Philippine Overseas Labour Office

Employer Profile (For Non-Caregiver Applications)

Personal Information
Full
Name:
Last First M.I.

Address:
Street Address Apartment/Unit #

City Province Postal Code

Phone: Email:

Cell Phone: (Please check the box if texts are accepted) Yes
After hours or
Weekend Number: [Used for urgent and priority applications]

Company Information

Company Name: Title/Designation of Signatory:

Main Address:

Jobsite Address
of Temporary
Worker:
[if different from main address]
Work Phone: Work Email:

General Inquiry
How many Filipino workers are currently working
under the TFWP? (Approx. number is accepted):

Philippine Recruitment Agency (if known):

Canadian Agency/Agent (optional, if applicable):

Alternate Contact Person

Full Name:
Last First M.I.

Phone: Email Address:

Relation to
Employer:

Acknowledgement
Printed Name:

Signature (in blue

ink): Date:

v.2.0