Form No.
Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
REGION VII
APPLICATION FOR REGISTRATION OF JOB CONTRACTORS/SUBCONTRACTORS
1. Business Name: GTM BUILDERS AND SUPPLY TIN 100-071-679-000
2. Business Address: 8 M.L. Quezon St., Casuntingan, Mandaue City
3. Telephone No. 032 236 3189 Fax: 032 236 3189 Email:
[email protected]4. Contact Person and Position: George L. Macrohon
5. Areas of Operation: __________________________________________________________
6. Nature of Business: Construction/Trucking Services 7. Industries to be
covered_________
8. Number of Regular Workers: ______ Male _____ Female______
9. Names, Positions and Addresses of Officers and Staff:
Names of
Position Postal Address
Officers/Staff
Jhon Marvin M. Aguilon Office Staff 8 M.L. Quezon St., Casuntingan, Mandaue
City
Jhon Louei M. Aguilon Liaison Officer 8 M.L. Quezon St., Casuntingan, Mandaue
City
Sherwin C. Bernales Purchaser 8 M.L. Quezon St., Casuntingan, Mandaue
City
10. List of Clients (use additional sheet if necessary)
Services Number of Employees
Name and Address Description of Covered in each Phase
Nature of Provided to
of Client/Principal the Phase of the of the Contract
Business Clients/Principa
Contract Male Female
l
Province of Cebu Construction
11. UNDERTAKING:
That I, George L. Macrohn, Filipino, of legal age, married , General
Manager/Proprietor
name civil status position
Of GTM Builders and Supply, after having been duly sworn to in accordance with law, do
name of company
hereby depose and say:
1. That our company shall abide by all applicable laws and regulations of the
Department of Labor and Employment;
2. That the remittances to SSS, HDMF, Philhealth, ECC and BIR will be paid religiously
by the company.
In witness whereof, I have hereunto affixed my signature this 17 th day of August 2017 in
Mandaue City
GEORGE L. MACROHON
(Affiant’s Name /Signature)
SUBSCRIBED AND SWORN to before me this ___day of ________2017. Affiant exhibited to
me his/her Driver’s License with license number G06-89-002275 valid until February 23, 2018.
Doc. No. __________
Page No. __________
Book No. __________
Series of __________
Note: All contracts entered into after this registration shall be reported to the DOLE Regional Office on
or before the 10th day of the month immediately following the date of entry into contract.
Instructions in Accomplishing Form No. 1
APPLICATION FOR REGISTRATION OF JOB CONTRACTOR/
SUBCONTRACTOR
This form shall be accomplished by the contractor/sub-contractor in
triplicate and submitted to the DOLE Regional Field Office having jurisdiction
on the place of the contractors/sub-contractors’ main office.
1. Business Name
Enter the business name of the contractor/subcontractor registered
with the SEC, DTI, CDA, or DOLE.
2. Business Address
Enter the business address of the contractor/sub-contractor
3. Telephone No.
Enter the telephone number(s) of the contractor/sub-contractor.
4. Contact Person/Position
Enter the name of the President or General Manager or any other
officer of the company who can provide information on the entries.
Indicate the position of the officer.
5. Areas of Operation
Enter or enumerate the area(s) or places covered by the contractor/
subcontractor.
6. Nature of Business
Indicate the kind of business the contractor/sub-contractor is engaged
in i.e., janitorial services, messengerial, trucking services, etc.
7. Industries to be covered
Indicate the kind of industries of the clients/prospective clients to be
covered.
8. Number of Regular Workers/Male/Female
Enter the number of regular workers of the contractor/sub-contractor
broken down into male and female.
9. Names, Positions, and Address of Officers/Staff
Enumerate the names of the officers and staff of contractors/sub-
contractor, their respective positions in the company and their
respective home addresses. This does not include the names of the
workers to work with the principal. Additional sheet may be used if
necessary.
10. List of Actual Clients
Enumerate the name(s) and addresses of the clients with which the
contractor/sub-contractor have existing contracts, its nature of
business, services to be provided to the client, number of personnel
assigned to each client, description of each phase of the contract, the
number of employees covered in each phase of the contract,
disaggregated into male and female.
11. Undertaking
Indicate the needed information in the blank spaces provided in the
undertaking.
The signature of the President or General Manager and the date
of signing should appear in the designated portion of the form.
