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1. That the AGENCY shall conduct an interview and verify the background of the
KASAMBAHAY to determine if the latter is physically fit, capable and willing to
render satisfactory service;
2. That upon agreement of the terms and conditions, the KASAMBAHAY shall
submit to the AGENCY the following documents:
a. Authentic birth certificate or if unavailable, voters identification card,
baptismal certificate or passport.
b. Medical Certificate or health certificate issued by the local government
health officer;
c. Barangay and Police Clearance
d. National Bureau of Investigation Clearance
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3. That the AGENCY shall secure the best terms and conditions of employment
for the KASAMBAHAY;
5. That the AGENCY shall initially shoulder all the deployment expenses directly
used for the transfer of the KASAMBAHAY from the place of origin to the place
of work which include the following:
a. Cost of Transportation
b. Meals
c. Communication Expense
d. Other incidental expenses
Such expenses shall be charged to the employer by the agency. The employer
may recover deployment cost from the KASAMBAHAY whenever he/she leaves
without justifiable reason within six (6) months from employment.
6. That the AGENCY shall ensure that the KASAMBAHAY is not charged or
required to pay any recruitment or placement fees.
7. That the AGENCY shall accompany the KASAMBAHAY from the place of origin
to the place of the employer.
9. That the agency shall assist the kasambahay in filing his/her complaints or
grievances against the employer.
10. The terms and conditions of this contract shall not be modified or amended by
either party without the concurrence of the other party.
__________________________ ____________________
Agency Representative Kasambahay
________________________
PARENT/Guardian
_______________________ ______________________
Witness Witness
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NOTARY PUBLIC
Doc. No. ____________
Page No. ____________
Book No. ____________
Series of ____________