Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Total
Student/ OSY/ Amount to
New/ Occupational Wage
SPES BENEFICIARY Contact Dependent of Employment be earned/ GSIS
ID No. Age Sex Address Educational SPES Code& Rate GSIS Beneficiary
(LAST NAME, FIRST NAME, M.I.) No. Displaced Period received as Policy No.
Worker Level Baby Position per Day
salary/
wages
Note: This form shall be accomplished by the Public Employment Service Office to be submitted to the DOLE Regional Office at least ten (10) days prior to the date of employment.
________________________________________________________ _________________________________________________
Name, Designation and Signature Signature of PESO Manager
__________________________ ___________________________
Date Date