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REPUBLIC OF THE PHILIPPINES SPES Form 6

Department of Labor and Employment


REGIONAL OFFICE NO. _______
Public Employment Service Office
_____________________________________________
SPECIAL PROGRAM FOR EMPLOYMENT OF STUDENTS
(RA 7323, as amended by RAs 9547 and 10917)

SPES TERMINAL/PAYROLL REPORT

Name of Employer: _____________________________________________ Total No. of Vacancies: ___________________________________________


Address: ______________________________________________________ Contact Person: __________________________________________________
Main Business Activity: __________________________________________ Contact Number: _________________________________________________
Industry Code: ________________________________________________ Date Prepared: ___________________________________________________

NO. OF AMOUNT PAID TOTAL AMOUNT


POSITION/ WAGE RATE AMOUNT PAID
NAME OF SPES BENEFICIARY DAYS FOR OTHER EARNED BY SIGNATURE
ASSIGNMENT PER DAY FOR WAGES
EMPLOYED BENEFITS STUDENT

Prepared by: Approved by:

______________________________________________ ____________________________________________
Name, Designation & Signature Name and Signature of Employer

______________________________________ ____________________________________
Date Date
BLE Revision as of 16 December 2016