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

Subject:

PROVINCIAL DIRECTORATE OF LABOUR AND EMPLOYMENT AGENCY

                                                                                                          ……………………….

In our workplace registered in your provincial directorate, the employment status of the disabled, ex-convicts and terrorism victims who applied with the selection made through the lists are shown below and the relevant documents have been submitted.

We are kindly requesting that action be taken in line with the selection made below to complete the deficiencies.

Mailing Address and Phone                                                      Authorized Signatures

                                               Disabled           Ex-convict        Terrorism Victim

Name Surname:

List No:

Other Information:

                                               Disabled           Ex-convict        Terrorism Victim

Employed:

Not employed:

Reason:

Rejection of Work:

Physical/Mental inadequacy:

Failure to fulfil the conditions:

Failure in the exam:

Not applied:

Other:

Annexes:

– Insured employment declaration

– Petition for refusal of work

– Minutes of non-application, etc.