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    NSRP Form 1 Rev

    Uploaded by

    Amid Elnas
    The document is a registration form for the PESO Employment Information System. It collects personal information such as name, contact details, education history, skills, work experience, and job preferences from applicants. Applicants authorize the Department of Labor and Employment to include their profile in the registry to be accessible to employers. They understand DOLE will not actively seek employment on their behalf.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    NSRP Form 1 Rev

    Uploaded by

    Amid Elnas
    619 views2 pages
    The document is a registration form for the PESO Employment Information System. It collects personal information such as name, contact details, education history, skills, work experience, and job preferences from applicants. Applicants authorize the Department of Labor and Employment to include their profile in the registry to be accessible to employers. They understand DOLE will not actively seek employment on their behalf.

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    NSRP-Form-1-rev

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    The document is a registration form for the PESO Employment Information System. It collects personal information such as name, contact details, education history, skills, work experience, and job preferences from applicants. Applicants authorize the Department of Labor and Employment to include their profile in the registry to be accessible to employers. They understand DOLE will not actively seek employment on their behalf.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    619 views2 pages

    NSRP Form 1 Rev

    Uploaded by

    Amid Elnas
    The document is a registration form for the PESO Employment Information System. It collects personal information such as name, contact details, education history, skills, work experience, and job preferences from applicants. Applicants authorize the Department of Labor and Employment to include their profile in the registry to be accessible to employers. They understand DOLE will not actively seek employment on their behalf.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    Republic of the Philippines

    NSRP Form 1 Department of Labor and Employment


    January 2017 PESO EMPLOYMENT INFORMATION SYSTEM
    REGISTRATION FORM
    INSTRUCTIONS: Please fill out the form legibly with ball pen. Print in block letters. Check appropriate boxes. Please do
    not leave any items unanswered. Indicate “NA” if not applicable. You may use extra sheet if needed. Submit
    accomplished form to the Public Employment Service Office Manager or Officer in your city/municipality.
    I.PERSONAL INFORMATION

    SURNAME FIRST NAME MIDDLE NAME SUFFIX (Ex: Sr., Jr., III, etc.)
    DATE OF BIRTH (mm/dd/yyyy) PLACE OF BIRTH
    SEX Male Female PRESENT ADDRESS
    RELIGION House No./ Street
    Village
    CIVIL Single Separated Barangay
    STATUS Married Live-in Municipality/City
    Widowed Province
    TIN HEIGHT
    GSIS/SSS ID NO. EMAIL ADDRESS
    PAG-IBIG NO. LANDLINE NUMBER
    PHILHEALTH NO. CELLPHONE NUMBER
    DISABILITY Visual Speech Others, specify:
    Hearing Physical ________________
    EMPLOYMENT Employed Unemployed
    STATUS / TYPE
    Wage Employed New Entrant/Fresh Graduate Terminated/Laidoff(local)

    Self Employed Finished Contract Terminated/Laidoff(abroad)


    specify country____________
    Resigned
    Others, specify__________
    Retired
    Are you actively looking for work? Yes No How long have you been looking for work?________
    Willing to work immediately? Yes No If no, when?_________________________________

    Are you a 4Ps beneficiary? Yes No If yes, Household ID No. _____________________


    II. JOB PREFERENCE
    PREFERRED OCCUPATION PREFERRED WORK LOCATION
    1. Local,specify cities/municipalities: Overseas,specify countries:

    2. 1. 1.
    3. 2. 2.

    4. 3. 3.

    Expected Salary (Range) Passport No. Expiry date

    III. LANGUAGE / DIALECT PROFICIENCY


    (check if applicable) READ WRITE SPEAK UNDERSTAND
    English

    Filipino
    Others:__________

    Page 1 of 2
    IV. EDUCATIONAL BACKGROUND
    School Course Year If undergraduate, Awards
    graduated what level? year last received
    attended
    Elementary

    Secondary

    Tertiary

    Graduate
    Sudies
    V. TECHNICAL/VOCATIONAL AND OTHER TRAINING (Include courses takens as part of college education)
    TRAINING/VOCATIONAL COURSE Duration Training Institution Certificates Received
    (mm/dd/yyyy to mm/dd/yyyy) (NC I, NC II, NC II, NC IV, etc)

    1.
    2.
    3
    VI. ELIGIBILITY/ PROFESSIONAL LICENSE
    ELIGIBILITY (Civil Service) Rating Date of examination PROFESSIONAL LICENSE (PRC) Valid Until
    1. 1.
    2. 2.
    VII. WORK EXPERIENCE (Limit to 10 year period, start with the most recent employment)
    Company Name Address Position Inclusive Dates Status
    (City/Municipality) (mm/yyyy to mm/yyyy) (Permanent, Contractual,
    Part-time, Probationary)

    VIII. OTHER SKILLS ACQUIRED WITHOUT FORMAL TRAINING


    AUTO MECHANIC ELECTRICIAN PHOTOGRAPHY
    BEAUTICIAN EMBROIDERY PLUMBING
    CARPENTRY WORK GARDENING SEWING DRESSES
    COMPUTER LITERATE MASONRY STENOGRAPHY
    DOMESTIC CHORES PAINTER/ARTIST TAILORING
    DRIVER PAINTING JOBS OTHERS:
    ___________________
    CERTIFICATION/AUTHORIZATION
    This is to certify that all data/information that I have provided in this form are true to the best of my knowledge.This
    Is also to authorized the DOLE to include my profile in the PESO Employment Information System , which ia a subsystem of the
    PhilJobNet. It is understood that my name shall be made available to employers who have access to the Registry. I am also aware
    that DOLE is not obliged to seek employment on my behalf.

    _______________________________ ________________________
    Signature of Applicant Date
    FOR USE OF PESO ONLY. PLEASE DO NOT WRITE BELOW THIS DOTTED LINE.
    Eligible for public employment services? Assessed by:
    SPES
    GIP
    TUPAD _________________________________ ___________
    JobStart Signature over Printed Name of Assessor Date
    Others, specify:_______________

    Page 2 of 2

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