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Review your answers, download or print & save as PDF and send it to mgmavlca@gmail.com soon after.
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* This is required for MGMA membership renewal. Send it to mgmavlca@gmail.com soon after.
Country of Ownership:
Address:
Number of Workers:
Responsible Person's Name:
Responsible Person's Position:
Responsible Person's Phone:
Responsible Person's Email:
EC: Do you sign Employment Contract with each worker?
MW: Do you comply with the prescribed Minimum Wage requirements?
WH: Do you comply with the Working Hours regulations?
LH: Do you comply with the Leave & Holiday provisions?
CERTI: Select Certificates or any you have?
OSH: Rate your compliance and performance in Occupational Safety & Health?
CHILD: Do you ensure that no child labor is used in your operations?
FORCED: Do you ensure that no forced labor is used in your operations?
DISCRI: Do you ensure that no discrimination is practiced in your organization?
HARASS: Do you ensure that no harassment is practiced in your workplace?
WCC: Do you have Workplace Coordination Committee (WCC) established?
FOA: Do you recognize and respect the rights of Freedom of Association?
UNDERTAKING: By submitting this form, as a duly authorized representative responsible for labor compliance within our organization, I confirm and acknowledge that the answers I provided above are true and accurate, and I will provide necessary and relevant documentations. Additionally, our organization agrees to cooperate with on-site assessment if requested by MGMA at a later date.
Do you confirm that you understand and agree the statement above?
Signature:
Name:
Position:
Timestamp:
* My signature is only for this MGMA VLCA Submission.
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* Google Form was updated.
MGMA VLCA Submission
Factory or Company Name:Country of Ownership:
Address:
Number of Workers:
Responsible Person's Name:
Responsible Person's Position:
Responsible Person's Phone:
Responsible Person's Email:
EC: Do you sign Employment Contract with each worker?
MW: Do you comply with the prescribed Minimum Wage requirements?
WH: Do you comply with the Working Hours regulations?
LH: Do you comply with the Leave & Holiday provisions?
CERTI: Select Certificates or any you have?
OSH: Rate your compliance and performance in Occupational Safety & Health?
CHILD: Do you ensure that no child labor is used in your operations?
FORCED: Do you ensure that no forced labor is used in your operations?
DISCRI: Do you ensure that no discrimination is practiced in your organization?
HARASS: Do you ensure that no harassment is practiced in your workplace?
WCC: Do you have Workplace Coordination Committee (WCC) established?
FOA: Do you recognize and respect the rights of Freedom of Association?
UNDERTAKING: By submitting this form, as a duly authorized representative responsible for labor compliance within our organization, I confirm and acknowledge that the answers I provided above are true and accurate, and I will provide necessary and relevant documentations. Additionally, our organization agrees to cooperate with on-site assessment if requested by MGMA at a later date.
Do you confirm that you understand and agree the statement above?
Signature:
Name:
Position:
Timestamp:
* My signature is only for this MGMA VLCA Submission.

VLCA Submission Form
Please fill up the form in English.