DO 174 SEMI ANNUAL For Contractors Rev00
DO 174 SEMI ANNUAL For Contractors Rev00
DO 174 SEMI ANNUAL For Contractors Rev00
Period Covered
Name and Address of Client/Principa] Services Provided to the Position o( Personnel Number of Personnel
Nature of Business Client/Principal Assigned to the Per Position
Client/Principal Male Female
UNOERTAKING:
1. That our company have abided all applicable laws and regulations of the Department of Labor and
Employment;
2. That the remittances to SSS, HDMF, Philhealth, ECC and BIR have been paid religiously by the company;
3. That all above data are true and correct
In witness whereof, I have hereunto affixed my signature this _____ day of ________ 20______
in ______________________________________, Philippines.
Affiant’s Name/Signature
Doc. No.
Page No.
Book No.