Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office IV-A
Rule 1020 New Online Application
ALL
RULE 1020
PROCESSING AND APPLICATIONS ARE
FREE OF CHARGE
Note: Keep this to update your credentials. If forgotten, Contact; doleregion4a@gmail.com / dole4imsd@yahoo.com
Username:
*
Please provide a Valid Username.
Password:
*
Please provide a Valid Password.
Name of Establishment:
*
Please provide a Valid Establishment Name.
Type of Establishment:
*
Select type of Establishment
Single Establishment (Main Branch)
Branch Only (Branch Unit)
Legal Organization:
*
Select Legal Organization
Single Proprietorship
Private Corporation
Others
Region:
*
Select Region
Region IV-A (CALABARZON)
Please provide a Region.
Province:
*
Select Province
Please provide a Province.
City/Municipality:
*
Select City/Municipality
Please provide a City Municipality.
Barangay:
*
Select Barangay
Please provide an Barangay.
Floor/ Bldg. No./ Street/ Subdivision:
Please provide an Address.
First Name of Manager/Owner:
*
Please provide the First Name of Manager/Owner.
Middle Name of Manager/Owner:
(Leave Blank if None)
Please provide the Name of Manager/Owner.
Last Name of Manager/Owner:
*
Please provide the Last Name of Manager/Owner.
Current Capitalization:
*
(Philippine Peso)
Please Provide Current Capitalizations.
Total Asset:
*
(Philippine Peso)
Nature of Business:
*
Select Nature of Business
Agriculture, Forestry, and Fishing
Mining and Quarrying
Manufacturing
Electricity, Gas, Steam, and Air Conditioning Supply
Water Supply; Sewerage, Waste Management, and Remediation Activities
Construction
Wholesale and Retail Trade; Repair of Motor Vehicles and Motorcycles
Transportation and Storage
Accomodation and Food Service Activities
Information and Communication
Financial and Insurance Activities
Real Estate Activities
Professional, Scientific, and Technical Activities
Administrative and Support Service Activities
Public Administration and Defense; Compulsory Social Security
Education
Human Health and Social Work Activities
Activities of Households as Employers; Undifferentiated Goods-and Services-Producing Activities of Households for Own Use
Activities of Extra-Territorial Organizations and Bodies
Others,Please Specify
Please Provide Current Capitalizations.
Specify the Nature of your Business:
*
Please Specify this field.
Telephone/Cellphone Number:
*
Please provide your Cellphone Number
Tax Identification Number(TIN):
*
Please provide the Tax Identification Number(TIN).
Email Address:
*
Please provide an Email Address.
Number of Male Employees:
*
Please provide the Number of Male Employees
Number of Female Employees:
*
Please provide the Number of Female Employees
Total Number of Employees:
*
Please Enter Number of Male and Female Employees.
Technical Information 1:
Machine Drill Press
Boiler
Engine Diesel
Gasoline
Pressure Vessel
Internal Combustion Engine
Others, Please Specify
Other Technical Information 1:
Please Specify the Other Technical Information 1.
Technical Information 2:
Power Trucks
Hand Trucks
Conveyors
Forklift
Cranes
Others, Please Specify
Other Technical Information 2:
Please Specify the Other Technical Information 2.
Chemical Subtances uses or Handled:
*
Please Provide the Substances used in your Establishment.
Do you have Branch Unit/s?
(Please Specify)
Branch Unit
#
Rule 1020 Application #
Branch Establishment Name
*
Location
*
Delete
Add Branch
Do you have an Existing Registered Labor Union/s?
(Please Specify)
Labor Union
#
Name of Labor union
Address of Labor union
*
BLR Registration number
*
Delete
Add Branch
Attachments
Duly Accomplished and Signed Registration of Establishment Form
SEC / DTI REGISTRATION
SEC Company Registration Number / DTI Business Name No.
*
Please Provide the SEC Number of the Attachment.
Scanned or Photocopy of SEC Registration or DTI Certificate:
*
Attach PDF file with a maximum upload file size of 25 megabytes
Please Provide the Attachment.
Date Issued:
*
Please Provide the Date SEC Issued.
BUSINESS / MAYOR'S PERMIT / PEZA CERTIFICATE OF REGISTRATION
Does your Establishment / Organization Registered in PEZA?
(Please Check this and attach your PEZA certificate and Date Issued)
Business or Mayor's Permit
Number:
*
Please Provide the Business or Mayor's Permit/PEZA Certificate Number.
Scanned or Photocopy of
Business or Mayor's Permit
:
*
Attach PDF file with a maximum upload file size of 25 megabytes
Please Provide the Attachment.
Date Issued:
*
Please Provide the Date Business or Mayor's Permit / PEZA Certificate Issued.
Validity Date:
*
Please Provide the Date Business or Mayor's Permit / PEZA Certificate Validity.
VALID NATIONAL ID - FROM OWNER / MANAGER
Valid National ID Number:
*
Please Provide the Valid National ID Number.
Scanned or Photocopy of Valid National Government ID (Front and Back):
*
Attach PDF file with a maximum upload file size of 25 megabytes
Please Provide the Attachment.
List of Valid ID
List of Valid National Government ID
Philippines National ID (PhilSys)
Current Valid Passport
Driver's License
Professional Regulation Commission (PRC) ID
Senior Citizen ID
PWD ID
UMID
SSS ID
Pag Ibig ID
GSIS
Date Issued:
*
Please Provide the Date Valid National Government ID Issued.
Validity Date:
Please Provide the Date Valid National Government ID Validity.
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Establishment Application Profile
Name of Establishment:
Establishment Type:
Region:
Province:
City/Municipality:
Barangay:
Floor/ Bldg. No./ Street/ Subdivision:
Owner/Manager First Name:
Owner/Manager Middle Name:
Owner/Manager Last Name:
Business Nature:
Business Nature(OTHER):
Current Capitalization:
Total Assets:
Mobile / Phone:
Tax Identification Number (TIN):
Email Address:
Male Employees:
Female Employees:
Total Employees:
Technical Information 1:
Other Technical Information 1:
Technical Information 2:
Other Technical Information 2:
Chemical Substance used:
SEC Number:
SEC Date Issued:
SEC Permit Attachment:
Business or Mayor's Permit / PEZA certificate
Number:
Business or Mayor's Permit / PEZA certificate
Date Issued:
Business or Mayor's Permit / PEZA certificate
Validity:
Business or Mayor's Permit / PEZA certificate
Attachment:
Valid National ID Number:
Valid National ID Date Issued:
Valid National ID Validity:
Valid National ID Attachment:
Branch Unit
Rule 1020 Application #
Branch Establishment Name
Location
Labor Union
Name of Labor union
Address of Labor union
BLR Registration number
I HEREBY: 1)Certify the truthfulness of the above-mentioned information based on my own personal knowledge and authentic records; 2)Commit to strictly implement the herein attached designed for this specific establishment and comply with occupational and health standard required by law; and 3)Be responsible for any accident that will happen during the operation of the Establishment especially for the welfare of the workers who are employed to perform the duties.
CONSENT NOTICE: The Department of Labor and Employment Regional Office No. IV-A values and is committed to comply with Republic Act No. 10173 otherwise known as the Philippine Data Privacy Act of 2012 (“Data Privacy Act”) to protect and safeguard your privacy. By accomplishing this form, you signify your acceptance to provide pertinent and personal information about you or data establishment. All information that will be collected through this form will be used for the sole purpose of monitoring and fulfilling the functions of this Office. We may only keep your information until such time that we have attained the purpose by which we collect them and when the information is no longer required the DOLE RO IVA procedure will be followed to dispose of said data. Under the foregoing circumstances and to the extent permissible by applicable law. You agree not to take action against DOLE RO IVA for the disclosure and retention of your information.
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