Revised 2021
REPUBLIC OF THE PHILIPPINES 2X2
DEPARTMENT OF LABOR AND EMPLOYMENT PICTURE
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REGIONAL OFFICE NO.______
ALIEN EMPLOYMENT PERMIT APPLICATION FORM
TYPE OF APPLICATION: [ ] NEW [ ] RENEWAL
1
Please supply all required information. Misrepresentation , false statement or fraud in this application or in any supporting document is ground
for denial/ revocation/cancellation of the permit.
I. PERSONAL DATA
Name: _____________________________________________________________________________________
(Last name) (First name) (Middle name)
Nationality: ____________________________________________ Sex: _______ Marital Status: ______________
Date of Birth: _________________ Place of Birth: _______________________ TIN: ________________________
( DD / MM / YYYY )
Passport No.: ___________________ Place of Issuance: __________________ Issuance Date: _____________
( DD / MM / YYYY )
Expiration Date: ______________________ Visa: _______________________ Visa Validity:_________________
( DD / MM / YYYY ) ( DD / MM / YYYY )
Highest Educational Attainment2: Basic [ ] Intermediate [ ] Advanced [ ] Course of Study: __________________
Address in the Philippines: _____________________________________________________________________
Contact Number: ____________________________ E-Mail Address: ___________________________________
Permanent Address Abroad: ____________________________________________________________________
II. PRESENT EMPLOYMENT:
Position: __________________________________________________________________________________
Brief Job Description: ________________________________________________________________________
Basic Qualification: __________________________________________________________________________
(Based on the Job/Vacancy Posting)
Workplace Address: _________________________________________________________________________
Name of Company/Employer: __________________________________________________________________
Address of Company/Employer: ________________________________________________________________
Contact Number: ____________________________ E-Mail Address: __________________________________
Monthly Gross Salary: [ ] ₱ 30,000 - ₱ 59,999 [ ] ₱ 60,000 - ₱ 89,999 [ ] ₱ 90,000 - ₱ 149,999
(Including benefits)
[ ] ₱ 150,000 - ₱ 499,999 [ ] ₱ 500,000 and above
Nature of Business/Industry: (Please refer at the back)
√
A[ ] B[ ] C[ ] D[ ] E[ ] F[ ] G[ ] H[ ] I[ ] J[ ] K[ ]
L[ ] M[ ] N[ ] O[ ] P[ ] Q[ ] R[ ] S[ ] T[ ] U[ ]
III. EMPLOYMENT HISTORY IN THE PHILIPPINES: (Please attach additional sheet if necessary)
Employer’s Name and Address Position Duration of Employment
Have your application for AEP been previously denied? Yes [ ] No [ ] When? ________________________
Have your AEP been previously cancelled/revoked? Yes [ ] No [ ] When? __________________________
Reason for denial/cancellation/revocation: ________________________________________________________
What actions have you taken? ________________________________________________________________
IV. DECLARATION: I declare that the statements made in this application are true and correct to the best of
my knowledge and belief and I will abide by the Philippine laws, rules and regulations.
____________________________________ ______________________
Name and Signature of the Applicant Date
V. ENDORSEMENT BY THE EMPLOYER: I certify that all the information written above are true and correct
and currently I employ3 ________ Filipino national/s and ________ foreign national/s.
_________________________________ _____________________ _______________
Name and Signature of Employer Position Date
1
Misrepresentation of facts in this application includes fraudulent misrepresentation i.e., false statement that has a negative effect in the evaluation of the application
made knowingly, or without belief in its truth, or recklessly whether it is true or false.
2
Basic – Elementary and High School; Intermediate – College; Advance – Masteral and Doctoral
3
Number of Filipino and foreign national employed in the company
NATURE OF BUSINESS / INDUSTRY
A Agriculture, Forestry, and Fishing
B Mining and Quarrying
C Manufacturing
D Electricity, Gas, Steam, and Air Conditioning Supply
E Water Supply, Sewerage, Waste Management and Remediation Activities
F Construction
G Wholesale and Retail Trade; Repair of Motor Vehicles and Motorcycles
H Transportation and Storage
I Accommodation and Food Service Activities
J Information and Communication
K Financial and Insurance Activities
L Real Estate Activities
M Professional, Scientific, and Technical Activities
N Administrative and Support Service Activities
O Public Administration and Defense; Compulsory Social Security
P Education
Q Human Health and Social Work Activities
R Arts, Entertainment, and Recreation
S Other Service Activities
T Activities of Households as Employers; Undifferentiated Goods
Services-Producing Activities of Households for Own Use
U Activities of Extraterritorial Organization and Bodies
