Number:                                                                                                         …./…./……..

Subject:

PROVINCIAL DIRECTORATE OF LABOUR AND EMPLOYMENT AGENCY

                                                                                                          ……………………….

Following our application in our workplace registered in our provincial directorate, we are kindly requesting that the necessary actions be taken to ensure that the disabled, ex-convicts and victims of terrorism, whose identities are specified below, are employed in our workplace.

Mailing Address and Phone                                                      Authorized Signatures

                                               Disabled           Ex-convict        Terrorism Victim

Name Surname:

List No:

Other Information: