Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT

Intramuros, Manila

LIST OF AFFECTED WORKERS DUE TO COVID-19

Certificate Number: AJA15-
0048

Instructions: If necessary, use additional sheets following the same format.

Profile of Affected Workers

Name of Worker* Employment Status

No. Age* Sex* Home Address* Contact Number* Designation Salary1
(Last Name, First Name, M.I.) (regular, contractual, etc.)

1 ROSARIO, RAYMUND JOHN P. 26 MALE 111 MOLAVE ST. UPPER BANLAT, TANDANG SORA, QUEZON CITY 09553801603 ADMIN REGULAR 13,000.00
2 LOZADA, PEARLY LORRAINE L. 23 FEMALE 260 ILANG-ILANG ST. BAESA, CALOOCAN CITY 09998387586 INTERIOR DESIGNER REGULAR 15,000.00
3 DELA CRUZ, MIKE DAVID M. 24 MALE B11 L19A PH3, PASCUALLER VILLE, SAN BARTOLOME, QUEZON CITY 09562686760 DESIGN ASSISTANT REGULAR 14,000.00
4 BASCUÑA, RODEL D. 43 MALE 50 DE JESUS COMPOUND, SAN AGUSTIN NOVALICHES, QUEZON CITY 09213681723 PRODUCTION FOREMAN REGULAR 18,000.00
5 CARTABON, ROLAN C. 35 MALE EXODUS B1 CESAR ST. FLOODWAY, TAYTAY, RIZAL 09284021550 PRODUCTION WORKER REGULAR 16,000.00
6 BARQUILLA, SAMUEL B. 43 MALE SUNFLOWER ST. S.G.V.H PUTATAN, MUNTINLUPA CITY 09475897946 PAINTER REGULAR 18,000.00
7 BASCUÑA, JONJON D. 38 MALE 20 SIGLAKAS ST. PUTATAN, MUNTINLUPA CITY 09562686760 WELDER REGULAR 16,500.00
8 GARRIDO, AMELITO F. 49 MALE PRK 1, MALIGAYA ST. TEPAUREL COMPOUND, PUTATAN, MUNTINLUPA CITY 09107848227 HELPER REGULAR 14,010.00
9 LAGRIMAS, DEOGRACIAS JR. T. 55 MALE 67 SAN ROQUE ST. HOLY SPIRIT, QUEZON CITY 09066106348 COMPANY DRIVER REGULAR 16,000.00
10 LLANETA, JIMSON R. 26 MALE 6970 BAGONG SILANG, VALLEY GOLF, SAN JUAN, CAINTA, RIZAL 09351014045 UPHOLSTERER REGULAR 16,000.00
11 INABIOHAN, HERALD L. 21 MALE 50 DE JESUS COMPOUND, SAN AGUSTIN NOVALICHES, QUEZON CITY 09365124218 CARPENTER REGULAR 16,000.00
12 NAM-MAH, SANDY C. 25 MALE 50 DE JESUS COMPOUND, SAN AGUSTIN NOVALICHES, QUEZON CITY 09358972107 CARPENTER REGULAR 18,000.00
13 STA. ANA, RAUL B. 45 MALE 50 DE JESUS COMPOUND, SAN AGUSTIN NOVALICHES, QUEZON CITY 09231137820 PAINTER REGULAR 16,000.00
14 SANTA ANA, RONALD B. 40 MALE 50 DE JESUS COMPOUND, SAN AGUSTIN NOVALICHES, QUEZON CITY 09078486121 PAINTER REGULAR 16,000.00
15 UY, JESUS D. 67 MALE 260 SITIO 6, CATMON, MALABON CITY 09351014045 UPHOLSTERER REGULAR 20,000.00
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -

Prepared by:
RAYMUND JOHN ROSARIO

RAYMUND JOHN ROSARIO

Signature over Printed Name
Date
1
Indicate whether per hour, per day or per month
* Mandatory fields to be accomplished by the company representative for COVID-19 AMP applications.