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Username

Minimum of 8 characters Username is required Username already exists

Password

Must contain at least one number and one uppercase and lowercase letter, and at least 8 or more characters
Password is required

Confirm Password

Password does not match
Password is required
Show password

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Establishment Details

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Establishment Name Establishment Name is required

Business Brand Business Brand is required

Tax Identification Number Tax Identification Number is required

Employer Type Government Private Recruitment & Placement Agency (Local) Licensed Recruitment Agency (Overseas) DO 174-17, Subcontractor Employer Type is required

Number of Employees Micro (1-9) Small (10-99) Medium (100-199) Large (200 and up) Number of Employees is required

Provinces

Municipality

Barangay

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Establishment Contact Details

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Contact Person(Full Name) Contact Person(Full Name) is required

Position Position is required

Telephone Number Telephone Number is required

Mobile Number E.g. (09123456789)
Mobile Number is required

Fax Number

Email Address Email Address is required