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Application Form

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PERSONAL INFORMATION SHEET

POSITION APPLIED FOR: DATE:


SALARY DESIRED: REFERRED BY:
PERSONAL BACKGROUND:

APPLICANT'S NAME:
(Last) (First) (Middle)
PRESENT ADDRESS:
CELLPHONE #: LANDLINE #: EMAIL ADDRESS:
PROVINCIAL ADDRESS:
SEX: BIRTH DATE: BIRTH PLACE:
CIVIL STATUS: NATIONALITY: RELIGION:
LANGUAGE/s SPOKEN: HEIGHT: WEIGHT:
SSS #: TIN #:

FAMILY BACKGROUND:
NAME AGE OCCUPATION COMPANY
FATHER:
MOTHER:
SIBLINGS:
(From eldest
to youngest):

SPOUSE:
CHILDREN:
(From eldest
to youngest):

EDUCATIONAL BACKGROUND:
NAME OF SCHOOL INCLUSIVE DATES
OF ATTENDANCE
ELEMENTARY:
HIGHSCHOOL:
COLLEGE:
Degree Earned:
GRADUATE SCHOOL:
Degree Earned:
OTHERS (vocational technical school)

SEMINARS/TRAININGS ATTENDED (include seminar/training dates)

SPECIAL SKILLS: ( ) Computer literate (specify)


( ) operation of Fax Machine ( ) Typing ( ) Driving
( ) Others (please specify
Do you have relatives (to the fourth degree of consanguinity) or acquaintance who are presently/previously employed by the company?
No Yes
If yes, please state the full name and position of the said person:

Do you have any physical defects which prevent you from performing certain jobs?
_______ No ________ Yes If yes, describe in full: _______________________________________________
__________________________________________________________________________________________________

Do you smoke? ________ No ________ Yes


Do you drink liquor? _________ No ________ Yes
Are you taking any prohibitory drugs? _____ No ____ Yes if yes, state the specific drug being taken: ______________

Are you a member of any group, club, organization, fraternity/sorority, or an other association?
_______ No ________ Yes
If yes, list the name/s of the association:

EMPLOYMENT HISTORY: (begin with the most recent)


I.COMPANY NAME Telephone Number

Address Period of Employment

Position Title Monthly Income

Name & Position of Immediate Superior

Reason for leaving:

II.COMPANY NAME Telephone Number

Address Period of Employment

Position Title Monthly Income

Name & Position of Immediate Superior

Reason for leaving:

III.COMPANY NAME Telephone Number

Address Period of Employment

Position Title Monthly Income

Name & Position of Immediate Superior

Reason for leaving:


IV.COMPANY NAME Telephone Number

Address Period of Employment

Position Title Monthly Income

Name & Position of Immediate Superior

Reason for leaving:

V.COMPANY NAME Telephone Number

Address Period of Employment

Position Title Monthly Income

Name & Position of Immediate Superior

Reason for leaving:

NOTE: Please use space at the back or a separate sheet if necessary.


CHARACTER REFERENCES:

Name Relationship Address Telephone# Occupation


To Applicant

I hereby declare that the information provided by me in this application for employment is true, correct and complete to the best
of my knowledge. It is agreed and understood that any misrepresentation, misstatement or omission of fact on this application
shall be considered an act of dishonesty and cause for dismissal.

It is agreed and understood that the Company or its agents can investigate my background to ascertain any and all information
of concern to the Company, and I release the Company from liability for any damages on account of furnishing such
information. It is agreed and understood that my application for employment in no way obligates the Company to employ me.
Applicant's Name & Signature

Date
On a separate sheet of paper, please write a short biography in handwritten format and have it scanned or captured.

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