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    Employment Application Form

    Uploaded by

    julynmallari6

    Copyright:

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

    Employment Application Form

    Uploaded by

    julynmallari6
    14 views2 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

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

    Employment Application Form

    Uploaded by

    julynmallari6

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    EMPLOYMENT APPLICATION SHEET

    HRA Form-003 (EAS)


    NOTE Date of Application: __________________________
    1. Fill-out all fields in PRINT.
    2. Write N/A for items that are not applicable to you. Position Applied for: 1. _______________________
    3. Tick boxes whenever appropriate.
    2. _______________________

    Asking Salary: ________________________________

    APPLICANT INFORMATION
    Family Name First Name Middle Name Nickname Cellphone / Landline

    Place of Birth Date of Birth Age Sex Weight (lbs) Height (ft/in) Civil Status E-mail Address

    Present Address Owned Citizenship Blood Type


    Rented
    Permanent Address Owned Religion
    Rented
    SSS # PHIC #

    TIN # PAGIBIG #

    FAMILY BACKGROUND
    NAME AGE COMPANY / SCHOOL POSITION / COURSE
    Father

    Mother

    Sibling/s

    Spouse

    Child/Children

    EDUCATIONAL BACKGROUND
    LEVEL NAME OF SCHOOL - ADDRESS INCLUSIVE DATES DEGREE / MAJOR

    HIGH SCHOOL

    VOCATIONAL

    COLLEGE

    POST GRADUATE

    AFFILIATIONS / OTHER ACTIVITIES


    Bar Board Year Taken
    LICENSE/ CERTIFICATION
    Specify
    CSE Rating

    AFFILIATIONS

    OTHER QUALIFICATIONS/ TECHNICAL SKILLS


    EMPLOYMENT BACKGROUND
    COMPANY - ADDRESS INCLUSIVE DATES JOB TITLE - SALARY REASON/S FOR LEAVING
    1
    Start End

    2
    Start End

    3
    Start End

    BACKGROUND & REFERENCE CHECK


    (Give reliable sources of your employment for our character and background checking)
    NAME COMPANY/POSITION CONTACT DETAILS
    1

    REFERRALS
    (Recommend a few people that you believe would be a good fit here at Wert Philippines, Inc.)
    NAME COMPANY - POSITION CONTACT DETAILS
    1

    VOLUNTARY DISCLOSURE
    Have you ever been discharged from employment because your conduct of work was Yes No
    not satisfactory? If so, please indicate the reason/s why.

    Have you ever been arrested / convicted of a crime? If so, please state the Yes No
    circumstances and consequences relating to the crime.

    Have you ever been in an accident? Hospitalized/confined because of a serious Yes No


    illness? If so, please describe the condition that you had.

    Do you have any relatives working in Wert Philippines, Inc. or any of its subsidiaries? If Yes No
    so, please state their name, position and your relations with them.

    Yes No
    Are you currently engaged in any business that might conflict / compete with the
    interest of Wert Philippines, Inc. or any of its subsidiaries?

    Are you willing to be relocated to another location? Yes No


    Are you open to travelling to other places? Yes No
    EMERGENCY CONTACT

    In case of emergency, contact:

    _____________________________ ________________ __________________ ______________________


    (Name) (Relationship) (Address) (Contact Number)

    CONSENT FORM
    (In compliance with R.A. 10173)
    I, ______________________________, of legal age, Filipino citizen, and a resident of __________________________________, do hereby
    state that: WERT PHILIPPINES INC., a corporation duly organized and existing under Philippine laws with office address at the307 GRACE
    BUILDING ORTIGAS AVE. GREENHILLS, SAN JUAN, is requesting for my personal data and information for purposes of my application for
    employment. I have been informed of my rights under Republic Act No. 10173 otherwise known as Data Privacy Act of 2012 such as, my right to
    be informed of the purpose for which my personal data and information are being required, my right to have access to my personal data and
    information and my right to object any time to the gathering of my personal data and information, among others. I fully understand my rights under
    R.A. 10173 and I hereby freely, voluntarily, wilfully and intelligently give my consent to WERT PHILIPPINES INC., to gather, collect, hold, process
    and use my personal data and information for the purpose stated above.

    Signature of Applicant - Date

    FOR HR USE
    SOURCE REMARKS (IF ANY)
    Walk - In
    Jobstreet
    Job Fair
    Referral
    Other/s

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