RKS Form 5 of 2020
RKS Form 5 of 2020
*Floor/Bldg/No/Street/Subdivision :
*Barangay/City/Municipality :
Geo Code :
Kind of Business/Economic :
Activity/Principal Product:
PSIC Code :
*Company TIN :
*Company SSS Number :
*Number of Workers Male : Managerial Employees :
Female : Supervisory :
Total : Rank-and-File :
Total :
Codes for Primary Reason Temporary Closure (B.2)/Retrenchment (B.3) / Permanent Closure (B.4):
D. CERTIFICATION
This is to certify as to the accuracy of the data provided in this report.
NOT FOR SALE
Signature Over Printed Name of Owner or Company Representative and Date
CONSENT NOTICE: By accomplishing this form, you agree that the information submitted shall be used solely for purposes of monitoring and planning. We may likewise disclose your personal
information to the extent that we are required to do so by the Data Privacy Act of 2012. As a general rule, we may only keep your information until such time that we have attained the purpose by
which we collect them. Under the foregoing circumstances and to the extent permissible by applicable law, you agree not to take any action against the DOLE for the disclosure and retention of your
information.
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