PRE-EMPLOYMENT CHECKLIST

Name: Recruiter In-Charge :

Start Date : Hiring Manager:

Position: Department:
DATE NEW HIRE'S RECRUITER'
DOCUMENT REMARKS
SUBMITTE SIGNATUR S
D E SIGNATURE
1. School Document
Transcript of Records or College Diploma (photocopy only)
2. Birth Certificate (3 Copies)
PSA Certified Birth Certificate (photocopy only)
3. Birth Certificate of Dependents
PSA Certified Birth Certificate of your qualified dependents (photocopy only)
Single: Parents
Married: Parents, Spouse and Children
4. Marriage Certificate (if applicable)
PSA Certified Marriage Certificate (photocopy only)
5. NBI Clearance
Original copy of your valid NBI clearance.
If updated NBI Clearance is not yet released upon request, please provide copy of the
receipt with the return date for supporting document.
6. SSS Document
Photocopy of any of the following SSS Documents (photocopy only)
E1 or Static Information Sheet
If you don’t have your SSS number yet, please secure one from any SSS branch.
7.Taxpayer’s Identification Number (TIN) Document
If without existing TIN, BenAd will handle the registration
Submit Form 1902 & Photocopy of PSA Birth Certificate)

If with existing TIN:

Photocopy of your TIN card or BIR Form 2316

8. Two (2) Valid Identification (2 copies each)

Photocopies of any two (2) of the following government identification cards:
Primary IDs: Digitized UMID, SSS, Passport, PRC, GSIS ecard, OWWA ID, OFW ID, Seaman’s
book, Alien Certificate of Registration (ACR) Driver’s License, or Voter’s ID.
Identification cards must not be expired.

For Fresh Graduates: Pag-ibig, TIN, Postal ID, Philhealth ID

9. Pag-IBIG Update Form/Online Registration
If without Pag-ibig number, go to any nearest Pag-ibig branch or apply online.

10. BIR Forms

Submit a photocopy of any of the following forms BIR 1905, BIR 2316
11. Certificate of Employment (Photocopy Only)
12. Latest BIR Form 2316 or W-2
Please submit a clear photocopy of your latest BIR Form 2316/W-2/or Certificate of
Income Tax Return if you were employed by other companies within the current taxable

INTERNAL DOCUMENTS (PROVIDED BY HR)

1. UBP ATM Application
Note: New hires must present 2 valid ID's upon application.
Rehires need not re-apply as long as they are able to provide their old account number for HR
processing
2. PhilHealth Member Registration Form / PMRF (2 Copies)
3. BIR Form No. 1902 (2 Copies)
Note: Attach photocopy of Birth Certificate
4. Non - Disclosure Agreement (4 Copies)
5. Conflict of Interest Form
6. Random Drug Testing Authorization
7. Policy on Hiring Relatives
8. Access Control Form

IF APPLICABLE
9. Statement of Account for Exisisting Loans: SSS & PAGIBIG
- New Hire to inform BenAd & HR if loan balance was deducted in their last pay (If New Hire
settled payment in full, submit proof of payment)
10. BIR Waiver Form
- If latest BIR Form 2316 is not provided
11. Globe MSA Form
- Attach photocopy of company ID & Valid ID

TMP-CH-90-20

EPAYCARD CUSTOMER ACCOUNT OPENING

All fields with (CHECK) are MANDATORY.
FORM
ACCOUNT DETAILS
DATE (MM/DD/YYYY) BRANCH CUSTOMER ID NO.
BGC 32ND ST BRANCH
CLIENT TYPE TYPE OF ACCOUNT NO.
New Client Existing Client ACCOUNT Dollar
Peso

CARDHOLDER DETAILS
TITLE / SALUTATION NAME (Last Name, Given Name, Middle Name) GENDER
Male Femal
CIVIL STATUS MOTHER'S MAIDEN NAME (Last name, Given Name, Middle Name)
Single Separated Widowed Marrie
d
BIRTHDATE (MM/DD/YYYY) PLACE OF BIRTH CITIZENSHIP/ NATIONALITY
Filipin Foreigner Dual Citizen
o
MOBILE NO. EMAIL ADDRESS:

PRESENT ADDRESS (No. / Street / District / Barangay / City / Town / Province) ZIP CODE

PERMANENT ADDRESS

SSS NO./ GSIS NO./ TIN SOURCE OF FUNDS

Salary Business Commission/Fees Remittance Others

EMPLOYMENT DETAILS
COMPANY NAME / BUSINESS NAME (if Self-employed) INDUSTRY

BUSINESS ADDRESS (No. / Street / District / Barangay / City / Town / Province) ZIP CODE CONTACT NO.

FATCA INFORMATION

CARDHOLDER'S SPECIMEN SIGNATURE

CARDHOLDER ATTESTATION

CARDHOLDE AUTHENTICATED BY AUTHORIZED HR

R REPRESENTATIVE
Signature over Printed Name / Date Signature over Printed Name / Date
FOR BANK'S USE ONLY (to be filled-out by the Sales Representative)
TYPE OF DEPOSIT CUSTOMER TYPE EMPLOYER ID RM/BM/AO CODE

REMARKS
 IDENTIFIED & SIG. VERIFIED BY / DATE PROCESSED BY / DATE APPROVED BY / DATE APPROVED BY / DATE (FOR EDD)

Signature over Printed Name Signature over Printed Name Signature over Printed Name Signature over Printed Name
Revised March 2020

Republic of the Philippines PMRF

PHILIPPINE HEALTH INSURANCE CORPORATION PHILHEALTH MEMBER REGISTRATION FORM
Citystate Centre Building, 709 Shaw Boulevard, (October 2013)
Pasig City Healthline 441-7444
www.philhealth.gov.ph PhilHealth Identification Number
(PIN)
IMPORTANT REMINDERS:
1. Your PhilHealth Identification Number (PIN) is your unique and permanent number.
2. The issuance of the PIN does not automatically qualify you or your dependents to be entitled to NHIP
benefits. PURPOSE:
3. Always use your PIN in all transactions with PhilHealth.
FOR ENROLLMENT FOR UPDATING
Please carefully read instructions at the back before accomplishing this form.
1. MEMBER
1 INFORMATION
*Last Name * Your Company's HR First
Officer Name
has automatically Name Extension (JR/SR/III) Middle Name
enrolled you in receiving SMS Alerts. Kindly inform
them if you want to be removed from this service.

If Married Female, please write FULL MAIDEN NAME:

Last Name First Name Name Extension (JR/SR/III) Middle Name

Same as Present Address ZIP

Date of Birth (mm-dd-yyyy) Place of Birth (City/Municipality/Province) Sex Civil Status Nationality Tax Identification No.(TIN)
Male Single Widow(er)
Female Married Legally Separated
Permanent Address
Unit/Room No./Floor Building Name Lot/Block/House/Bldg. No. Street Subdivision/Village

POSITION/
Barangay City/Municipality Province
DESIGNATION Country Zip Code

EMAIL
Contact Information ADDRESS
Landline Number (Area Code + Tel. No.) Mobile Number E-mail Address

2. DECLARATION OF DEPENDENTS (Use separate sheet if necessary)

DOCUMENTARY REQUIREMENTS
2.1 Legal Spouse (1) Certification, Consent, and Waiver AND Form W-9
I am not a U.S. Person. I am not a U.S. Person but with U.S. indicators.
PhilHealth Identification Name Extension (2) Certification, Consent, andDate Waiver AND Form W-9
of Birth Sex
LastU.S.
NamePlace of Birth 3 First Name Middle Name
OR Form W-8, Form W-8 BEN AND/OR Non-US passport
Number (PIN) (JR/SR/III) 2 mm-dd-yyyy M/F
U.S. Resident Address / U.S. Mailing Address (including a U.S. post office box) OR government ID evidencing citizenship in another
I am a U.S. Person. 1 U.S. Telephone Number 2 country
- U.S. Citizen OR (3) Certification, Consent, and Waiver AND Form W-9 OR
Standing instruction/s to transfer funds to an account maintained in the U.S. Power of2
Form W-8, Form W-8 BEN AND/OR Non-US passport OR
2.2 Children
- U.S. Resident below
OR 21 years old (unmarried & unemployed)
Attorney or signatory and/ortoChildren
authority granted 21 ayears
a person with old and
U.S. Address above with permanent
“In-care-of” 2 disability
government ID evidencing citizenship in another country OR
- U.S. Green Card Holder OR address or “hold mail” address that is the sole address the Foreign Financial Institution Certificate of Loss of Nationality of the
of US or Form I-407,
Middle Name OR a reasonable√explanation
PhilHealth Identification Name Extension Mark if with Date Birth Sex
- U.S. Passport(PIN)
Holder Lasthas
Name First Name
identified for the account holder 2
(JR/SR/III) of account holder's
Number Disability mm-dd-yyyy M/F
renunciation of US citizenship OR the reason the account
holder did not obtain US citizenship at birth

(Please provide three specimen

1) 2) 3)

2.3 Parents’ Details

PhilHealth Identification Name Extension Mark √ if with Date of Birth
Father’s Last Name Father’s First Name (JR/SR/III) Father’s Middle Name Permanent
Number (PIN) (mm-dd-yyyy)
Disability
By my signature herein, I acknowledge that my company’s authorized HR representative has discussed and I have read the UnionBank ePaycard Terms and Conditions found in
bit.ly/UBPePaycardTCs and the Bank's Privacy Policy found in bit.ly/UBPDataPrivacy and I confirm that I fully understand and agree to abide by the terms stipulated and
any future amendments thereto. For Checking Account/s, I agree and undertake not to use cheques, printed or secured from printers, not accredited by your Bank and that I shall
be held responsible
PhilHealth and liable for any
Identification and all losses, damages arising from the violation ofName
this undertaking.
Extension Mother’s Full Middle Mark √ if with Date of Birth
Mother’s Last Name Mother’s First Name Permanent
Number (PIN) (JR/SR/III) Name (mm-dd-yyyy)
Disability
I confirm that all information I provided are true and correct. I agree to inform Union Bank of the Philippines should there be any changes to my personal data stated above. I
consent to the disclosure of my personal data to UnionBank and other authorized third parties, including subsidiaries and affiliates, of UnionBank to be used for the purpose of
processing my application and for the assessment of my compliance with the necessary requirements needed for this application. I understand that my personal information may
also 3.
be MEMBERSHIP CATEGORY
used for review, audit, and reporting to Bangko Sentral ng Pilipinas and other regulators.
3. 1 Formal Economy
Ultimately, I hold the Bank free from any liabilities that may arise regarding my account, including those that may arise from the Bank’s imposition of restrictions to or closure
of my accountPrivate
that may be Government
due to incomplete, inaccurate, and/or outdated information provided 3. 3 Indigent
by me or my company’s HR.
Permanent/Regular Casual Contractor/Project-Based NHTS-PR
Enterprise Owner
Household Help / Kasambahay
Family Driver
3.2 Informal Economy 3.4 Sponsored
Migrant Worker Local Government Unit (Please specify): _
Land Based Sea Based National Government Agency (Please specify): _ _
Informal Sector (e.g. Market Vendor, Street Hawker, Pedicab/Tricycle Driver, etc.)
Others (Please specify) __
 (Please specify) ______________________________
Estimated Monthly Income: Php _______________________ 3.5 Lifetime Member Date/Effectivity of Retirement:
No Income Retiree / Pensioner
Self-Earning Individual (e.g. Doctors, Lawyers, Engineers, Artists, etc.) With 120 months contribution
mm dd yyyy
(Please specify) _________________________ and has reached retirement age
Estimated Monthly Income: Php _______________________
Filipino with Dual Citizenship
Naturalized Filipino Citizen
Citizen of other countries working/residing/studying in the Philippines
Organized Group (Please specify) ______________________

Under the penalty of law, I attest that the Please do not write on this portion. For filling-out by PhilHealth Officer:
information I provided in this Form are true
and accurate to the best of my knowledge. Received by: __ _ _ Date: _ _

Please affix right thumbmark if Evaluated by: _ _ Date: _ _

Signature over Printed Name Date unable to write.
 INSTRUCTIONS
1. For PURPOSE, put a mark √ FOR ENROLLMENT if you have never been issued a PhilHealth Identification
Number (PIN) or Family Health Card. Mark √ FOR UPDATING if you want to update or make corrections to
certain information previously submitted when you enrolled. Fill-out the appropriate portions of the form.
2. Please write in CAPITAL LETTERS.
3. ALL FIELDS in item 1 for Member Information ARE MANDATORY. The Member should fill-out all required
information.
4. Write N.A. if the information is not applicable.
5. All name entries should be in the following format:

Example: JUAN ANDRES DELA CRUZ SANTOS III will be entered as:
Last Name First Name Name Extension Middle Name
SANTOS JUAN ANDRES III DELA CRUZ

6. For the Declaration of Dependents, fill-out the names of the living spouse, children and parents in items 2.1, 2.2
and 2.3 following the same format above.

Put a mark
in the box for item 2.2 if child has disability.
√
in the box for item 2.3 if parent has disability.
Put a mark
√
Please indicate FULL MOTHER’S NAME for item 2.3.

7. For declared dependents with disability, please submit a Medical Certificate indicating the details and extent
of disability. As defined in the Implementing Rules and Regulations of the National Health Insurance Act of
2013, the following are included as qualified dependents:

a. Children who are twenty-one (21) years old or above but suffering from congenital disability, either
physical or mental, or any disability acquired that renders them totally dependent on the member for support.

b. Parents with permanent disability regardless of age that renders them totally dependent on the member
for subsistence.

8. For MEMBERSHIP CATEGORY, put a mark √ in the appropriate box and specify details as necessary.
9. The member or guardian (if member is a minor) should certify that the information provided are true and
correct by affixing his/her signature over the printed name in the space provided for. If unable to write,
please affix the right thumbmark in the space provided.

Republic of the Philippines PMRF

PHILIPPINE HEALTH INSURANCE CORPORATION PHILHEALTH MEMBER REGISTRATION FORM
Citystate Centre Building, 709 Shaw Boulevard, Pasig City (October 2013)
Healthline 441-7444 www.philhealth.gov.ph
PhilHealth Identification Number (PIN)
IMPORTANT REMINDERS:
1. Your PhilHealth Identification Number (PIN) is your unique and permanent number.
2. The issuance of the PIN does not automatically qualify you or your dependents to be entitled to NHIP benefits.
PURPOSE:
3. Always use your PIN in all transactions with PhilHealth.
Please carefully read instructions at the back before accomplishing this form. FOR ENROLLMENT FOR UPDATING
1. MEMBER INFORMATION
Last Name First Name Name Extension (JR/SR/III) Middle Name

If Married Female, please write FULL MAIDEN NAME:

Last Name First Name Name Extension (JR/SR/III) Middle Name

Date of Birth (mm-dd-yyyy) Place of Birth (City/Municipality/Province) Sex Civil Status Nationality Tax Identification No.(TIN)
Male Single Widow(er)
Female Married Legally Separated
Permanent Address
Unit/Room No./Floor Building Name Lot/Block/House/Bldg. No. Street Subdivision/Village

Barangay City/Municipality Province Country Zip Code

Contact Information
Landline Number (Area Code + Tel. No.) Mobile Number E-mail Address

2. DECLARATION OF DEPENDENTS (Use separate sheet if necessary)

2.1 Legal Spouse
PhilHealth Identification Name Extension Date of Birth Sex
Last Name First Name (JR/SR/III) Middle Name
Number (PIN) mm-dd-yyyy M/F

2.2 Children below 21 years old (unmarried & unemployed) and/or Children 21 years old and above with permanent disability
PhilHealth Identification
Last Name First Name
Name Extension
Middle Name Mark √ if with Date of Birth Sex
Number (PIN) (JR/SR/III) Disability mm-dd-yyyy M/F
2.3 Parents’ Details
PhilHealth Identification Name Extension Mark √ if with Date of Birth
Father’s Last Name Father’s First Name (JR/SR/III) Father’s Middle Name Permanent
Number (PIN) (mm-dd-yyyy)
Disability

PhilHealth Identification Name Extension Mother’s Full Middle Mark √ if with Date of Birth
Mother’s Last Name Mother’s First Name Permanent
Number (PIN) (JR/SR/III) Name (mm-dd-yyyy)
Disability

3. MEMBERSHIP CATEGORY
3. 1 Formal Economy
Private Government 3. 3 Indigent
Permanent/Regular Casual Contractor/Project-Based NHTS-PR
Enterprise Owner
Household Help / Kasambahay
Family Driver
3.2 Informal Economy 3.4 Sponsored
Migrant Worker Local Government Unit (Please specify): _
Land Based Sea Based National Government Agency (Please specify): _ _
Informal Sector (e.g. Market Vendor, Street Hawker, Pedicab/Tricycle Driver, etc.)
Others (Please specify) __
(Please specify) ______________________________
Estimated Monthly Income: Php _______________________
No Income 3.5 Lifetime Member Date/Effectivity of Retirement:
Self-Earning Individual (e.g. Doctors, Lawyers, Engineers, Artists, etc.) Retiree / Pensioner
(Please specify) _________________________ With 120 months contribution
Estimated Monthly Income: Php _______________________ mm dd yyyy
and has reached retirement age
Filipino with Dual Citizenship
Naturalized Filipino Citizen
Citizen of other countries working/residing/studying in the Philippines
Organized Group (Please specify) ______________________

Under the penalty of law, I attest that the Please do not write on this portion. For filling-out by PhilHealth Officer:
information I provided in this Form are true
and accurate to the best of my knowledge. Received by: __ _ _ Date: _ _

Please affix right thumbmark if Evaluated by: _ _ Date: _ _

Signature over Printed Name Date unable to write.
 INSTRUCTIONS
1. For PURPOSE, put a mark √ FOR ENROLLMENT if you have never been issued a PhilHealth Identification
Number (PIN) or Family Health Card. Mark √ FOR UPDATING if you want to update or make corrections to
certain information previously submitted when you enrolled. Fill-out the appropriate portions of the form.
2. Please write in CAPITAL LETTERS.
3. ALL FIELDS in item 1 for Member Information ARE MANDATORY. The Member should fill-out all required
information.
4. Write N.A. if the information is not applicable.
5. All name entries should be in the following format:

Example: JUAN ANDRES DELA CRUZ SANTOS III will be entered as:
Last Name First Name Name Extension Middle Name
SANTOS JUAN ANDRES III DELA CRUZ

6. For the Declaration of Dependents, fill-out the names of the living spouse, children and parents in items 2.1, 2.2
and 2.3 following the same format above.

Put a mark
in the box for item 2.2 if child has disability.
√
in the box for item 2.3 if parent has disability.
Put a mark
√
Please indicate FULL MOTHER’S NAME for item 2.3.

7. For declared dependents with disability, please submit a Medical Certificate indicating the details and extent
of disability. As defined in the Implementing Rules and Regulations of the National Health Insurance Act of
2013, the following are included as qualified dependents:

a. Children who are twenty-one (21) years old or above but suffering from congenital disability, either
physical or mental, or any disability acquired that renders them totally dependent on the member for support.

b. Parents with permanent disability regardless of age that renders them totally dependent on the member
for subsistence.

8. For MEMBERSHIP CATEGORY, put a mark √ in the appropriate box and specify details as necessary.
9. The member or guardian (if member is a minor) should certify that the information provided are true and
correct by affixing his/her signature over the printed name in the space provided for. If unable to write,
please affix the right thumbmark in the space provided.
(To be filled out by BIR) DLN:
BIR Form No.
Republic of the Philippines
Application for
1902
Department of Finance
Bureau of Internal
Revenue Registration January 2018
(ENCS)
For Individuals Earning Purely Compensation
Income (Local and Alien Employee)
- - 00000
-
New TIN to be issued, if applicable (To be filled out by BIR)
Fill in all applicable white spaces. Write “NA” for those not applicable. Mark all appropriate boxes with an “X”
Part I - Taxpayer/Employee Information
3 BIR Registration Date
1 PhilSys Number (PSN) 2 Taxpayer Type
(To be filled out by BIR) (MM/DD/YYYY)
Local Resident Special Non-Resident Alien
Alien
4 Taxpayer Identification Number 5 RDO Code
(TIN) - - 00000 (To be filled out by BIR)
(For Taxpayer with existing TIN) -
6 Taxpayer’s Name
Last Name First Name

Middle Name
Suffix 7
Gender
Mal Female
e

8 Civil Status
Singl Married Widow/er Legally Separated
9 Date of Birth e
(MM/DD/YYYY) 10 Place of Birth

11 Mother’s Maiden Name (First Name, Middle Name, Last Name)

12 Father’s Name (First Name, Middle Name, Last Name)

 13 Citizenship 14 Other Citizenship

15 Local Residence Address

Unit/Room/Floor/Building
Building

No.
Name/Tower

Lot/Block/Phase/House
Street Name

No.

Subdivision/Village/Zone Barangay

Town/District Municipality/City

Province ZIP Code

16 Foreign Address

17 Municipality
Code 18 Tax INCOME TAX, 19 Form Type ,BIR Form No. 1700 , 20 ATC II 011
(To be filled out by BIR) Type
21 Identification Details (e.g. passport, government issued ID, company ID, etc.)
Type Number Effective Date (MM/DD/YYYY) Expiry Date
(MM/DD/YYYY)

Issuer Place/Country of Issue

22 Preferred Contact Type Landline No. Mobile Number
Email Address
(required)

Part II - Spouse Information (if applicable)

23 Employment Status of Spouse
Unemployed Employed Locally Employed Abroad Engaged in Business/Practice of Profession
24 Spouse Name
Last Name First Name

Middle Name
Suffix 25 Spouse TIN
- - -00000
26 Spouse Employer’s Name (Last Name, First Name, Middle Name, If Individual) (Registered Name, If Non Individual)

27 Spouse Employer’s
TIN - - -
 BIR Form No. 1902-page 2
Part III - For Employee with Two or More Employers (Multiple Employments) Within the Calendar Year
28 Type of Multiple Employments
Successive Employments (With previous employer/s within the calendar year)
Concurrent Employments (With two or more employers at the same time within the calendar year)
(If successive, enter previous employer/s; if concurrent, enter secondary employer/s )
Previous and/or Concurrent Employments During the Calendar Year
29A Name of Employer

29B TIN of Employer

30A Name of Employer

30B TIN of Employer

31A Name of Employer

31B TIN of Employer

32 Declaration
I declare under the penalties of perjury that this application, and all its attachments, have been made in good faith, verified by me and to the best of my
knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority
thereof. Further, I give my consent to the processing of my information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful
purposes.

Taxpayer(Employee)/Authorized Representative
(Signature over Printed Name)
Part IV – Primary/Current Employer Information
33 Type of Registering Office
34 TIN - - - 35 RDO Code
Head Office Branch Office
36 Employer’s Name (Last Name, First Name, Middle Name, If Individual) (Registered Name, If Non Individual)

37 Employer’s Address
Unit/Room/Floor/Building No. Building Name/Tower

Lot/Block/Phase/House No. Street Name

Subdivision/Village/Zone Barangay

Town/District Municipality/City

Province ZIP Code

38 Contact Details
Landline Number Fax Number Mobile Number

39 Relationship Start Date/Date Employee was Hired

(MM/DD/YYYY) 40 Municipality Code (To be filled out by BIR)
41 Declaration
Stamp of BIR Receiving Office
I declare under the penalties of perjury that this application and all its attachments, have been made in good faith, verified by me and Date of Receipt
and to the best of my knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as
amended, and the regulations issued under authority thereof. Further, I give my consent to the processing of my information as
contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.

EMPLOYER/AUTHORIZED REPRESENTATIVE Title/Position of Signatory

(Signature over Printed Name)
*Note: The BIR Data Privacy Policy is in the BIR website (www.bir.gov.ph)

Documentary Requirements:

For Local Employee: For Alien Employee:

1. Any identification issued by an authorized government body (e.g. Birth 1. Passport
Certificate, Passport, Driver’s License, etc.) that shows the name, 2. Working Permit or photocopy of duly received Application for Alien
address and birthdate of the applicant. Employment (AEP) by the Department of Labor and Employment
2. Marriage Contract, if applicable. (DOLE)

POSSESSION OF MORE THAN ONE TAXPAYER IDENTIFICATION NUMBER (TIN) IS CRIMINALLY PUNISHABLE PURSUANT TO THE
PROVISIONS OF THE NATIONAL INTERNAL REVENUE CODE OF 1997, AS AMENDED.
(To be filled out by BIR) DLN:
BIR Form No.
Republic of the Philippines
Department of Finance
Bureau of Internal Revenue
Application
for Registration January 2018 (ENCS)

1902
For Individuals Earning Purely Compensation Income
(Local and Alien Employee)
- - - 00000
New TIN to be issued, if applicable (To be filled out by BIR)
Fill in all applicable white spaces. Write “NA” for those not applicable. Mark all appropriate boxes with an “X”
Part I - Taxpayer/Employee Information
3 BIR Registration Date
1 PhilSys Number (PSN) 2 Taxpayer Type
(To be filled out by BIR) (MM/DD/YYYY)
Local Resident Special Non-Resident Alien
Alien
4 Taxpayer Identification Number (TIN) 5 RDO Code
(For Taxpayer with existing TIN) - - - 00000 (To be filled out by BIR)
6 Taxpayer’s Name
Last Name First Name

Middle Name
Suffix 7 Gender
Male Female

8 Civil Status
Single Married Widow/er Legally Separated
9 Date of Birth (MM/DD/YYYY)
10 Place of Birth

11 Mother’s Maiden Name (First Name, Middle Name, Last Name)

12 Father’s Name (First Name, Middle Name, Last Name)

13 Citizenship 14 Other Citizenship

15 Local Residence Address

Unit/Room/Floor/Building No.
Building Name/Tower

Lot/Block/Phase/House No.
Street Name

Subdivision/Village/Zone Barangay

Town/District Municipality/City

Province ZIP Code

16 Foreign Address

17 Municipality Code
(To be filled out by BIR) 18 Tax Type INCOME TAX, 19 Form Type ,BIR Form No. 1700 , 20 ATC II 011
21 Identification Details (e.g. passport, government issued ID, company ID, etc.)
Type Number Effective Date (MM/DD/YYYY) Expiry Date (MM/DD/YYYY)

Issuer Place/Country of Issue

22 Preferred Contact Type Landline No. Mobile Number

Email Address (required)

Part II - Spouse Information (if applicable)

23 Employment Status of Spouse
Unemployed Employed Locally Employed Abroad Engaged in Business/Practice of Profession
24 Spouse Name
Last Name First Name

Middle Name
Suffix 25 Spouse TIN
- - -00000
26 Spouse Employer’s Name (Last Name, First Name, Middle Name, If Individual) (Registered Name, If Non Individual)

27 Spouse Employer’s TIN

- - -
 BIR Form No. 1902-page 2
Part III - For Employee with Two or More Employers (Multiple Employments) Within the Calendar Year
28 Type of Multiple Employments
Successive Employments (With previous employer/s within the calendar year)
Concurrent Employments (With two or more employers at the same time within the calendar year)
(If successive, enter previous employer/s; if concurrent, enter secondary employer/s )
Previous and/or Concurrent Employments During the Calendar Year
29A Name of Employer

29B TIN of Employer

30A Name of Employer

30B TIN of Employer

31A Name of Employer

31B TIN of Employer

32 Declaration
I declare under the penalties of perjury that this application, and all its attachments, have been made in good faith, verified by me and to the best of my
knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority
thereof. Further, I give my consent to the processing of my information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful
purposes.

Taxpayer(Employee)/Authorized Representative
(Signature over Printed Name)
Part IV – Primary/Current Employer Information
33 Type of Registering Office
34 TIN - - - 35 RDO Code
Head Office Branch Office
36 Employer’s Name (Last Name, First Name, Middle Name, If Individual) (Registered Name, If Non Individual)

37 Employer’s Address
Unit/Room/Floor/Building No. Building Name/Tower

Lot/Block/Phase/House No. Street Name

Subdivision/Village/Zone Barangay

Town/District Municipality/City

Province ZIP Code

38 Contact Details
Landline Number Fax Number Mobile Number

39 Relationship Start Date/Date Employee was Hired

(MM/DD/YYYY) 40 Municipality Code (To be filled out by BIR)
41 Declaration
Stamp of BIR Receiving Office
I declare under the penalties of perjury that this application and all its attachments, have been made in good faith, verified by me and Date of Receipt
and to the best of my knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as
amended, and the regulations issued under authority thereof. Further, I give my consent to the processing of my information as
contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.

EMPLOYER/AUTHORIZED REPRESENTATIVE Title/Position of Signatory

(Signature over Printed Name)
*Note: The BIR Data Privacy Policy is in the BIR website (www.bir.gov.ph)

Documentary Requirements:

For Local Employee: For Alien Employee:

1. Any identification issued by an authorized government body (e.g. Birth 1. Passport
Certificate, Passport, Driver’s License, etc.) that shows the name, 2. Working Permit or photocopy of duly received Application for Alien
address and birthdate of the applicant. Employment (AEP) by the Department of Labor and Employment
2. Marriage Contract, if applicable. (DOLE)

POSSESSION OF MORE THAN ONE TAXPAYER IDENTIFICATION NUMBER (TIN) IS CRIMINALLY PUNISHABLE PURSUANT TO THE
PROVISIONS OF THE NATIONAL INTERNAL REVENUE CODE OF 1997, AS AMENDED.
 NON-DISCLOSURE AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This Non-Disclosure Agreement (the "Agreement") made and executed by and between:

[Name of Employee],
of legal age, [civil status], Filipino, and with residence
at

[residence of the employee], and

hereinafter referred to as the "Partner";
-AND-
Pilmico Foods Corporation, a corporation duly organized and existing under
and by virtue of the laws of the Republic of the Philippines, with
principal place of business at Kiwalan Cove, Dalipuga Iligan City,
represented herein by its duly authorized representative, Maria Rowena B.
Navoa, and hereinafter referred to as the "Company".

WHEREAS, the Partner is an employee of the Company;

WHEREAS, during the course of the performance of the functions of the Partner
with the Company, Confidential Information, as defined hereafter, may be disclosed to
him;

WHEREAS, the Partner hereby acknowledges that he has an obligation as an

employee of the Company to comply with the Company's rules and guidelines on
Confidential Information and the security of Company records and properties, as
stipulated in Company’s Manual on Personnel Policies and Procedures;

NOW THEREFORE, for and in consideration of the foregoing, the parties hereby
voluntarily and expressly agree that:

1. The Partner shall not disclose any and all proprietary information, material, data
or files which have been classified as private, sensitive or confidential in nature,
including but not limited to, discoveries, ideas, concepts, software in various stages of
development, designs, drawings, specifications, techniques, models, data, source code,
object code, documentation, diagrams, flow charts, research, development, processes,
procedures, "know-how", strategic, tactical and negotiating information, information
supporting litigation or administrative proceedings, computational methodologies and
decisional analysis, client lists and databases, all Personal Information and Sensitive
Personal Information as defined in Republic Act No.
10173, or the Data Privacy Act of 2012, and its implementing rules and regulations,
pertaining to the Company’s personnel or to any third party which is disclosed by the
Company to the Partner, any and all business, technical, marketing, operational,
organizational, financial or other information, including information which the Company
obtains from another party and which it treats as proprietary or confidential, whether in
electronic, oral or written form, and all notes, analyses, compilations, studies or other
documents prepared by third parties which contain or reflect such information, or
information whose exposure to other entities, persons or organizations constitutes a
conflict of interest and /or poses a liability to the Company (the "Confidential
Information") which has come to the Partner's knowledge by virtue of his being
stationed at the premises of the Company or at the offices and premises of the
Company’s parent, subsidiaries, affiliates, and associated companies. The Partner shall
strictly use any Confidential Information only when authorized to do so and shall not use
any Confidential Information for any other purpose.

2. The Partner hereby agrees that the following unauthorized acts and omissions
are covered under this Agreement:

a. Unauthorized reproduction, discussion, modification, use or deletion of

the Confidential Information or any portion thereof that the Partner has been
entrusted with or has been able to access either on a temporary, permanent or
inadvertent basis;

b. Disclosure of the Confidential Information either through verbal or

written manner to anyone not authorized by the Company to have access to such
information;

c. Tampering with, manipulation or malicious misuse of, the

Company's information and communication and information systems, whether or
not in order to gain access to Confidential Information;

d. Failure to follow and observe the Company's standard operating

procedures and security measures regarding the protection and preservation of
critical and Confidential Information; and

e. Failure to report immediately to the relevant officers of the

Company the following incidents that the Partner has personal knowledge of:

(i) any incident or situation that compromises the integrity, security,

or confidentiality of the Confidential Information;

(ii) any incident wherein the Partner has inadvertently been granted
access or actually accessed Confidential Information when he is not
authorized to do so;

(iii) any situation that requires the deletion of a file and/or

cancellation of access to a file containing Confidential Information that has
been inadvertently
 accessed by any person who does not have authority to access such
Confidential Information.

3. The Partner hereby agrees that if found guilty of any violation or breach of this
Agreement or if the Partner is found to have violated the pertinent provisions of the
Company’s Manual on Personnel Policies and Procedures regarding Confidential
Information, the same shall be reported to the Partner’s employer for appropriate action.
Furthermore, the Partner shall be liable to the Company for any and all damages
suffered by the Company or its affiliates or subsidiaries or their officers, employees, or
representatives, including liquidated damages, which shall in no case be less than One
Hundred Thousand Pesos (Php 100,000.00).

4. The Partner, upon severance of his employment with his employer or upon his
transfer to another station or office of another principal of his employer, shall have the
obligation to turn-over to the Company any and all Confidential Information that is in his
possession, whether in the form of hard or soft copies, no later than on the effective
date of his employment termination or transfer.

5. The Partner hereby releases and forever discharges the Company, its
successors-in-interest, assignees, or legal representatives, of and from any and all
claims, demands, and liabilities whatsoever, for or by reason of his performance of the
obligations under this Agreement.

6. The Partner hereby agrees that this Agreement shall survive up to ten (10) years
from the date of effectivity of his permanent departure from the Company premises.

7. This Agreement may not be modified, amended, added to, or otherwise varied
except by a document in writing signed by both parties.

8. This Agreement shall be governed by, and construed and interpreted in

accordance with, the laws of the Republic of the Philippines.

9. In case of any dispute, controversy, or disagreement between the parties arising from
or in relation to this Agreement, the same shall be settled and/or litigated in the proper
courts of the City of [name of City], to the exclusion of all other courts elsewhere
situated.

10. Both parties acknowledge and agree that they have fully read and understood
the contents of this Agreement and that the same shall be considered to have been
jointly drafted.

11. Should a party be compelled to seek judicial relief against the other party, the
prevailing party shall be entitled to, in addition to any other damages that may be
awarded to such party, attorney’s fees, which amount shall in no case be less than Ten
Thousand Pesos (Php 10,000.00), aside from the costs of litigation and expenses which
the law entitles such party to recover from the other party.
12. Failure of either party to exercise a remedy or to insist in one or more instances
with regard to the performance of any of the covenants of this Agreement shall not be
construed as abandonment or cancellation or waiver of such covenant. No waiver by
either party shall be deemed to have been made unless expressed in writing and signed
by the waiving party.

13. In case any one or more of the provisions contained in this Agreement shall be
held invalid, illegal, or unenforceable in any respect, the validity, legality, and
enforceability of the remaining provisions contained herein shall not in any way be
affected or impaired thereby. Wherever used herein, a pronoun in the masculine gender
shall be considered as including the feminine gender, unless the context clearly indicates
otherwise.

IN WITNESS WHEREOF, the parties have hereunto affixed their signature this at
.

Maria Rowena B. Navoa

Company’s Representative Partner

Signed in the Presence of:

REPUBLIC OF THE PHILIPPINES)
CITY OF ) S.S.

ACKNOWLEDGMENT

BEFORE ME, a Notary Public duly authorized in the city named above to take
acknowledgements, certify that on , personally appeared the
following who are identified by me through competent evidence of identity:

Name Competent Evidence of Community Tax Certificate

Identity
Type Date and Place of Number Date and Place of
Issue Issue
Pilmico Foods Corporation
Passport No.: P3838750A CCI 2020 075700544
Represented by: Date issued: August 5, January 22, 2020
Maria Rowena B. Navoa 2017 Manila
AVP - Business HR Expiration date: August 4,
2022
NCR South

to be the same persons described in the foregoing instrument, who acknowledged

before me that their signatures on the instrument were voluntarily affixed by them for the
purposes stated therein, and who declared to me that they executed the instrument as
their free and voluntary act and deed as well as the free and voluntary act and deed of
the corporation herein represented.

This instrument consisting of five (5) pages, including the page on which this
acknowledgment is written, is signed on each and every page thereof by the principal
and their instrumental witnesses and sealed with my notarial seal.

WITNESS MY HAND AND NOTARIAL SEAL on the place and the date first above

written. Doc. No. ;

Page No. ;
Book No. ;
Series of 20 .
 NON-DISCLOSURE AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This Non-Disclosure Agreement (the "Agreement") made and executed by and between:

[Name of Employee],
of legal age, [civil status], Filipino, and with residence
at

[residence of the employee], and

hereinafter referred to as the "Partner";
-AND-
Pilmico Foods Corporation, a corporation duly organized and existing under
and by virtue of the laws of the Republic of the Philippines, with
principal place of business at Kiwalan Cove, Dalipuga Iligan City,
represented herein by its duly authorized representative, Maria Rowena B.
Navoa, and hereinafter referred to as the "Company".

WHEREAS, the Partner is an employee of the Company;

WHEREAS, during the course of the performance of the functions of the Partner
with the Company, Confidential Information, as defined hereafter, may be disclosed to
him;

WHEREAS, the Partner hereby acknowledges that he has an obligation as an

employee of the Company to comply with the Company's rules and guidelines on
Confidential Information and the security of Company records and properties, as
stipulated in Company’s Manual on Personnel Policies and Procedures;

NOW THEREFORE, for and in consideration of the foregoing, the parties hereby
voluntarily and expressly agree that:

1. The Partner shall not disclose any and all proprietary information, material, data
or files which have been classified as private, sensitive or confidential in nature,
including but not limited to, discoveries, ideas, concepts, software in various stages of
development, designs, drawings, specifications, techniques, models, data, source code,
object code, documentation, diagrams, flow charts, research, development, processes,
procedures, "know-how", strategic, tactical and negotiating information, information
supporting litigation or administrative proceedings, computational methodologies and
decisional analysis, client lists and databases, all Personal Information and Sensitive
Personal Information as defined in Republic Act No.
10173, or the Data Privacy Act of 2012, and its implementing rules and regulations,
pertaining to the Company’s personnel or to any third party which is disclosed by the
Company to the Partner, any and all business, technical, marketing, operational,
organizational, financial or other information, including information which the Company
obtains from another party and which it treats as proprietary or confidential, whether in
electronic, oral or written form, and all notes, analyses, compilations, studies or other
documents prepared by third parties which contain or reflect such information, or
information whose exposure to other entities, persons or organizations constitutes a
conflict of interest and /or poses a liability to the Company (the "Confidential
Information") which has come to the Partner's knowledge by virtue of his being
stationed at the premises of the Company or at the offices and premises of the
Company’s parent, subsidiaries, affiliates, and associated companies. The Partner shall
strictly use any Confidential Information only when authorized to do so and shall not use
any Confidential Information for any other purpose.

2. The Partner hereby agrees that the following unauthorized acts and omissions
are covered under this Agreement:

a. Unauthorized reproduction, discussion, modification, use or deletion of

the Confidential Information or any portion thereof that the Partner has been
entrusted with or has been able to access either on a temporary, permanent or
inadvertent basis;

b. Disclosure of the Confidential Information either through verbal or

written manner to anyone not authorized by the Company to have access to such
information;

c. Tampering with, manipulation or malicious misuse of, the

Company's information and communication and information systems, whether or
not in order to gain access to Confidential Information;

d. Failure to follow and observe the Company's standard operating

procedures and security measures regarding the protection and preservation of
critical and Confidential Information; and

e. Failure to report immediately to the relevant officers of the

Company the following incidents that the Partner has personal knowledge of:

(i) any incident or situation that compromises the integrity, security,

or confidentiality of the Confidential Information;

(ii) any incident wherein the Partner has inadvertently been granted
access or actually accessed Confidential Information when he is not
authorized to do so;

(iii) any situation that requires the deletion of a file and/or

cancellation of access to a file containing Confidential Information that has
been inadvertently
 accessed by any person who does not have authority to access such
Confidential Information.

3. The Partner hereby agrees that if found guilty of any violation or breach of this
Agreement or if the Partner is found to have violated the pertinent provisions of the
Company’s Manual on Personnel Policies and Procedures regarding Confidential
Information, the same shall be reported to the Partner’s employer for appropriate action.
Furthermore, the Partner shall be liable to the Company for any and all damages
suffered by the Company or its affiliates or subsidiaries or their officers, employees, or
representatives, including liquidated damages, which shall in no case be less than One
Hundred Thousand Pesos (Php 100,000.00).

4. The Partner, upon severance of his employment with his employer or upon his
transfer to another station or office of another principal of his employer, shall have the
obligation to turn-over to the Company any and all Confidential Information that is in his
possession, whether in the form of hard or soft copies, no later than on the effective
date of his employment termination or transfer.

5. The Partner hereby releases and forever discharges the Company, its
successors-in-interest, assignees, or legal representatives, of and from any and all
claims, demands, and liabilities whatsoever, for or by reason of his performance of the
obligations under this Agreement.

6. The Partner hereby agrees that this Agreement shall survive up to ten (10) years
from the date of effectivity of his permanent departure from the Company premises.

7. This Agreement may not be modified, amended, added to, or otherwise varied
except by a document in writing signed by both parties.

8. This Agreement shall be governed by, and construed and interpreted in

accordance with, the laws of the Republic of the Philippines.

9. In case of any dispute, controversy, or disagreement between the parties arising from
or in relation to this Agreement, the same shall be settled and/or litigated in the proper
courts of the City of [name of City], to the exclusion of all other courts elsewhere
situated.

10. Both parties acknowledge and agree that they have fully read and understood
the contents of this Agreement and that the same shall be considered to have been
jointly drafted.

11. Should a party be compelled to seek judicial relief against the other party, the
prevailing party shall be entitled to, in addition to any other damages that may be
awarded to such party, attorney’s fees, which amount shall in no case be less than Ten
Thousand Pesos (Php 10,000.00), aside from the costs of litigation and expenses which
the law entitles such party to recover from the other party.
12. Failure of either party to exercise a remedy or to insist in one or more instances
with regard to the performance of any of the covenants of this Agreement shall not be
construed as abandonment or cancellation or waiver of such covenant. No waiver by
either party shall be deemed to have been made unless expressed in writing and signed
by the waiving party.

13. In case any one or more of the provisions contained in this Agreement shall be
held invalid, illegal, or unenforceable in any respect, the validity, legality, and
enforceability of the remaining provisions contained herein shall not in any way be
affected or impaired thereby. Wherever used herein, a pronoun in the masculine gender
shall be considered as including the feminine gender, unless the context clearly indicates
otherwise.

IN WITNESS WHEREOF, the parties have hereunto affixed their signature this at
.

Maria Rowena B. Navoa

Company’s Representative Partner

Signed in the Presence of:

REPUBLIC OF THE PHILIPPINES)
CITY OF ) S.S.

ACKNOWLEDGMENT

BEFORE ME, a Notary Public duly authorized in the city named above to take
acknowledgements, certify that on , personally appeared the
following who are identified by me through competent evidence of identity:

Name Competent Evidence of Community Tax Certificate

Identity
Type Date and Place of Number Date and Place of
Issue Issue
Pilmico Foods Corporation
Passport No.: P3838750A CCI 2020 075700544
Represented by: Date issued: August 5, January 22, 2020
Maria Rowena B. Navoa 2017 Manila
AVP - Business HR Expiration date: August 4,
2022
NCR South

to be the same persons described in the foregoing instrument, who acknowledged

before me that their signatures on the instrument were voluntarily affixed by them for the
purposes stated therein, and who declared to me that they executed the instrument as
their free and voluntary act and deed as well as the free and voluntary act and deed of
the corporation herein represented.

This instrument consisting of five (5) pages, including the page on which this
acknowledgment is written, is signed on each and every page thereof by the principal
and their instrumental witnesses and sealed with my notarial seal.

WITNESS MY HAND AND NOTARIAL SEAL on the place and the date first above

written. Doc. No. ;

Page No. ;
Book No. ;
Series of 20 .
 NON-DISCLOSURE AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This Non-Disclosure Agreement (the "Agreement") made and executed by and between:

[Name of Employee],
of legal age, [civil status], Filipino, and with residence
at

[residence of the employee], and

hereinafter referred to as the "Partner";
-AND-
Pilmico Foods Corporation, a corporation duly organized and existing under
and by virtue of the laws of the Republic of the Philippines, with
principal place of business at Kiwalan Cove, Dalipuga Iligan City,
represented herein by its duly authorized representative, Maria Rowena B.
Navoa, and hereinafter referred to as the "Company".

WHEREAS, the Partner is an employee of the Company;

WHEREAS, during the course of the performance of the functions of the Partner
with the Company, Confidential Information, as defined hereafter, may be disclosed to
him;

WHEREAS, the Partner hereby acknowledges that he has an obligation as an

employee of the Company to comply with the Company's rules and guidelines on
Confidential Information and the security of Company records and properties, as
stipulated in Company’s Manual on Personnel Policies and Procedures;

NOW THEREFORE, for and in consideration of the foregoing, the parties hereby
voluntarily and expressly agree that:

1. The Partner shall not disclose any and all proprietary information, material, data
or files which have been classified as private, sensitive or confidential in nature,
including but not limited to, discoveries, ideas, concepts, software in various stages of
development, designs, drawings, specifications, techniques, models, data, source code,
object code, documentation, diagrams, flow charts, research, development, processes,
procedures, "know-how", strategic, tactical and negotiating information, information
supporting litigation or administrative proceedings, computational methodologies and
decisional analysis, client lists and databases, all Personal Information and Sensitive
Personal Information as defined in Republic Act No.
10173, or the Data Privacy Act of 2012, and its implementing rules and regulations,
pertaining to the Company’s personnel or to any third party which is disclosed by the
Company to the Partner, any and all business, technical, marketing, operational,
organizational, financial or other information, including information which the Company
obtains from another party and which it treats as proprietary or confidential, whether in
electronic, oral or written form, and all notes, analyses, compilations, studies or other
documents prepared by third parties which contain or reflect such information, or
information whose exposure to other entities, persons or organizations constitutes a
conflict of interest and /or poses a liability to the Company (the "Confidential
Information") which has come to the Partner's knowledge by virtue of his being
stationed at the premises of the Company or at the offices and premises of the
Company’s parent, subsidiaries, affiliates, and associated companies. The Partner shall
strictly use any Confidential Information only when authorized to do so and shall not use
any Confidential Information for any other purpose.

2. The Partner hereby agrees that the following unauthorized acts and omissions
are covered under this Agreement:

a. Unauthorized reproduction, discussion, modification, use or deletion of

the Confidential Information or any portion thereof that the Partner has been
entrusted with or has been able to access either on a temporary, permanent or
inadvertent basis;

b. Disclosure of the Confidential Information either through verbal or

written manner to anyone not authorized by the Company to have access to such
information;

c. Tampering with, manipulation or malicious misuse of, the

Company's information and communication and information systems, whether or
not in order to gain access to Confidential Information;

d. Failure to follow and observe the Company's standard operating

procedures and security measures regarding the protection and preservation of
critical and Confidential Information; and

e. Failure to report immediately to the relevant officers of the

Company the following incidents that the Partner has personal knowledge of:

(i) any incident or situation that compromises the integrity, security,

or confidentiality of the Confidential Information;

(ii) any incident wherein the Partner has inadvertently been granted
access or actually accessed Confidential Information when he is not
authorized to do so;

(iii) any situation that requires the deletion of a file and/or

cancellation of access to a file containing Confidential Information that has
been inadvertently
 accessed by any person who does not have authority to access such
Confidential Information.

3. The Partner hereby agrees that if found guilty of any violation or breach of this
Agreement or if the Partner is found to have violated the pertinent provisions of the
Company’s Manual on Personnel Policies and Procedures regarding Confidential
Information, the same shall be reported to the Partner’s employer for appropriate action.
Furthermore, the Partner shall be liable to the Company for any and all damages
suffered by the Company or its affiliates or subsidiaries or their officers, employees, or
representatives, including liquidated damages, which shall in no case be less than One
Hundred Thousand Pesos (Php 100,000.00).

4. The Partner, upon severance of his employment with his employer or upon his
transfer to another station or office of another principal of his employer, shall have the
obligation to turn-over to the Company any and all Confidential Information that is in his
possession, whether in the form of hard or soft copies, no later than on the effective
date of his employment termination or transfer.

5. The Partner hereby releases and forever discharges the Company, its
successors-in-interest, assignees, or legal representatives, of and from any and all
claims, demands, and liabilities whatsoever, for or by reason of his performance of the
obligations under this Agreement.

6. The Partner hereby agrees that this Agreement shall survive up to ten (10) years
from the date of effectivity of his permanent departure from the Company premises.

7. This Agreement may not be modified, amended, added to, or otherwise varied
except by a document in writing signed by both parties.

8. This Agreement shall be governed by, and construed and interpreted in

accordance with, the laws of the Republic of the Philippines.

9. In case of any dispute, controversy, or disagreement between the parties arising from
or in relation to this Agreement, the same shall be settled and/or litigated in the proper
courts of the City of [name of City], to the exclusion of all other courts elsewhere
situated.

10. Both parties acknowledge and agree that they have fully read and understood
the contents of this Agreement and that the same shall be considered to have been
jointly drafted.

11. Should a party be compelled to seek judicial relief against the other party, the
prevailing party shall be entitled to, in addition to any other damages that may be
awarded to such party, attorney’s fees, which amount shall in no case be less than Ten
Thousand Pesos (Php 10,000.00), aside from the costs of litigation and expenses which
the law entitles such party to recover from the other party.
12. Failure of either party to exercise a remedy or to insist in one or more instances
with regard to the performance of any of the covenants of this Agreement shall not be
construed as abandonment or cancellation or waiver of such covenant. No waiver by
either party shall be deemed to have been made unless expressed in writing and signed
by the waiving party.

13. In case any one or more of the provisions contained in this Agreement shall be
held invalid, illegal, or unenforceable in any respect, the validity, legality, and
enforceability of the remaining provisions contained herein shall not in any way be
affected or impaired thereby. Wherever used herein, a pronoun in the masculine gender
shall be considered as including the feminine gender, unless the context clearly indicates
otherwise.

IN WITNESS WHEREOF, the parties have hereunto affixed their signature this at
.

Maria Rowena B. Navoa

Company’s Representative Partner

Signed in the Presence of:

REPUBLIC OF THE PHILIPPINES)
CITY OF ) S.S.

ACKNOWLEDGMENT

BEFORE ME, a Notary Public duly authorized in the city named above to take
acknowledgements, certify that on , personally appeared the
following who are identified by me through competent evidence of identity:

Name Competent Evidence of Community Tax Certificate

Identity
Type Date and Place of Number Date and Place of
Issue Issue
Pilmico Foods Corporation
Passport No.: P3838750A CCI 2020 075700544
Represented by: Date issued: August 5, January 22, 2020
Maria Rowena B. Navoa 2017 Manila
AVP - Business HR Expiration date: August 4,
2022
NCR South

to be the same persons described in the foregoing instrument, who acknowledged

before me that their signatures on the instrument were voluntarily affixed by them for the
purposes stated therein, and who declared to me that they executed the instrument as
their free and voluntary act and deed as well as the free and voluntary act and deed of
the corporation herein represented.

This instrument consisting of five (5) pages, including the page on which this
acknowledgment is written, is signed on each and every page thereof by the principal
and their instrumental witnesses and sealed with my notarial seal.

WITNESS MY HAND AND NOTARIAL SEAL on the place and the date first above

written. Doc. No. ;

Page No. ;
Book No. ;
Series of 20 .
 NON-DISCLOSURE AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This Non-Disclosure Agreement (the "Agreement") made and executed by and between:

[Name of Employee],
of legal age, [civil status], Filipino, and with residence
at

[residence of the employee], and

hereinafter referred to as the "Partner";
-AND-
Pilmico Foods Corporation, a corporation duly organized and existing under
and by virtue of the laws of the Republic of the Philippines, with
principal place of business at Kiwalan Cove, Dalipuga Iligan City,
represented herein by its duly authorized representative, Maria Rowena B.
Navoa, and hereinafter referred to as the "Company".

WHEREAS, the Partner is an employee of the Company;

WHEREAS, during the course of the performance of the functions of the Partner
with the Company, Confidential Information, as defined hereafter, may be disclosed to
him;

WHEREAS, the Partner hereby acknowledges that he has an obligation as an

employee of the Company to comply with the Company's rules and guidelines on
Confidential Information and the security of Company records and properties, as
stipulated in Company’s Manual on Personnel Policies and Procedures;

NOW THEREFORE, for and in consideration of the foregoing, the parties hereby
voluntarily and expressly agree that:

1. The Partner shall not disclose any and all proprietary information, material, data
or files which have been classified as private, sensitive or confidential in nature,
including but not limited to, discoveries, ideas, concepts, software in various stages of
development, designs, drawings, specifications, techniques, models, data, source code,
object code, documentation, diagrams, flow charts, research, development, processes,
procedures, "know-how", strategic, tactical and negotiating information, information
supporting litigation or administrative proceedings, computational methodologies and
decisional analysis, client lists and databases, all Personal Information and Sensitive
Personal Information as defined in Republic Act No.
10173, or the Data Privacy Act of 2012, and its implementing rules and regulations,
pertaining to the Company’s personnel or to any third party which is disclosed by the
Company to the Partner, any and all business, technical, marketing, operational,
organizational, financial or other information, including information which the Company
obtains from another party and which it treats as proprietary or confidential, whether in
electronic, oral or written form, and all notes, analyses, compilations, studies or other
documents prepared by third parties which contain or reflect such information, or
information whose exposure to other entities, persons or organizations constitutes a
conflict of interest and /or poses a liability to the Company (the "Confidential
Information") which has come to the Partner's knowledge by virtue of his being
stationed at the premises of the Company or at the offices and premises of the
Company’s parent, subsidiaries, affiliates, and associated companies. The Partner shall
strictly use any Confidential Information only when authorized to do so and shall not use
any Confidential Information for any other purpose.

2. The Partner hereby agrees that the following unauthorized acts and omissions
are covered under this Agreement:

a. Unauthorized reproduction, discussion, modification, use or deletion of

the Confidential Information or any portion thereof that the Partner has been
entrusted with or has been able to access either on a temporary, permanent or
inadvertent basis;

b. Disclosure of the Confidential Information either through verbal or

written manner to anyone not authorized by the Company to have access to such
information;

c. Tampering with, manipulation or malicious misuse of, the

Company's information and communication and information systems, whether or
not in order to gain access to Confidential Information;

d. Failure to follow and observe the Company's standard operating

procedures and security measures regarding the protection and preservation of
critical and Confidential Information; and

e. Failure to report immediately to the relevant officers of the

Company the following incidents that the Partner has personal knowledge of:

(i) any incident or situation that compromises the integrity, security,

or confidentiality of the Confidential Information;

(ii) any incident wherein the Partner has inadvertently been granted
access or actually accessed Confidential Information when he is not
authorized to do so;

(iii) any situation that requires the deletion of a file and/or

cancellation of access to a file containing Confidential Information that has
been inadvertently
 accessed by any person who does not have authority to access such
Confidential Information.

3. The Partner hereby agrees that if found guilty of any violation or breach of this
Agreement or if the Partner is found to have violated the pertinent provisions of the
Company’s Manual on Personnel Policies and Procedures regarding Confidential
Information, the same shall be reported to the Partner’s employer for appropriate action.
Furthermore, the Partner shall be liable to the Company for any and all damages
suffered by the Company or its affiliates or subsidiaries or their officers, employees, or
representatives, including liquidated damages, which shall in no case be less than One
Hundred Thousand Pesos (Php 100,000.00).

4. The Partner, upon severance of his employment with his employer or upon his
transfer to another station or office of another principal of his employer, shall have the
obligation to turn-over to the Company any and all Confidential Information that is in his
possession, whether in the form of hard or soft copies, no later than on the effective
date of his employment termination or transfer.

5. The Partner hereby releases and forever discharges the Company, its
successors-in-interest, assignees, or legal representatives, of and from any and all
claims, demands, and liabilities whatsoever, for or by reason of his performance of the
obligations under this Agreement.

6. The Partner hereby agrees that this Agreement shall survive up to ten (10) years
from the date of effectivity of his permanent departure from the Company premises.

7. This Agreement may not be modified, amended, added to, or otherwise varied
except by a document in writing signed by both parties.

8. This Agreement shall be governed by, and construed and interpreted in

accordance with, the laws of the Republic of the Philippines.

9. In case of any dispute, controversy, or disagreement between the parties arising from
or in relation to this Agreement, the same shall be settled and/or litigated in the proper
courts of the City of [name of City], to the exclusion of all other courts elsewhere
situated.

10. Both parties acknowledge and agree that they have fully read and understood
the contents of this Agreement and that the same shall be considered to have been
jointly drafted.

11. Should a party be compelled to seek judicial relief against the other party, the
prevailing party shall be entitled to, in addition to any other damages that may be
awarded to such party, attorney’s fees, which amount shall in no case be less than Ten
Thousand Pesos (Php 10,000.00), aside from the costs of litigation and expenses which
the law entitles such party to recover from the other party.
12. Failure of either party to exercise a remedy or to insist in one or more instances
with regard to the performance of any of the covenants of this Agreement shall not be
construed as abandonment or cancellation or waiver of such covenant. No waiver by
either party shall be deemed to have been made unless expressed in writing and signed
by the waiving party.

13. In case any one or more of the provisions contained in this Agreement shall be
held invalid, illegal, or unenforceable in any respect, the validity, legality, and
enforceability of the remaining provisions contained herein shall not in any way be
affected or impaired thereby. Wherever used herein, a pronoun in the masculine gender
shall be considered as including the feminine gender, unless the context clearly indicates
otherwise.

IN WITNESS WHEREOF, the parties have hereunto affixed their signature this at
.

Maria Rowena B. Navoa

Company’s Representative Partner

Signed in the Presence of:

REPUBLIC OF THE PHILIPPINES)
CITY OF ) S.S.

ACKNOWLEDGMENT

BEFORE ME, a Notary Public duly authorized in the city named above to take
acknowledgements, certify that on , personally appeared the
following who are identified by me through competent evidence of identity:

Name Competent Evidence of Community Tax Certificate

Identity
Type Date and Place of Number Date and Place of
Issue Issue
Pilmico Foods Corporation
Passport No.: P3838750A CCI 2020 075700544
Represented by: Date issued: August 5, January 22, 2020
Maria Rowena B. Navoa 2017 Manila
AVP - Business HR Expiration date: August 4,
2022
NCR South

to be the same persons described in the foregoing instrument, who acknowledged

before me that their signatures on the instrument were voluntarily affixed by them for the
purposes stated therein, and who declared to me that they executed the instrument as
their free and voluntary act and deed as well as the free and voluntary act and deed of
the corporation herein represented.

This instrument consisting of five (5) pages, including the page on which this
acknowledgment is written, is signed on each and every page thereof by the principal
and their instrumental witnesses and sealed with my notarial seal.

WITNESS MY HAND AND NOTARIAL SEAL on the place and the date first above

written. Doc. No. ;

Page No. ;
Book No. ;
Series of 20 .
 CONFLICT OF INTEREST POLICY
DATA FORM

Name : Date :
Dept. :

I. Business Activities outside the Company and Business Associates

a. Team members involved, manage or has the equity in businesses outside of the company,
kindly disclose all relevant facts including the names of your business partners and associates.

b. Team members with professional licenses (e.g. Lawyers, CPA’s, etc ) engaged in
non-ACO business shall likewise disclose all relevant facts about their external
practice or business.

II. Personal Business Involvement with competitors, customers, suppliers of the company
a. Team members with personal business or any of his/her family members and
personal relationship that they may have with anyone whom they have to transact
with in behalf of the company, especially when such relations or affiliations will
appear to have influence on the team member’s judgement, recommendation or
decision. Said team members are to disclose all pertinent data.

Signature Over Printed Name Date

Kindly return this form to Pilmico Foods Corporation, HR

Page 1 of 1 Conflict of Interest Form V1.0

010118
 Pilmico
Human Resources Department

AUTHORIZATION

TO WHOM IT MAY CONCERN:

Pursuant to Pilmico Foods Corporation (the Company) policy to maintain a drug free
workplace, I hereby advise that I have no objections whatsoever to the Company policy of
drug testing, and in this connection, I hereby authorize the Company to conduct drug tests
on my person at random at any given time.

I further hereby release, remise and forever discharge the company, its officers,
directors, stockholders agents and co – employees and its successors-in-interest from any
action or other obligations arising from said drug test.

Thank you.

(Employee signature over printed name)

Random Drug Testing Authorization V1.0 010118

 POLICY ON HIRING RELATIVES
DECLARATION FORM

Name of Employee:
Department:

Division: ( ) Flour ( ) Feeds ( ) Farms ( ) Trading

Location: ( ) Cebu ( ) Iligan ( ) Taguig ( ) Tarlac

NAME OF EMPLOYEE RELATIONSHIP

I hereby declare that the above declaration is true to the best of my knowledge. I
voluntarily give PILMICO the right to carry out whatever investigation it may consider
necessary based on the above answers and I undertake to render any assistance
necessary.

Signature over Printed Name Date

Policy on Hiring Relatives V.2 03032020

 Human Resources Department

DATE :
TO :

CERTIFICATION

This is to certify that I, Mr./Ms. , of legal age, ,

(Name) (Status)

with postal address at and presently working

at , as with
(Company) (Position)

TIN certify that, I was not able to submit the required

Certificate of Income Tax on Compensation (BIR Form No. 2316) from my previous employer due to:

Please check reason:

☐ No previous employer for the year
☐ Certificate of Income Tax Withheld on Compensation (BIR Form No. 2316) is not yet available from
my previous employer.

I further certify that whatever taxes that due from me as a result of my failure to submit the

above documents to will be borne by me and I will directly pay to

(Company)
the Bureau of Internal Revenue (BIR) upon the filing of my Income Tax Return (ITR) for the year

Signed

BIR Waiver Form v1.0 010118

Pls. deliver the phone to: Mobility

Solutions Service Application
Form for Corporate
 Individual
Personal Information
Employment/Financial Information
1 Are you an existing Globe Telecom subscriber?
ACCESS/AREA CODE
GLOBE MOBILE PHONE MOBILE/PHONE NO.
18 EMPLOYER/BUSINESS NAME
Pilmico Foods Corporation

GLOBE TATTOO 1 INDUSTRY

MANUFACTURING FOOD BPO
GLOBE LANDLINE 9 MANUFACTURING NON-FOOD FINANCIAL INSTITUTION
SEMICON REAL ESTATE AND CONSTRUCTION
DISTRIBUTION POWER AND UTILITIES
2 MR. MRS. 3 GENDER
LOGISTICS AND TRANSPORT PETROLEUM
OTHERS MALE FEMALE EDUCATION IT
RETAIL MEDIA
5 CIVIL STATUS
SINGLE WIDOW/WIDOWER HEALTHCARE SERVICES HOSPITALITY
4 BIRTHDAY (mm/dd/yyyy)
GOVERNMENT OTHERS (Please specify)
MARRIED LEGALLY SEPARATED
6 LAST NAME
20 COMPLETE BUSINESS ADDRESS (Unit/Floor/Building Name/Street No./Street
Kiwalan Cove

7 FIRST NAME Name) BARANGAY/MUNICIPALITY/TOWN

Dalipuga
8 MIDDLE NAME CITY/PROVINCE POSTAL CODE/ZIP CODE
Iligan City
9 MOTHER'S FULL MAIDEN NAME (First, Middle,
Last)
2 OFFICE PHONE
NUMBER PHONE NO.
1 AREA CODE

10 HOME
22 YEARS IN COMPANY CURRENT POSITION HELD

OWNERSHIP
OWNED ( yrs of stay) RENTED (P /month) PERSONAL MONTHLY

LIVING WITH RELATIVES MORTGAGE (P /month) 2 INCOME BELOW

P10,000
P15,000 -
P24,999 P25,000
P35,000 - P50,000
ABOVE P50,000
3 P10,000 - P14,999 - P34,999

COMPANY-OWNED
24 AUTHORIZED CONTACT PERSON IN YOUR ABSENCE (First, Middle, Last)

11 COMPLETE HOME ADDRESS (Unit/Floor/Building Name/Street No./Street Name) 25 RELATION OFFICE PHONE NUMBER
AREA CODE PHONE NO.
BARANGAY/MUNICIPALITY/TOWN
Billing Instructions
CITY/PROVINCE POSTAL CODE/ZIP HOME ADDRESS BUSINESS ADDRESS
CODE 26 BILLS TO BE SENT TO MY:
ENROLL IN PAPERLESS BILLING: YES (if yes, please specify email:) NO
*Statement of Account/bill will automatically be delivered to other address in
case of moved out/return to sender.
NOTE: Hard copy will no longer be sent to Home/Business
area.
12 HOME TELEPHONE MOBILE Auto-Charge
NUMBER NUMBER
AREA CODE PHONE NO. ACCESS MOBILE NO.
CODE
27 Would you like to automatically charge your monthly bill/s to your credit card

account?
YES NO
13 EMAIL ADDRESS (Primary) ISSUING BANK ADA to follow
EMAIL ADDRESS CREDIT CARD NUMBER CARD EXPIRATION DATE (mm/dd/yyyy)
(Alternate)
OTHER GLOBE ACCOUNTS TO BE ENROLLED

14 TAX IDENTIFICATION NUMBER GSIS/SSS

Service Information
(TIN) AFFILIATED MAJOR CITIZENSHIP
28 SERVICE TYPE

CLUBS/ORGS
15 WIRELESS WIRELESS DATA VAS OTHERS
Filipino VOICE
applicable) LAST NAME 29 PLAN NAME
Business Boost
16 COUNTRY (If PASSPORT NUMBER
30 ADD-ONS
foreigner) ACR NO./ 1 2 3 4

i-CARD NO. PASSPORT

5 EXPIRY DATE (mm/dd/yyyy)
6 7 8

31 PRIMERS
1 2 3 4
Unlicall to globe/tm & unli allnet text
32 SPECIAL FEATURES (Tick to
1 SPOUSE NAME (If
deactivate)

7 3
MONTHLY SERVICE FEE (MSF)

MIDDLE INTERNATIONAL ROAMING IDD MOBILE DATA OTHERS

NAME
BUNDLE INFORMATION
GADGET GC OTHERS
FIRST 34 GADGET INFORMATION (Gadget GADGET MODEL
NAME brand)
SPOUSE'S DATE OF BIRTH
(mm/dd/yyyy) PROFESSION OF SPOUSE / COMPANY
GADGET BASE GADGET CASHOUT (if Business Plus, amortization
NAME
PRICE amt)

MSA POSITION
NO. 35 MINIMUM SUBSCRIPTION PERIOD
6 MONTHS 12 24 OTHERS
MONTHS MONTHS

Employee Certification List For Globe Telecom's Use Only

This document is to certify that the employees whose names are I have checked and verified the supporting credit requirements against
the
included in the attached list, are regular employees (“Employees”) original documents and found them to be authentic and in
of accordance in accordance with GLOBE TELECOM requirements.
(“Company”) receiving communication allowance
or subsidy to cover their telecommunication expenses for official ACCOUNT MANAGER NAME/ID
business, hence, all benefits and privileges accorded by Globe
Telecom, Inc. (“Globe”) to Company for mobile telecommunication
subscriptions may be extended to them. Said benefits and privileges
however, will be made
available to the Employees on condition that they remain DATE SIGNATURE
employees of the Company. In the event of resignation, retirement
or termination of employment of any Employee, Company shall CORPORATE CODE
immediately inform Globe in writing of such fact and Globe may
withdraw the benefits and privileges extended to such Employee.
CORPORATEID NUMBER
It is understood that each of the Employees shall be solely
responsible for the obligations arising from their respective YES (Please indicate number)
subscriptions to Globe mobile telecommunication services.
NO

Name & Signature of HR Authorized Signatory Date VPN SUBSCRIBER?

YES (Please indicate number)

Company Name
NO
Please attached photocopy of ID of HR Authorized Signatory
ASSIGNEE LIST NUMBER

Subscriber's Declaration ACCOUNT NUMBER

REMARKS
I/We hereby confirm that the foregoing information is true and
correct, and that the supporting documents attached hereto are
genuine and authentic and voluntarily submitted by the subscriber MOBILE NUMBER
for the purpose of an application for a Globe mobile service.
and Conditio to financial institutions, credit bureaus or similar
I/We the authorized representative/s of the company hereby ns. organizations.
authorize GLOBE TELECOM to obtain pertinent credit information I/We agree
from banks, credit card companies, and other financial institution that this I/We hereby confirm that any device issued by
on the course of credit investigation of the company's Subscription GLOBE TELECOM is my full responsibility. The
application, and I/We hereby authorize the release of such Agreement damage to or loss of device is not a valid
information by the bank, credit card, and financial institutions from shall govern ground not to pay the MSF and other charges.
which credit information is requested. our GLOBE TELECOM has no obligation to repair or
relationship for replace a damaged device outside the
I/We hereby confirm that I/We have read and understood the Terms the service manufacturer’s warranty.
and Conditions stated on the reverse side of this form and that the currently
company shall comply with them and with any additional terms and availed of and
conditions in any certificate required to be executed in connection service I will
with any particular GLOBE TELECOM promotions or plans. avail of in the
future.
I/We acknowledge and agree to the minimum subscription period to
the relevant Service availed of. If I choose to downgrade my plan, I/We consent
transfer any rights or obligations of my subscription or terminate to the
or cancel my subscription within the minimum subscription period company’s
then I agree to pay the relevant fees and penalties. disclosure of
information
I/We am aware of the fees, rates and charges relevant to the concerning
Service availed of and I agree to pay the same within the due myself/ourselv
dates. I understand that I will be subject to interest and es or my/our
penalties for late
BY SUBMITTING payment
THIS or non-payment
FORM, I CERTIFY stated
THAT ALL THE ABOVE in the TermsIS ACCURATE,
INFORMATION subscription
AND I AGREE TO THE TERMS AND CONDITIONS OF THIS SERVICE.
CUSTOMER CLASS
Checklist ACCOUNT CATEGORY

CREDIT CHECKED/DATE
SIGNED MSA

COMPANY ID
APPROVED/DATE

ACTIVATED/DATE

Corporate Individual
Name and Signature of Subscriber Date
CERTIFICATE OF EMPLOYMENT WITH DETAILS OF COMPENSATION
AND COMMUNICATION ALLOWANCE

PROOF OF BILLING ADDRESS (IF BILLING ADDRESS IS HOME

ADDRESS) ID OF COE SIGNATORY