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    1) Rso

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    REN OFFICIAL

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    © All Rights Reserved
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    1) Rso

    Uploaded by

    REN OFFICIAL
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    1) RSO

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    251 views1 page

    1) Rso

    Uploaded by

    REN OFFICIAL

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Republic of the Philippines

    DEPARTMENT OF LABOR AND EMPLOYMENT


    Regional Office No. 3
    City of San Fernando, Pampanga

    REPORT SAFETY ORGANIZATION

    Date Filed:______________
    Regional Labor Office No. 03
    File Number _______________

    EDIZON AND CATH ENTERPRISE


    Name of Establishment: _____________________________________________________________________

    MARINA ST., SAN ANTONIO, CANDON CITY, ILOCOS SUR


    Address: _________________________________________________________________________________

    CONVINIENCE STORE
    Nature of Business: ________________________________________________________________________

    Persons Employed, including Management:

    5
    Male: _____ 3
    Female: ____

    A. Policy and Programs on Safety Committee:

    B. Composition of Safety Committee: Type: _________

    Name Position in Establishment

    Chairman: CATHERINE LEAL


    ________________________________________ OWNER
    _____________________________________

    Members: PAUL JERICK FABIAN


    ________________________________________ SALES CLERK
    _____________________________________

    BRIAN PAUL ROSIMO


    ________________________________________ SALES CLERK
    _____________________________________

    ________________________________________ _____________________________________

    Secretary: KIMBERLY PURUGGANAN __________


    ______________________________ SALES CLERK
    _____________________________________

    C. Technical Information:

    A. Brief description of process of operation and number and kind of equipment.

    ______________________________________________________________________________________________

    CATHERINE REYES LEAL


    _____________________________________
    General Manager / Authorized Representative
    PLEASE READ! This should be accomplished in 3 sets together w/ other admin reports and let it be stamped by DOLE
    Pampanga at Room 303 Plaza Garcia Bldg. Dolores CSFP. Landmark is Esting’s Flower Shop Intersection hmg

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