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BLE Mission Race LMI Establishment Form 20210607 RevCDE
BLE Mission Race LMI Establishment Form 20210607 RevCDE
Street/Village:
Barangay:
Municipal/City:
Province:
B. ESTABLISHMENT CONTACT DETAILS
Name of Owner/President (Full Name):
Contact Person (Full Name):
Position:
Telephone Number:
Mobile Number:
Fax Number:
E-mail Address:
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DRAFT AS OF 07 JUNE 2021
*Work Arrangement adopted upon resumption of operation of the Establishment (please select all
applicable):
☐ Full Work Arrangement: The establishment operates in a regular basis and with full workforce
☐ Flexible Work Arrangement: The establishment will adopt FWA such as reduction of normal
workdays, forced leave, transfer of employees, etc.
☐ Temporary Closure: The establishment will be temporarily closed
☐ Retrenchment/Reduction of Workforce: The establishment will reduce the number of employees
E. VACANCY DETAILS
Position Title:
Job Description: Nature of Work:
□ Permanent □ Internship / OJT
□ Contractual □ Part-time
□ Project-based □ Work from home / online job
Place of Work:
Salary:
Vacancy Count:
F. QUALIFICATION REQUIREMENTS (For each identified vacant position)
Work Experience (month/s):
Other qualifications:
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DRAFT AS OF 07 JUNE 2021
CERTIFICATION/AUTHORIZATION
This is to certify that all data/information provided in this form are true to the best of my knowledge.This is also to authorized the DOLE
to include our profile in the Mission RACE database. It is understood that relevant information provided shall be made available to the
Mission RACE clients. I am also aware that DOLE is not obliged to seek applicants on our behalf.
______________________________________________ ________________________
Signature over printed name of Authorized Representative Date
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