R e p u bl i c o f t he P h i li pp i n e s

DEPARTMEN T O F LABO R AN D EMPLOYMEN T 1X1

N a t io n a l Ca p it a l R e g io n
ID PICTURE

ALIEN EMPLOYMENT PERMIT (AEP) APPLICATION FORM

Please supply all required information. Misrepresentation, false statement or fraud in this application or in any
supporting document is ground for revocation of the permit.

TYPE OF APPLICATION: A NEW B RENEWAL

PERSONAL DATA:

NAME
(Last Name) (First Name) (Middle Name)
SEX CITIZENSHIP TAX ID NO.
CIVIL STATUS DATE OF BIRTH PLACE OF BIRTH
HIGHES EDUCATIONAL ATTAINMENT/COURSE FINISHED
ADDRESS IN THE PHILIPPINES
E-MAIL
PERMANENT ADDRESS ABROAD

PASSPORT NO. PASSPORT VALID UNTIL

PLACE OF ISSUE DATE OF ISSUE
VISA VALID UNTIL

EMPLOYMENT HISTORY IN THE PHILIPPINES: (Please attach additional sheet if necessary)

Employers Business Name and Address Position Period of Employment &

Place of Assignement

PRESENT EMPLOYMENT:
POSITION PLACE/S OF ASSIGNMENT
PERIOD OF EMPLOYMENT/APPOINTMENT
NAME AND ADDRESS OF EMPLOYER

E-MAIL ADDRESS TEL.

NATURE OF BUSINESS

Have your application for AEP been previously denied? No Yes When?
Have your AEP been previously cancelled/ revoked? No Yes When?
Please state reason for denial/ cancellation/ revocation:

What actions have you taken?

SIGNATURE OF APPLICANT Date Filed

SUBSCRIBED AND SWORN to before me this _____ day of ________________________20____. Affiant exhibited
His/her Passport No. _______________________________ issued at ____________________________________
On ________________________________ 20 ____.

NEW AEP APPLICATION FORM.doc