Working Child Permit Application Form

DOLE application form for working child permit

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DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. __________
Provincial/Field Office ________

Passport
Size
Photo

WORKING CHILD PERMIT

APPLICATION FORM

3.5 cm. x 4.5 cm.

PERSONAL DATA OF THE CHILD
Name of Child: _________________________________________________________________________________________
(Last Name)

(First Name)

(Middle Name)

Home Address: _________________________________________________________ Contact Details: _________________
Date of Birth: ___________________________ Place of Birth: ______________________________________
Sex:

 Male

 Female

Education:

Age: _____

 Grade level (specify if applicable) __________________________

NAME OF PARENTS/GUARDIAN
Father: _______________________________________________________________ Occupation: _____________________________________________________
Mother: _______________________________________________________________ Occupation: _____________________________________________________
Guardian: _____________________________________________________________ Occupation: _____________________________________________________

A. FOR PUBLIC ENTERTAINMENT OR INFORMATION
Terms and Conditions
Title of Project/Activity: _____________________________________________________________________________ Talent Fee _______________________
Description of role of the child: ______________________________________________________________________________________________________
Date/s

Location (Specify details)

Call Time

No. of Hours of Work

Note: Please use extra sheet if necessary

The following are provided to the child:






comfortable workplace and adequate quarters

break or rest periods in comfortable day beds or couches
clean and separate dressing rooms and toilet facilities for boys and girls
adequate meals and snacks and sanitary eating facility


all the necessary assistance to ensure adequate and immediate medical
and dental attendance and treatment to an injured or sick child in case
of emergency
others, please specify _______________________________________

Data on Employer
 Producer

 Advertiser
 Ad Agency
 Talent Caster
 Talent Agent
 Talent Manager
 Others, specify ___________
Name of Establishment/Company: _______________________________________________________________ Tel. No.: ______________________________
Address: ____________________________________________________________ Fax: ___________________ E-mail: _______________________________
Business Permit No./Mayor’s Permit No.: _______________________________________ Date Issued: _______________________ Valid Until: ____________
B. FOR FAMILY UNDERTAKING
The child works under the sole responsibility of  parent
 guardian
 family member other than parent, specify _______________________
Nature of business/undertaking: _________________________________________ Location: ____________________________________________________
Specify the child’s activity or work: _____________________________________________________________________________________________________
I hereby certify that the information contained herein are true and correct to the best of my knowledge.
_________________________________________
Printed Name and Signature of Employer

________________________________________
Printed Name and Signature of Authorized
Network Representative, if for Television

_________________________________________
Printed Name and Signature of
Parent/Guardian

_________________________________________
Designation

ACTION OF DOLE REGIONAL/PROVINCIAL/FIELD OFFICE
DOCUMENTS SUBMITTED
FIRST APPLICATION
 Notarized and duly accomplished WCP Application Form
 Proof of schooling (any of the following)
 Certificate of Enrollment
 Current School ID
 Certified True Copy of Current Report Card
 If the child is not enrolled, Notarized Affidavit that the child shall be enrolled in
the next school year (if applicable)
 Authenticated copy of the child’s Birth Certificate or Certificate of Late
Registration of Birth issued by the Philippine Statistics Authority or
city/municipal registrar
 Medical Certificate issued by a licensed physician showing the physician’s full
name, signature and license number (valid within 1 month from date of
issuance)
 Two (2) passport size photographs of the child
 Any valid government issued ID of parent/guardian
 When the employer is the parent, guardian, or a family member other than the
parent of the child
 For legal guardian – Authenticated proof of legal guardianship
 For family member – Proof of relationship to the child
 When the employer is in public entertainment or information
 Certified true copy of the employer’s business permit or Mayor’s
Permit
 Notarized Employment Contract between the employer and the
child’s parents or guardian
 Application fee (P100.00)
Date Received:__________________

SUCCEEDING APPLICATIONS
 Notarized and duly accomplished WCP Application Form
 Previously issued WCP Card
 Proof of schooling (any of the following)
 Certificate of Enrollment
 Current School ID
 Certified True Copy of Current Report Card
 Medical Certificate issued by a licensed physician, showing the physician’s full
name, signature and license number (valid within 1 month from date of
issuance)
 Two (2) passport size photographs of the child
 Any valid government issued ID of parent/guardian
 Trust Fund Certificate issued by a bank under the child’s name (if applicable)
 When the employer is the parent, guardian, or a family member other than the
parent of the child
 For legal guardian – Authenticated proof of legal guardianship
 For family member – Proof of relationship to the child
 When the employer is in public entertainment or information
 Certified true copy of the employer’s business permit or Mayor’s
Permit
 Notarized Employment Contract between the employer and the
child’s parents or guardian
 Application fee (P100.00)