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Employee No.

Name:

JUAN DELA CRUZ

Position:

JANITOR

Employee's Signature

Home Address:

BLOCK 3 LOT 9

PINAGSAMA PHASE 2 VILLAGE

TAGUIG CITY

In Case of Emergency, Please Notify:

Name:

JAYSON AUSTRIA

Contact No:

09123456789

This card remains the property of the company and must be surrendered upon resignation.

RODULFO M. MALACA

Authorized Signatory

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