REFERENCE NUMBER: __________
Republic of the Philippines
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
Labor Standards Review and Appealed Division
REQUEST FOR CERTIFICATION OF HAS/HAS NO PENDING CASE
(Please write legibly)
Name: JENNY D. DULALAS
ContactNo. 09272605608
Address: # 28 David Isaiah St., cor. Lot Metrogate, Lambakin Marilao Bulacan Area
Name if Company: SOTERIA MARKETING INC.
Address of Company: 1408 The One Executive Bldg. West Avenue Quezon City
Purpose: For Accreditation
Hon. JENNETH B. NAPIZA
Executive Labor Arbiter
NCR-NLRC, Banawe Avenue
Quezon City
Jenny D. Dulalas
Signature
DATE: August 2, 2019
___________________________________________________________________________
(to be filled-up by the Action Officer)
Requirements submitted
( ) Letter Request
( ) Photocopy of the official receipt of the bidding fee(if for bidding purposes)
( ) Photocopy of any document showing that the DOLE CLEARANCE is being required
( ) Photocopy of DOLE Registration under Rule 1020; and
( ) Photocopy of DOLE Registration under D.O. 18-02,. If the requesting company is a contractor /
subcontractor.
Date/Time of completion of all requirements ________________________________________
Action Officer: ________________________________________________________________
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CLAIM STUB
REFERENCE NUMBER:__________
The certification of has/or no pending case on appeal before the Office of the Secretary of
Labor and Employment shall be released on______________________,
to___________________________. Please present this stub to the Action Officer.
__________________
Action Officer