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APPLICATION FOR BUILDING IDENTIFICATION CARD

(For Tenant personnel and Construction Workers Only)

APPLICANT'S DATA
Last Name First Name Middle Name

Designation Employers Name

City Address

Provincial Address

Date of Birth Place of Birth Civil Status


Email Address Mobile Number Hire Date
Height Weight Distinguishing Mark Employee Status
Name of spouse, if married
Names of references (give at least two) Address & Telephone Number

1
2
Person(s) to contact in case of emergency Address & Telephone Number
1
2

APPLICANT'S DECLARATION

I hereby declare that I will abide by the House Rules and Regulations of Okada Manila and if found in violation thereof,
I agree to submit myself for investigation in accordance with the existing law.

I further declare that I will wear the issued Okada Manila ID at all times while inside the building premises.

Attach latest 2x2 COLORED


PHOTO
Left thumb mark Right thumb mark

Date Accomplished Applicant's Signature


Note: Please attach a photocopy of any valid Government Issued ID/NBI Clearance/Police Clearance and latest 2x2 ID Picture

EMPLOYER'S CERTIFICATION

I hereby endorse this application for the issuance of Okada Manila Retail Identification Card to our
employee, and I bind to assist the Retail Office and
the authorities in the location of the person in the event of his/her misconduct.

I agree to inform the Administration Office as soon as I terminate his/her service.

Date Tenant's Name and Signature

FOR ADMINISTRATION USE ONLY


ID Control No.
Issuance Date: Approved by:
Expiry Date:
Mall Operations Manager

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