Manpower Monitoring Form (MLF), ROASD-1046, Revision-0

Page No. Page 1 of 1 MANPOWER MONITORING FORM Form No. ROASD-1046 (MMF) Revision No. 0 Effectivity June 22, 2026 Use this form to notify PAGCOR regarding the existing Manpower of the entity. Please accomplish this form by providing correct and complete information. The entity shall submit this form to ROASD every 5th of the month, covering the personnel movements from the previous month. Name of Company: Covering Period: Business/Site Address: Authorized Representative: Check the applicable box. A. LIST OF NEWLY-HIRED PERSONNEL TYPE OF VISA / EMPLOYMENT FIRST MIDDLE BIRTHDAY VISA NUMBER DATE HIRED # LAST NAME NATIONALITY REGISTRATION POSITION NAME NAME (MM/DD/YYYY) (FOR FOREIGN (MM/DD/YYYY) NUMBER (ERN) EMPLOYEES) 1 2 3 4 5 6 7 8 9 10 TOTAL B. LIST OF RESIGNED/TERMINATED PERSONNEL EFFECTIVITY EMPLOYMENT DATE OF REASON FOR FIRST MIDDLE BIRTHDAY # LAST NAME NATIONALITY REGISTRATION POSITION RESIGNATION / RESIGNATION/ NAME NAME (MM/DD/YYYY) NUMBER (ERN) TERMINATION TERMINATION (MM/DD/YYYY) 1 2 3 4 5 6 7 8 9 10 TOTAL INSTRUCTIONS: 1. All employees must be on the list (regular, contractual, probationary, and under agencies). 2. All Filipino and Foreign nationals should be properly documented. 3. Changes in format are not allowed. All fields should be properly filled out. 4. Dates must be encoded in month-day-year (Ex. April 30, 2026). 5. List should be submitted strictly monthly, every 5th of the month (pdf and excel file). 6. For column Reason for Resignation should be properly filled out (Ex. Voluntary Resignation/Termination (indicate the reason/s)/End of Contract). 7. Accomplished MMF report should be signed and notarized upon submission. SUMMARY FILIPINO FOREIGN TOTAL Count % Count % Proposed Manpower Count Actual Manpower Count