Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT

NATIONAL MANPOWER REGISTRY
R E G I S T R A T I O N F O R M
Name:
(Last Name) (First Name) (Middle Name)
Address: _____________________________________________________________________________________________________________
(Blk/St/Bld Name) (!it"/Municipalit") (Pro#ince)
Telephone No.: ( ) Emal Address: T I N$
Da!e o" Br!h: Pla#e o" Br!h: A$e:
Se%: Female Male Rel$on$ We$h!: &e$h!:
'(l S!a!)s:
Single
Married
Widow/Widower
Separated
Employment Status:
Employed
Unemployed
Displaced Worker
Resigned/Retired
Returning OFW
Languages/Dialects Spoken:
English
Filipino
Spanish
apanese
French
!erman
Others
Dsa*l!+:
"isual #mpairment
$earing #mpairment
%hysically $andicapped/
Orthopedically #mpaired
Speech #mpairment
Others &%ls' Speci(y):
Pre"erred Asss!an#e:
%ob Placement
Local $ _______________________
(Position)
&#erseas $ _______________________
(Position)
Li#elihood
Skills 'rainin / Retoolin
Leal (ssistance
,Wor- E%peren#e: Start with the present job or most recent one.
Pos!on .O##)pa!on
In#l)s(e Da!e
'ompan+ Name Address
From
(month/"ear)
To
(month/"ear)
_______________________ _________ _________
_______________________ _________ _________
_______________________ _________ _________
_______________________ _________ _________
,S-lls.'ompe!en#es: Indicate specific skills or competencies acquired through training (i.e. KASH, Apprenticeship and work e!periences.
Trade.O##)pa!on Skills Le#el (see back portion for definition) )ears of *+perience Machine/*,uipment -sed
________________________________ ______________________________________ _______________ ________________________
________________________________ ______________________________________ _______________ ________________________
________________________________ ______________________________________ _______________ ________________________
,Trann$ A!!ended: "ist rele#ant courses taken in go#ernment$pri#ate training institutions % gi#en appropriate certificates of completion and$or attendance.
T!le
'ond)#!ed *+
(.nstitution)
D)ra!on
(No/ of 0ours)
Spe#"# S-lls
A#/)red
___________________________________________ __________________________________ ___________ __________________
___________________________________________ __________________________________ ___________ __________________
___________________________________________ __________________________________ ___________ __________________
,Pro"essonal L#enses: An& special license granted b& an& 'rofessional (egulator& )oard under the 'rofessional (egulation *ommission ('(* or the Air +ransportation
,ffice (A+,, "and +ransportation ,ffice ("+, and an& other licenses issued b& competent authorities.
L#ense T!leE%pr+ Da!e
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
,'er!"#a!es o" 'ompe!en#e.El$*l!es: *ertificates of competence gi#en and conferred b& an& authori-ed bod& recogni-ed b& the go#ernment or issued b& industr& (e.g.
*omputer 'rogrammer certified b& +.S/A
'er!"#a!e.s Iss)ed B+ Da!e Iss)ed
________________________________ ________________________________ ________________________________
________________________________ ________________________________ ________________________________
&$hes! Ed)#a!onal A!!anmen!: Highest grade completed$education le#el.
Ed)#a!on Le(el 'o)rse.Ma0or S#hool.1n(ers!+
Year Grad)a!ed.
Year Las! A!!ended
&onors
Re#e(ed
________________ _____________________ ________________________________________ ______________ _______________
________________ _____________________ ________________________________________ ______________ _______________
________________ _____________________ ________________________________________ ______________ _______________
2For Sea3*ased Wor-ers4 On*oard E%peren#e or Land3Based E%peren#e Rela!ed !o Seamanshp:
Pos!on A$en#+.'ompan+ 5essel T+pe.Tonna$e Da!e o" Ser(#e
. hereb" certif" that the information contained herein are complete1 true and correct/
________________________________ ________________________________
2ate (ccomplished S$na!)re
, Use separate sheet if necessary
2.S!L(.M*R$
(ll information in the NMRS form ha#e been pro#ided b" the o3ners of the information1 or b" other sources e+ternal to the 2epartment of Labor and *mplo"ment (2&L*)1 Philippines/
'he 2&L* assumes no responsibilit" for the inaccurac" or unreliabilit" of the content.
NOTE: Please type or print legibly.
This Form is not for sale.
Reproduction is allowed
GUIDE IN ACCOMPLISHING THE FORM:
(ll reistrants are ad#ised to fill4up the form in printed
st"le/ Reistrants must pro#ide information truthfull"/ !ross
out unfilled spaces or 3rite N&N* or N/( 3here applicable/
'he follo3in items enumerated belo3 are re,uired to be
filled4up properl"/ 'o assist reistrants1 3e are pro#idin
e+amples on ho3 to suppl" the re,uired information/
a/ Wor- E%peren#e 5 refers to an" e+perience on the 6ob
ac,uired b" the Reistrants beinnin 3ith the most
recent one/ .ndicate/describe the nature of the 3ork
performed/
E%amples:
Position/&ccupation
Pediatric Nurse
&ffice !lerk
Mason
Ph"sical 'herapist
(utomoti#e Painter
Boom !rane &perator
Boiler Ship &perator
Mechanical *nineer
b/ S-lls.'ompe!en#es 5 refers to an" skills or e+perience
that Reistrant has ac,uired throuh 'rainin1 7ork
e+perience1 actual e+posure/
E%amples:
'rade/&ccupation Skills Le#el
Finishin !arpenter 4 Le#el 8
7ebpae 2esiner 4 Le#el 9
Shielded Metal (rc 7elder 4 Le#el :
0ea#" *,uipment &perator 4 Le#el 9
Ship *lectrician 4 Le#el :
Skills level definition:
Le(el 6 5 ac,uired skills thru e+perience
Le(el 7 5 3/ formal trainin ; e+perience
Le(el 8 5 3/ '*S2( !ertification
c/ Trann$.A!!ended 5 refers to short courses taken in an"
o#ernment or pri#ate trainin institutions and i#en
appropriate certificates of completion and/or attendance/
E%amples:
'itle
Basic (utomoti#e Mechanic !ourse
!omputer Maintenance
Food ; Be#erae Preparation
Beaut" !ulture
Ship Buildin and Repair 'rainin
Refrieration ; (irconditionin
Pro"essonal L#enses 5 refers to an" special license
ranted b" an" Professional Reulator" Board under the
Professional Reulation !ommission (PR!) or the (ir
'ransportation &ffice (('&)1 Land 'ransportation &ffice
(L'&) and an" other licenses issued b" competent
authorities/
E%amples:
License 'itle
Professional *lectrical *nineer
!ertified Public (ccountant
'hird Marine *nineer
Second Mate
d/ 'er!"#a!e o" 'ompe!en#es.El$*l!es 5 refers to
eliibilities i#en and conferred b" an" authori<ed bod"
reconi<ed b" the o#ernment or issued b" industr"/
E%amples:
*liibilit"/!ertificate
!areer !i#il Ser#ice Professional
Microsoft !ertified Professional
!.S!& !ertified Net3ork *nineer
'*S2( !ertified =eneral *lectrician
'*S2( !ertified !osmetoloist
e/ &$hes! Ed)#a!onal A!!anmen! 5 refers to the hihest
le#el of education attained 3hether raduate or
underraduate in an" academic or #ocational institution/
E%amples:
*ducation Le#el !ourse/Ma6or
!ollee =raduate B/S/B/(/ 5 ma6or
(ccountin
:rd )ear -nderrad B/S/ Nursin
>ocational =raduate (ssoc/ in Marine
*nineerin
:rd )ear 0ih School 4
*lementar" =raduate 4
(dditional documents to support the information pro#ided
b" the reistrants must be attached to the Reistration Form/
2& N&' S*N2 &R.=.N(L !&P.*S of diplomas1 transcript of
records and certificates/ 'he 2epartment of Labor and
*mplo"ment is not liable in cases 3here documents sent to
the 2epartment are destro"ed1 damae or lost/
'he Reistration Form ma" be photocopied or reproduced
for dissemination/ 'he Reistration Form ma" also be
do3nloaded from 2&L* 4 BL* 3ebsite$
999.*le.dole.$o(.ph/
No "ees 9ll *e #olle#!ed "rom an+ o" !he Re$s!ran! n
!he Manpo9er Re$s!r+/