(In a language known and understood by the Recrut! "NO# ALL MEN $% T&E'E (RE'ENT') This Recruitment Contract made this ___ day of _______________, by and between (Name of Authorized Representative) , of legal age, single/married, with postal address at _________________________________, a representative of __(Name of Agency) _, with principal address at __________________________________,hereinafter referred to as the AGENCY; - and _________________________, born on _______________, single/married, with postal address at ____________________________, hereinafter referred to as the KASAMBAHAY, [being a minor is represented by _____________________ (indicate the Relationship) as the guardian! WITNESSETH AND AGREED AS FOLLOWS: "# That the AGENCY shall conduct an interview and verify the bac$ground of the KASAMBAHAY to determine if the latter is physically fit, capable and willing to render satisfactory service! %# That upon agreement of the terms and conditions, the KASAMBAHAY shall submit to the AGENCY the following documents& a# 'uthentic birth certificate or if unavailable, voters identification card, baptismal certificate or passport# b# (edical Certificate or health certificate issued by the local government health officer! c# )arangay and *olice Clearance d# +ational )ureau of ,nvestigation Clearance Annex C 2 -# That the AGENCY shall secure the best terms and conditions of employment for the KASAMBAHAY; .# That the AGENCY shall provide the KASAMBAHAY a pre/employment orientation on the nature of the 0ob, duties and responsibilities, monthly salary, other benefits, and other terms and conditions of employment being offered to the latter in accordance with the ,mplementing Rules and Regulations of Republic 'ct +o# "1-2" or )atas 3asambahay! 4# That the AGENCY shall initially shoulder all the deployment e5penses directly used for the transfer of the KASAMBAHAY from the place of origin to the place of wor$ which include the following& a# Cost of Transportation b# (eals c# Communication 65pense d# 7ther incidental e5penses 8uch e5penses shall be charged to the employer by the agency# The employer may recover deployment cost from the KASAMBAHAY whenever he/she leaves without 0ustifiable reason within si5 (2) months from employment# 2# That the AGENCY shall ensure that the KASAMBAHAY is not charged or re9uired to pay any recruitment or placement fees# :# That the AGENCY shall accompany the KASAMBAHAY from the place of origin to the place of the employer# ;# That in case the KASAMBAHAY is found to be not 9ualified to wor$, the AGENCY shall contact close relative of the 3asambahay or if a minor, 3 accompany the KASAMBAHAY bac$ to her residence/province at the e5pense of the AGENCY, to be reimbursed by the KASAMBAHAY! <# That the agency shall assist the $asambahay in filing his/her complaints or grievances against the employer# "1# The terms and conditions of this contract shall not be modified or amended by either party without the concurrence of the other party# ,+ =,T+688 =>6R67?, the *arties hereunto signed this Contract this _________ day of ________________, at _______________________________, *hilippines#
SIGNED IN THE )RESENCE OF: _______________________ ______________________ W$#ne"" W$#ne""
4 S,BSCRIBED AND SWORN to before me this _______day of ____________, %1__, in _____________, (+ame of 'gency Representative), with ,dentification Card and Residence Certificate +o# __________, issued at _____________ on _______________, and (+ame of Recruit), with ,dentification Card and Residence Certificate +o# ____________ issued at _____________________on _____________________, both $nown to me to be the same persons who e5ecuted the foregoing instrument, and they ac$nowledge to me that the same are their own free will and voluntary acts and deed# NOTARY ),BLIC @oc# +o# ____________ *age +o# ____________ )oo$ +o# ____________ 8eries of ____________