POLO-SKILLED-Application Form 02

(Please TYPE/ENCODE, do not write)

APPLICATION FORM
HIGHLY SKILLED/PROFESSIONAL CATEGORY
Purpose of Application: Employer Category:
o INITIAL Accreditation o Direct Employer (DE)
o RENEWAL of Accreditation o Dispatch Company (DC)
o Placement Company (PC)

COMPANY NAME :

Name and Position of the Official Representative :

Authorized Representative
*if documents were signed by other Company Official other than the :
President

Company Office Address :

Contact Number & Email Address :

Website :
Contact Person :
*in-charge of the documents/application
*company can only designate 1 contact person preferably HR personnel,
provide calling card/meishi
Position in the Company :
Contact Number & Email Address :
Partner Philippine Recruitment Agency (PRA) :
Name and Position of the Official Representative :
Address :

This portion is to be filled-up by POLO

DATE DATE RESULT/REMARKS
RfC: Returned for Compliance; EfC: Emailed for Compliance
RECEIVED EVALUATED FI: For Interview; Others

Evaluated by:

POLO-TOKYO (not for sale)

FILIPINO WORKERS HIRED BY THE COMPANY (use additional sheet if necessary)

VISA STATUS REASON OF

INCLUSIVE EXIT
(permanent
COMPLETE NAME POSITION DATE OF (end of contract,
resident/eng’g
humanities etc.) EMPLOYMENT terminated, resigned
etc.)
1.
2.
3.
4.
5.
6.
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8.
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20.

POLO-TOKYO (not for sale)

DOCUMENTARY REQUIREMENTS STATUS POLO REMARKS
1 POLO Application Form (ORIGINAL) – Use/download POLO-
SKILLED-Application Form 02
2 Manpower Request (ORIGINAL) addressed to PRA and containing
necessary details as shown in POLO sample document- Download
Sample here
4 Salary Scheme (ORIGINAL) – Indicating the Basic Monthly Salary;
Approximate Deductions; Take Home/Net Pay and Other Benefits
as may be applicable (use/download POLO-SKILLED-Form01-
2019v1)
List of Duties & Responsibilities of the worker AND List of
Criteria/Qualifications Required for the position (ORIGINAL)
– Use/download the POLO-SKILLED-Form 02-2019v1
 DUTIES – Actual work assignment/duties of the worker, should be
specific/detailed
 CRITERIA/QUALIFICATIONS – Such as academic requirement, skills/expertise
needed, number of work experience needed, age requirement, etc.
5 Master Employment Contract (ORIGINAL)
 With original signatures and hanko on ALL pages of the authorized
Representatives of the Company and PRA
 Details of the worker/employee is not yet required, leave it blank
 Contains all POEA mandatory provisions. If the company has a standard contract,
make sure to incorporate all POEA mandatory provisions.
 NOTE: If the contract is not signed by the Company President/CEO. An
Authorization Letter (SPA) must be submitted for this purpose. The Authorized
signatory must be listed on the Tokibo Tohon.
 For DIRECT Employer & DISPATCH Company (download POLO-SKILLED-
PRADirect-2019v1)
 For PLACEMENT Company (download POLO-SKILLED-PRAPlacement-2019v1)
6 Recruitment Agreement (ORIGINAL)
 With original signatures and hanko on ALL pages of the authorized
Representatives of the Company and PRA
 Should be notarized in JAPAN (kosho yakuba)
 Should contain all minimum provisions required by POEA
(http://poea.gov.ph/agency/files/recr_agreement.pdf)
 NOTE: The PRA signatory should be the person registered/reflected on the POEA
database. Any person other than this will not be accepted.
 Japanese companies are strictly required to directly coordinate or communicate
with the authorized representative of the PRA. POLO may require proof of direct
communication (such as teleconference).
7 Passport COPY (or any valid government-issued ID) of the
Employer/Company Representative
 Must be colored copy
 If the contract is not signed by the Company President, provide passport copy of
both the Company President and the Person who signed the contract
 Copy of Residence Card is required for non-Japanese Company Representative
 Government-issued ID must have English translation
8 Passport COPY (or any valid government-issued ID) of the Official
Representative of the PRA
 Must be colored copy
9 COPY of the valid POEA license of the PRA – Must be colored copy
10 Company Profile (ORIGINAL) – Use/download POLO-SKILLED-
Form 03-2019v1 (if details in the guide are already included in the
company brochure then there’s no need to make company profile)
11 Company Registration/Tokibo Tohoun (ORIGINAL)
 ORIGINAL must be submitted (Japanese) taken within the last 3 months
 Provide original English Translations bearing the name, signature and/or inkan of
the translator.
 If hired by a Sole Proprietorship Enterprises, submit the copy of Business permit
with English translation and; Most recent tax declaration with English translation.
 Additional for Restaurants/Hotels: Copy of Business Permit with original English
translation bearing name, signature and/or inkan of the translator.
 NOTE: Generally, Company should already be in full operation for at least 1
year Dispatch Company or Placement Company should already have at least 1
year experience in local dispatching or placement business (local workers within
Japan)

POLO-TOKYO (not for sale)

12 Company Brochure/Pamphlets/Flyers (ORIGINAL)

Additional documentary requirements for DISPATCH COMPANY:

DOCUMENTARY REQUIREMENTS STATUS POLO REMARKS

DC1 Dispatch License – Copy of the Japanese license WITH English
Translations (must bear the name, signature and/or inkan of the
translator)
DC2 Company Brochure/Pamphlets/Flyers (ORIGINAL)
DC3 List of Names and Addresses of clients – Use POLO-SKILLED-
PRADispatch-Form02-2019v1
DC4 Manpower Request from the client company – Addressed to the
Dispatch Company, should bear original signature/hanko
DC5 Notarized Basic Dispatch Agreement between Dispatch
company and its client company
 With original signatures and hanko
 Should be notarized in JAPAN (kosho yakuba)
 If in Japanese, provide English translation (with name&hanko of translator)

POLO-TOKYO (not for sale)

Additional documentary requirements for PLACEMENT AGENCY:

DOCUMENTARY REQUIREMENTS STATUS POLO REMARKS

FP1 License as Placement Company – Copy of the Japanese license
WITH English Translations (must bear the name, signature and/or
inkan of the translator)
FP2 Manpower Request from the Direct Employer addressed to the
Placement Company (ORIGINAL) – Download sample here
FP3 Company Profile (ORIGINAL) of the Direct Employer with
brochure/pamphlet- Use/download POLO-SKILLED-Form 03-
2019v1 (if details in the guide are already included in the
company brochure then there’s no need to make company profile)
FP4 Company Registration/Tokibo Tohoun (ORIGINAL) of the Direct
Employer
 ORIGINAL must be submitted (Japanese)
 Provide English Translations bearing name, signature and/or inkan of the
translator.
 If hired by a Sole Proprietorship Enterprises, submit the copy of Business permit
with English translation and; Most recent tax declaration with English
translation.
FP5 Notarized Service Agreement between the Placement
Company and the Direct Employer (download sample here)
 With original signatures and hanko of both authorized representatives of the
Placement Company and Client
 Should be notarized in JAPAN (kosho yakuba)
FP6 Notarized Joint Affidavit of Undertaking and Assumption of
Responsibility by the Placement Company and Direct Employer to
monitor the OFWs and to submit a report of significant incidents
relative thereto (download form here)
 With original signatures and hanko
 Should be notarized in JAPAN (kosho yakuba)

POLO-TOKYO (not for sale)

IMPORTANT REMINDERS:

1. POLO DOES NOT COLLECT FEES FOR THE VERIFICATION PROCESS.

2. Use A4 size bond paper only. Do not staple the documents, you may
only use paper clip
3. The documents should be arranged/organized following the checklist
4. ALL details must be ENCODED/TYPE-WRITTEN (no ERASURES)
5. POLO Tokyo does not recognize third-party entities (brokers,
immigration lawyers, or anyone not directly connected with the
company) when inquiring, submitting and follow-up of necessary
documents.
6. Japanese companies are strictly required to directly coordinate or
communicate with the authorized representative of the PRA. POLO
may require proof of direct communication
7. All documents in Japanese language shall be translated to English. All
translation shall either have a certificate of translation or at least affix
the name, signature and/or inkan of the person who translated the
material.

POLO-TOKYO (not for sale)