Hrdd-Gelform 003 - Gaming Employment License Renewal Form
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1HRDD-GELFORM 003
PHILIPPINE AMUSEMENT AND GAMING CORPORATION
A Global Corporation with a Global Mindset and a Filipino Heart
INCOME TAX RETURN
(Form 1701 or Form 2316)
GAMING EMPLOYMENT LICENSE RENEWAL FORM
O.R. No. ______________
O.R. Amount
__________________
Date
__________________
LAST NAME
FIRST NAME
MIDDLE NAME
COMPANY
CLASS A (Manager) P5,000.00
CLASS B (Supervisor) P4,000.00
CLASS C (Rank & File) P2,200.00
POSITION
CLASS D (Support) P300.00
CLASS E (Foreign Manager) P15,000.00
-
-
-
GAMING LICENSE NO
CLASS F(Foreign Non-Manager) P8,000.00
DATE OF BIRTH
/_____/_____
CITIZENSHIP
(mm/dd/yy)
_____
PRESENT ADDRESS
CIVIL STATUS
SINGLE
ANNULED
MARRIED
SEPARATED
WIDOWED
IF MARRIED PLEASE INDICATE MAIDEN NAME
PERMANENT ADDRESS
CONTACT NO
EMAIL ADDRESS
REQUIREMENTS:
FILIPINO CITIZENS
NBI CLEARANCE
INCOME TAX RETURN
(Form 1701/1700 or Form 2316)
NEGATIVE DRUG TEST RESULT
(from any government-accredited clinic/hospital)
FOREIGN NATIONALS
VALID PASSPORT
(country of origin)
VALID EMPLOYMENT PERMIT
(issued by DOLE)
VALID WORKING VISA
(issued by BID)
INCOME TAX RETURN
(Form 2316 and Form 1701 [if applicable only])
NBI CLEARANCE
NEGATIVE DRUG TEST RESULTS
Other documents that PAGCOR may deem appropriate
CLASS D
(annual renewal)
NEGATIVE DRUG TEST RESULT
(from any government-accredited clinic/ hospital)
NBI CLEARANCE
INCOME TAX RETURN
(Form 1701/1700 or Form 2316)
REMARKS
(for GEL use only)
2X2 PICTURE WITH
RIGHT THUMBMARK
SIGNATURE INSIDE BOX
WHITE BACKGROUND
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