Application for Certificate of No Pending Case
Name of Applicant
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Position
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Contact Number
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Email Address
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Address of the Applicant
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Province
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-- SELECT PROVINCE--
MARINDUQUE
OCCIDENTAL MINDORO
ORIENTAL MINDORO
PALAWAN
ROMBLON
Municipality
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-- SELECT MUNICIPALITY--
Barangay
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-- SELECT BARANGAY--
Bldg/Street
Name of Company
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Address of Company
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Province
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-- SELECT PROVINCE--
MARINDUQUE
OCCIDENTAL MINDORO
ORIENTAL MINDORO
PALAWAN
ROMBLON
Municipality
*
-- SELECT MUNICIPALITY--
Barangay
*
-- SELECT BARANGAY--
Bldg/Street
Area of Operation
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Provincial
Regional
National
Purpose Details
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Requirements for Upload
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Request Letter
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Official Receipt of Bidding Fee (if for bidding Purposes)
Document showing that the DOLE CLEARANCE is Required
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DOLE Registration under Rule 1020
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DOLE Registration under DO 174-14 (For Contractor / Sub-Contractor)
I hereby authorized the Department of Labor and Employment to collect and process the data indicated herein for the purpose of effective control of COVID-19 Infection. I understand that my personal information is protected by RA 10173, Data Privacy Act of 2012, and that I am required by RA 11469.
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