technical information about machinery and equipment used, chemicals handled, and current capitalization and total assets. It also contains sections for re-registration related details such as past application number and changes to name or location.

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Joshua Gonzaga
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309 views1 page

Rule 1020 Establishment Registration

This document is a registration form for an establishment containing sections for providing information such as the name and address of the establishment, nature of business, number of employees categorized by age and residency status, name and address of any labor union, technical information about machinery and equipment used, chemicals handled, and current capitalization and total assets. It also contains sections for re-registration related details such as past application number and changes to name or location.

Uploaded by

Joshua Gonzaga
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BWC-IP3-rev_2011

Republic of the Philippines


DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No.

Registry of Establishment
EIN:

1. Name of Establishment
2. Address
Street City/Municipality Province
3. TIN :
4. Telephone No. : Fax No. : Email Address:
5. Name of Manager / Owner
6. Nature of Business & Product Manufactured, Service rendered or Merchandise sold:
( Example Manufacturing -- Textile, Construction -- Building, Agriculture -- Production of Livestock, etc; Forestry -
Logging; Services -- Generation and Distribution of Electricity, Commerce - Lumber and Construction Materials;
Wholesale or Retail)

7. Number of Employees

Non-
Resident Below 15- Above 30
Total Filipinos Resident Below 15 18-30 yrs
Alien 17 yrs yrs.
Alien
Male
Female
Grand Total

8. Name & Address of Labor Union, if any:


BLR Registration No.
9. Technical Information (Please Check / Enumerate)
9a. Machinery, Equipment and Other Devices in use:
Circular saw Machine Drill Press Boiler Pressure Vessel Internal Combustion Engine
Engine Diesel Gasoline Others, Specify
9b. Materials Handling Equipment:
Power Trucks Hand Trucks Conveyors Forklift Cranes Others, Specify
9c. Chemical or Substances Used or Handled:
10.If Branch unit, name of parent establishment:
Location
11.Current Capitalization Total Assets:
12.Photocopy of DTI Certificate of Registration / Business Permit (pls. attach)

FOR RE-REGISTRATION ACCOMPLISH ALSO:


13.Past Application Number Date of Application
14.If Changing Name of Establishment, State Former Name;
15.If Changing Location, Give Past Address:

I hereby certify that the above information is true and correct.

Arnold E. Tamayo

Owner/President

Date Filed : Date Approved: Approved by:


(Regional Director or Assistant Regional
Director or Head of Field Office)

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