Professional Documents
Culture Documents
2X2
PICTURE
in white background
[ ] NEW
[ / ] RENEWAL
/
PERSONAL DATA
Lee
Sun Suk
NAME: _____________________________________________________________________________________
(First name)
(Middle name)
(Last name)
F
KOREAN
SEX:________
CITIZENSHIP:__________________________________
TIN: ____________________________
289-898-618-000
CIVIL STATUS Married
DATE OF BIRTH Dec.21,1973 PLACE OF BIRTH _________________________
Korea
and Counseling MA ( De La Sallle University
HIGHEST EDUCATIONAL ATTAINMENT/COURSE FINISHED: Guidance
________________________________________
ADDRESS IN THE PHILS. _____________________________________________________________________
Lin-San Bldg. By-Pass Road, Aguinaldo Highway, San Vicente 2, Silang, Cavite, Philippines 4118
_________________________________________________________ E-MAIL __________________________
liss1221@hanmail.net
PERMANENT ADDRESS ABROAD ______________________________________________________________
Sanggye5dong 389-129 Nowon-Gu Seoul, Korea
___________________________________________________________________________________________
M10794388
PASSPORT NO._________________________
PASSPORT VALID UNTIL ______________________________
20 April 2026
Korea
PLACE OF ISSUE________________________DATE
OF ISSUE_______________________________________
20 April 2016
VISA __________________________________ VALID UNTIL _________________________________________
EMPLOYMENT HISTORY IN THE PHILIPPINES: (Please attach additional sheet if necessary)
N/A
Position
Duration of Employment
Administrator
PRESENT EMPLOYMENT:
Administrator
POSITION __________________________________________________________________________________
NATURE OF ASSIGNMENT: [ ] INVESTOR, [ ] INTRA-CORPORATE TRANSFEREE, [ ] SERVICE SELLER,
[ / ] PROFESSIONAL, [ ] CONTRACTUAL SERVICE SUPPLIER, [ ] SPECIALIST
LIn-San Bldg. By-Pass Road, Aguinaldo Highway 2, San Vicente, Silang, Cavite,Philippines 4118
PLACE/S OF ASSIGNMENT ____________________________________________________________________
NAME AND ADDRESS OF EMPLOYER ___________________________________________________________
___________________________________________________________________________________
E-MAIL ADDRESS____________________________TEL..____________________________________________
liss1221@hanmail.net
(046) 4132471
NATURE OF BUSINESS _______________________________________________________________________
school
TOTAL EMPLOYMENT (Exclude Foreign Nationals) _______
NUMBER OF FOREIGN NATIONALS __________
12
1
Have your application for AEP been previously denied? [ ] yes [ / ] no When? __________________
Have your AEP been previously cancelled/revoked? [ ] yes [ / ] no
When? __________________
Please state reason for denial/cancellation/revocation:________________________________________
N/A
___________________________________________________________________________________
N/A
What actions have you taken? __________________________________________________________
May 4, 2016
______________________________
DATE FILED
NOTARY PUBLIC
Name of Alien :
Position/s
:
Nationality
:
Company
:
Address
:
AEP Number :
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
___________________ Validity : ________________ Industry Code: _____________
I. CHECKLIST OF REQUIREMENTS
(Original and other documents, when applicable, should be presented for validation. AEP Card must be
surrendered to the issuing DOLE-Regional Office upon expiration of AEP or termination of employment.)
DOCUMENTS SUBMITTED
[ ] NEW
[ ] RENEWAL
II.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
RECOMMENDATION:
_______________________________________________________________________________
________________________
_____________________
EVALUATOR
DATE RECEIVED
2. RECOMMENDATION
[ ] FOR APPROVED
________________________
3. ACTION TAKEN
DATE RECEIVED
[ ] APPROVED
__________________________
REGIONAL DIRECTOR
III.
PAYMENTS
AMOUNT
DATE RELEASED
[ ] OTHERS
_____________________
CHIEF
________________________
________________________
DATE RELEASED
[ ] OTHERS ______________________________
________________________
DATE RECEIVED
__________________________
DATE RELEASED
DATE
Fees
_____________
_______________________
_________________
Fines
_____________
_______________________
_________________
Date of Publication: ____________________ Newspaper ______________________________