Additional Manpower Request Form (AMRF) ROASD-1767, Revision-0

Page No. Page 1 of 1 ADDITIONAL MANPOWER REQUEST FORM Form No. ROASD-1767 (AMRF) Revision No. 0 Effectivity June 22, 2026 PART A. GENERAL INSTRUCTIONS 1. Use this form to request for additional manpower in the event of newly approved additional site. 2. Changes in format are not allowed, and all fields should be properly filled out. 3. Dates must be encoded in month-day-year (Ex. April 30, 2026) . 4. If the information required is not applicable, write "N/A". 5. All requirements should be submitted in digital copy. 6. Applications with incomplete information / requirements will not be accepted. PART B. REQUIRED ATTACHMENTS / SUPPORTING DOCUMENTS 1. Notice of Approval for additional site 2. Manpower Monitoring Form (MMF) 3. Compliance Authorized Representative Form (Form C) PART C. APPLICATION DETAILS Date: Name of Company: Approved Additional Site Address: Date of Approval: Target Commencement of Operation: MANPOWER COUNT PER SITE # EXISTING SITE/S FILIPINO FOREIGN TOTAL REMARKS 1 2 3 4 5 TOTAL ADDITIONAL SITE/S FILIPINO FOREIGN TOTAL REMARKS 1 2 3 4 5 TOTAL CERTIFICATION: This is to certify that the information provided herein has been carefully verified and found to be updated, accurate and complete. understand that misdeclaration and incorrect information may lead to imposition of administrative penalties. ____________________________________ _______________________ Signature over Printed Name of Authorized Representative Date