Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT

Regional Office No. VII

BOHOL FIELD OFFICE

2ndFlr. Tres Reyes Arcade, CPG North Avenue, Cogon, Tagbilaran City, Bohol

TUPAD 2021 ACKNOWLEDGEMENT RECEIPT (TUPAD

BROCHURE)
Date: _______
LGU: ___________
Number of Beneficiaries: _______

Last Name First Name Middle Name Barangay Signature

Toledo Samuel Can-Agong

Tanginan Joremar Onod Can-Agong

Balili Amador Valencia Poblacion 1

2nd Flr. Tres Reyes Arcade, CPG North Avenue, Tagbilaran City
Tel. Nos. (038)411-0806, (038) 501-0277
Fax (038)501-0277
Cellphone Nos. 0906-0698-513; 0951-1320-255
doleboholfo@gmail.com