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

Subject:

PROVINCIAL DIRECTORATE OF LABOUR AND EMPLOYMENT AGENCY

                                                                                                          ……………………….

In our workplace within the jurisdiction of your provincial directorate, the job placement status of the disabled, ex-convicts and victims of terrorism sent following our application is as follows.

I request kindly that the necessary lists be sent for the completion of the deficiencies.

Mailing Address and Phone                                                      Authorized Signatures

                                               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: