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DOLE - Affidavit of Undertaking TEMPLATE

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Secretary Joy

This is for the Employer's Authorized Representative for Alien Employment Permit Application to DOLE

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© All Rights Reserved
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DOLE - Affidavit of Undertaking TEMPLATE

Uploaded by

Secretary Joy
4K views1 page
This is for the Employer's Authorized Representative for Alien Employment Permit Application to DOLE

Copyright

© © All Rights Reserved

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DOCX, PDF, TXT or read online from Scribd

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This is for the Employer's Authorized Representative for Alien Employment Permit Application to DOLE

Copyright:

© All Rights Reserved
Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
4K views1 page

DOLE - Affidavit of Undertaking TEMPLATE

Uploaded by

Secretary Joy
This is for the Employer's Authorized Representative for Alien Employment Permit Application to DOLE

Copyright:

© All Rights Reserved
Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
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AFFIDAVIT OF UNDERTAKING

I, _______________________, am the Corporate Treasurer/Secretary of


_______________________ (Corporate Name) and does hereby authorized
___________________ (Authorized Representative’s Name) to be the Authorized
Person or Authorized Representative on behalf of _____________________
(Corporate Name) which duly accredited by DOLE-RO3, to transact with for and in
behalf of our client employers and/or foreign nationals for their Alien Employment Permit
applications and related documents, do hereby agree and undertake to abide and be
bound by the following:

1. Adhere and comply with the provisions of DOLE Department Order 221 series
of 2021, and Department Order 221-A series of 2022, and existing rules and
regulations in the application for an AEP, Certificate of Exemption and/or
Certificate of Exclusion;
2. Commit to serve only legitimate clients and shall not use my appointment for any
unlawful purpose in applying for AEP, Certificates of Exclusion and Exemption
other than those to be employed by our company’s clients;
3. Submit only valid and updated documentary requirements, whether for clients or
personal which pertain to my appointment and role as an Authorized Personnel
(AP);
4. Ensure my attendance to the Training/Seminar to be conducted by DOLE
relative to and all matters pertaining to AEP Guidelines;
5. Present upon entry and wear at all times my Accreditation ID while in the DOLE
premises for proper identification, and the photocopy of which shall be attached
in all applications I facilitate for processing;
6. Submit immediately a notification of any changes in my personal contact details
through my employer Agent; and
7. Submit myself to any and all liabilities that may arise from any and all unlawful
act/s I committed, including documents found to be fraudulent or tampered with
as submitted to DOLE.

Signed this ______ day of _________________________ , 2023 in the


City/Municipality of ___________________________.

________________________
Affiant

SUBSCRIBED and SWORN TO before me this _____ day of ____________, 2023, at


_______________ Affiant having exhibited to me the (any government-issued ID) on ______ (Date
issued of the ID) at ______ (where it issued)

Doc. No. ____________


Page No. ____________
Book No. ____________
Series of 2023 D0 221-A Form 4-C

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