Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No.___ 1 X 1
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/cancellation of the permit.
TYPE OF APPLICATION: [ ] NEW [ ] RENEWAL
PERSONAL DATA:
NAME _____________________________________________________________________________________
(Last name) (First name) (Middle name)
SEX ________ CITIZENSHIP ______________________________ TAX ID N0 __________________________
CIVIL STATUS DATE OF BIRTH PLACE OF BIRTH _________________________
HIGHEST 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)
Period of Employment &
Employer’s Business Name and Address Position
Place of Assignment
PRESENT EMPLOYMENT:
POSITION________________________________________PLACE/S OF ASSIGNMENT________ ____________
PERIOD OF EMPLOYMENT/ APPOINTMENT_________________________ _____________________________
NAME AND ADDRESS OF EMPLOYER ___________________________________________________________
____________________________________________________________________________________________
E-MAIL ADDRESS____________________________TEL..____________________________________________
NATURE OF BUSINESS _______________________________________________________________________
TOTAL EMPLOYMENT (Exclude Foreign Nationals) _______ NUMBER OF FOREIGN NATIONALS ___________
Have your application for AEP been previously denied? [ ]Yes [ ] No When? __________________
Have your AEP been previously cancelled/ revoked? [ ] Yes [ ] No 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________.
NOTARY PUBLIC
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AEP APPLICATION EVALUATION SHEET
[To be accomplished by the DOLE Regional Office]
Name of Alien : ____________________________________________________________________
Company : ____________________________________________________________________
Address : ____________________________________________________________________
Position/s : ____________________________________________________________________
Nationality : ____________________________________________________________________
AEP Number : ____________ Validity : _______________________ Industry Code: _____________
I. COMPLIANCE WITH REQUIREMENTS
Original and other documents, when applicable, should be presented for validation. AEP Card must be
surrendered to the issuing DOLE-Regional Office upon expiration or termination of employment.
The following documents have been submitted:
[ ] NEW [ ] RENEWAL
[ ] Application Form duly accomplished [ ] Application Form duly accomplished
[ ] Contract of Employment/ Appointment or [ ] Renewal of Employment Contract/ Appointment
Board Secretary’s Certificate of Election or Board Secretary’s Certificate of Election
(notarized) (notarized)
[ ] Photocopy of Mayor’s Permit [ ] Photocopy of Mayor’s Permit to Operate Business
to Operate Business issued to Employer issued to Employer
[ ] Photocopy of passport with visa or [ ] Photocopy of passport with visa or
Certificate of Recognition for refugees Certificate of Recognition for refugees
[ ] Photocopy of AEP previously issued
II. EVALUATION AND ACTION TAKEN
1. Findings and evaluation of application
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Recommendation _______________________________________________________________
________________________ ________________ ________________
Evaluator Date Received Date Released
2. Endorsement
[ ] Recommended for Approval [ ] Others ______________________________
________________________ ________________ ________________
EPD Chief Date Received Date Released
3. Action Taken
[ ] APPROVED [ ] Others ______________________________
__________________________ __________________ __________________
REGIONAL DIRECTOR Date Received Date Released
III. PAYMENTS
AMOUNT OFFICIAL RECEIPT No. DATE
Fees _____________ ____________________________ _____________________
Fines _____________ ____________________________ _____________________
IV. PUBLICATION (For new application)
Date of Publication: ____________________ Newspaper ______________________________
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