【A】必要情報 ( ワークパーミット取得予定者の個人情報)
氏名(日本語) | First Name | Raymond, Adriano
旧姓(日本語)※① | Last Name if any | Cabuslay
現地法人での役職 | Position | Test Train Driver
Marital Status | Married
最終学歴及び学部(英語) | The latest Graduation with passing year | Diploma in Computer System Design & Programming from AMA Computer College, Samson Road, Caloocan, The Philippines (1994)
高校(英語) | High School with passing year | Ramon Torres High School, Juan Luna Gagalangin, Tondo, Manila, The Philippines (1989)
中学(英語) | Junior High School with passing year | Jose Rizal Elementary School Tayuman, Tondo, Manila, The Philippines (1986)
国籍(日本語) | Nationality | Filipino
E-mail | monray04@yahoo.com
パスポート番号 | Passport Number | P7029725B
National Identity Number | Now being processed
Visiting History: (ever visited previously?) | Y/N: N | Visa Type: N/A | Journey Date: N/A
バングラデシュの最後の到着 | Last Arrival Date in Bangladesh | N/A
出生地 | Place of Birth | Kaloocan, The Philippines
会社の入社日 | Joining Date in the company of Bangladesh | 15-Sep-2021
Expected arrival Date in Bangladesh with Visa | 1-Oct-2021
現地で受けとる給与額※② | Salary which will be receiving in Bangladesh | To be advised
業務責任(英語) | Job Responsibility (in English) | Shall perform duties (and be responsible for them), as directed by the managers on-site in Bangladesh, which may include, but not limited to, the following: t Operation of trains during commissioning. t Receiving and acting on safety instructions from site staff and managers. t Safety checks on trains before departure. t Other tasks identified by the on-site managers.
日本での携帯電話番号 | Mobile Tel. No in home country | +63 945-3159-345
バングラ携帯電話番号 | Mobile Tel. No. in Bangladesh | None
本籍地の住所(英語) | Registered Address (English) | 6-A Ormoc Road, Phil-Am Homes Subdivision, Barangay Phil-Am, Quezon 1105, The Philippines
現住所(英語) | Current Address (English) | 6-A Ormoc Road, Phil-Am Homes Subdivision, Barangay Phil-Am, Quezon 1105, The Philippines
バングラの住所 (ホテル不可。ない場合はオフィスの住所で構いません。) | Address in Bangladesh | To be advised
父親の氏名(日本語) | Father's Name | Romeo B. Cabuslay
母親の氏名(日本語) | Mother's Name | Perla A. Cabuslay
配偶者の氏名(日本語) 未婚の場合「NA」 | Spouse's Name | Jacqueline Lourdes J. Cabuslay
職歴（会社名・役職・期間） （英語） | Working History (ENG) | No. | Company Name | Position | Working Period
1 | Self-Employed, Manila, The Philippines | Merchandiser | Oct. 2019 ~ Aug. 2021
2 | LG2 Construction, Batangas, The Philippines | Site Supervisor | Jan. 2019 ~ Aug. 2019
3 | Self-Employed, Manila, The Philippines | Sales Agent | Oct. 2013 ~ Dec. 2018
4 | Mitsubishi Heavy Industries, Qatar (for Qatar Railways) | Gauge Check and T&C Coordinator | May 2017 (Project was postponed due to political reasons)
5 | Gates PCM Construction Ltd., Singapore | Work Train Station Supervisor | Mar. 2013 ~ Sep. 2013
6 | MF Enterprises, Manila, The Philippines | Parts Personnel | Jan. 2011 ~ Feb. 2013
7 | Mitsubishi Heavy Industries, Dubai, U.A.E. | Train Driver and Depot Marshall for Dubai Metro Rail Project | Dec. 2008 ~ Dec. 2010
8 | Light Rail Transit Authority (LRTA), Pasay, The Philippines | Train Driver | Jan. 2007 ~ Dec. 2008
9 | Metro Manila Development Authority, Makati, The Philippines | Traffic Officer | Dec. 2001 ~ Oct. 2006
10 | MF Enterprises & Logistic Company, Quezon, The Philippines | Parts Personnel | Mar. 1996 ~ Dec. 2001
推薦状が送られる国および大使館/海外での高等弁務団の名前 | Name of Country & Embassy/High commision in abroad where recommendation letter to be sent | To be advised
Passport (Whole Passport Scan Copy) | Attached
※① 旧姓・現姓が異なる場合には、以下にご回答ください。 | Photograph (Expatriate) | Attached
□ | 個人所得税には、基礎控除と、住宅手当、通勤手当、医療手当に対する非課税枠が設けられています。 | Academic Certificate | Attached
（非課税枠は、毎年会計年度末に変更されます。）
【B】申請書類作成に必要な書類及び情報(会社情報)
1 | 駐在員事務所のレターヘッド
2 | 親会社のレターヘッド
3 | 駐在員事務所/現地法人設立書類一式（コピー）
4 | 50,000USDの送金証明書(encashment certificate)
5 | 従業員リスト(外国人1名に対して現地人5名分の氏名・役職・給料・入社日・国籍のリスト)
6 | その他弊社からお送りする書類
7 | パスポート全ページのスキャニングデータ