SUREWAY PROMOTIONS, INC.

IMPORTANT INSTRUCTION TO THE APPLICANT

Please fill out this form in your own handwriting and answer all questions TRUTHFULLY. We do not desire
to pry into your affairs, but the more we know about you, the better we would be in a better position to assess
where you will be most qualified and successful. Please be especially careful to give all facts as accurate as
possible. Any misstatement or misrepresentation in this application may cause your rejection or dismissal after
employment. You are required to inform in writing the company, within 48 hours, for any changes of your
address, civil status, family record, etc. when employed. All information will be treated as CONFIDENTIAL.

PERSONAL DATA:

Name in Print: ______________________________________________________________________________

Last First Middle
Mobile Phone No: ______________________________ Email Address: _________________________________

Present City Address: ________________________________________________________________________

( ) Owned ( ) Leased ( ) Rented ( ) Boarding ( ) Bed Spacing

Who are you residing with at present address? _______________________________________________________

Provincial Address: ______________________________________________________________________________
Gender: _________ Age: _______ Citizenship: _______________ Native of ______________________________
Religion: _________________________ Church ______________________________ Since: _______________
Birthday: _______________________________ Birthplace: __________________________________________
Civil Status: _______________ (State whether you are SINGLE, MARRIED, SEPARATED, DIVORCED, WIDOWED OR SINGLE W/ CHILDREN)
Date of marriage: ____________________________________ Live-in: _________________________________
Date of Separated: ___________________________________ Divorced: _______________________________
Height: ___________ Weight: ____________ Built: ___________________ Complexion: __________________
Languages you speak, read and/ or write: ( ) English ( ) Tagalog ( ) Mandarin ______________________________
Dialects you speak, read and/ or write: ( ) Bicolano ( ) Visayas ( ) Ilokano _________________________________
Do you smoke? ________ If yes, how many sticks a day? ___________ Drink liquor? __________If yes, how often?
Gambling? ________ If yes, what type of gambling? _______________ How often? _________________________

FAMILY RECORD:
Number of siblings including yourself: TOTAL: _____________ BROTHERS: ____________ SISTERS: ____________
Your numerical order AMONG the siblings: ___________ the brothers ___________ the sisters ______________

NAME OF BROTHER/ SISTERS CIVIL

By the age (eldest to youngest) SEX AGE STATUS PROFESSION/ ADDRESS
1._______________________ ___ ___ _________ ___________________________________
2._______________________ ___ ___ _________ ___________________________________
3._______________________ ___ ___ _________ ___________________________________
4._______________________ ___ ___ _________ ___________________________________
5._______________________ ___ ___ _________ ___________________________________

Name of Spouse/Live in Partner: __________________________ Age: _____ Profession:

______________________ Native of: _________________________ Address:
_____________________________________________________

How many children do you have? Total: __________________ Boys: ________________ Girls: _______________
NAME OF CHILDREN CIVIL
by the age (eldest to youngest) SEX AGE STATUS PROFESSION/ ADDRESS
1._______________________ ___ ___ _________ ___________________________________

________________________________________________

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 Applicant’s Signature / DATE

APPLICATION FOR EMPLOYMENT

PAGE TWO Applicant: _________________________________________

NAME OF CHILDREN (con’t) CIVIL

by the age (eldest to youngest) SEX AGE STATUS PROFESSION/ ADDRESS

2._______________________ ___ ___ _________ ___________________________________

3._______________________ ___ ___ _________ ___________________________________
4._______________________ ___ ___ _________ ___________________________________
5._______________________ ___ ___ _________ ___________________________________
IF THE SPACE IS NOT ENOUGH, PLEASE INDICATE TO USE ADDITIONAL PAGE.

Father’s Name: ________________________________ Age _____ Profession: ____________________________

Mother’s Name: _______________________________ Age _____ Profession: ____________________________
PERSON TO CONTACT
IN CASE OF EMERGENCY: ___________________________________ Relationship: __________________________
Mobile Phone No. _________________________Email
Address:__________________________________________
EDUCATIONAL ATTAINMENT:
DATE ATTENDED YEAR
NAME OF SCHOOL FROM TO GRADUATED DEGREE
ELEMENTARY
__________________________________________________________________________________________
HIGH SCHOOL
__________________________________________________________________________________________
COLLEGE
__________________________________________________________________________________________
OTHERS
_____________________________________________________________________________________________

SUBJECT YOU LIKE BEST: __________________________________ LEAST:

__________________________________

SPORTS: _______________________________________ HOBBIES: _______________________________________

EMPLOYMENT HISTORY
DATE EMPLOYED COMPANY, ADDRESS & CONTACT NO.
FROM/ TO OF PREVIOUS EMPLOYERS POSITION SALARY
(latest to oldest)

_____________ ________________________________________ _______________ Php___________

Reason of leaving: ____________________________________________________________
_____________ ________________________________________ _______________ Php___________
Reason of leaving: ____________________________________________________________
_____________ ________________________________________ _______________ Php___________
Reason of leaving: ____________________________________________________________
_____________ ________________________________________ _______________ Php___________
Reason of leaving: ____________________________________________________________
_____________ ________________________________________ _______________ Php___________
Reason of leaving: ____________________________________________________________
_____________ ________________________________________ _______________ Php___________
Reason of leaving: ____________________________________________________________
_____________ ________________________________________ _______________ Php___________
Reason of leaving: ____________________________________________________________
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- IF THE SPACE IS NOT ENOUGH, PLEASE INDICATE TO USE BACK PAGE –
________________________________________________
Applicant’s Signature / DATE
APPLICATION FOR EMPLOYMENT
PAGE THREE Applicant: __________________________________

WERE YOU EMPLOYED WITH THIS COMPANY BEFORE? __________________ IF YES. PLEASE STATE WHEN WAS
YOUR PREVIOUS EMPLOYMENT WITH US AND REASON OF LEAVING:_____________________________________
_____________________________________________________________________________________________
CAN YOU DRIVE
A CAR __________ A PASSENGER VAN __________ A MOTORCYCLE __________
SINCE SINCE SINCE
WHEN ___________ WHEN ______________________ WHEN ____________________

DO YOU HAVE A VALID PROFESSIONAL DRIVER’S LICENSE? _____________ IF YES, PLEASE STATE:
PDL NO. ______________________ ISSUED AT _________________________ ON _________________________
HAVE YOU EVER MET ANY ACCIDENT IN DRIVING? _________ IF YES, PLEASE STATE THE DATE AND NATURE OF THE
ACCIDENT INCLUDING WHETER OR NOT PHYSICAL INJURIES – DEAD OR INJURED OCCURRED or DAMAGE TO
PROPERTIES. ___________________________________________________________________________________
_____________________________________________________________________________________
OTHER SKILLS:
_____________________________________________________________________________________________
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CHARACTER REFERENCES: (GIVE ATLEAST THREE PERSONS WHO CAN VOUCH FOR YOU.)
AGE / CIVIL
NAME GENDER STATUS PROFESSION/ CONTACT NO. / ADDRESS
1.________________________ _____ ______ _________________________________________
2. ________________________ _____ ______ _________________________________________
3. ________________________ _____ ______ _________________________________________

DO YOU KNOW ANYBODY IN THIS COMPANY? _________ IF YES, PLEASE STATE HIS/ HER NAME AND YOUR
RELATION WITH HIM/ HER:
_____________________________________________________________________________________________
HAVE YOU EVER COMMITTED OR INVOLVED IN ANY CRIMES? _____________ IF YES, PLEASE DESCRIBE AND
INCLUDE ITS DATE STATUS OF THE CASE:
_____________________________________________________________________________________________
HAVE YOU EVER BEEN CHARGED BEFORE ANY POLICE AUTHORITIES, FISCAL OFFICE OR COURTS? _______________
IF YES, PLEASE DESCRIBE AND INCLUDE ITS NAME AND STATUS OF THE CASE: ______________________________
_____________________________________________________________________________________________

PHYSICAL CONDITION:
DO YOU WEAR HEARING AIDS? ______ DO YOU HAVE TATTOO? ________ WHERE? _________________________
EYEGLASSES? _______ CONTACT LENSES? __________ ( ) FARSIGHTED ( ) SHORTSIGHTED

HAVE YOU EVER BEEN HOSPITALIZED BEFORE AS WELL AS THE SUFFERRING FROM ANY ILLNESS/ SICKNESS AND OR
ANY COMMUNICABLE DISEASE? ____________ IF YES, PLEASE STATE: ____________________________________
_____________________________________________________________________________________________

HAVE YOU EVER ADDICTED TO ANY DRUGS NOW AND/OR BEFORE? _____________________ IF YES, PLEASE
STATE IN DETAILS ON HOW, WHEN AND WHAT SPECIFIC DRUGS ADDICTED:
_____________________________________________________________________________________________

ARE YOU FIT TO WORK ANY KIND OF JOB BEING ASSIGNED TO YOU? ___________________ IF NO, PLEASE STATE
REASONS:
_____________________________________________________________________________________________
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HOW DID YOU COME TO KNOW AND APPLY THIS JOB?
________ THRU NEWSPAPERS _________ THRU FRIEND/ RELATIVE OR OTHERS: ________________________

ARE YOU WILLING TO GO UNDER TRAINING IF REQUIRED? ________ IF NO, PLEASE STATE
REASONS______________________________________________________________________________________

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 ________________________________________________
Applicant’s Signature / DATE
APPLICATION FOR EMPLOYMENT
PAGE FOUR Applicant: ____________________________

WHEN YOU CAN START FOR TRAINING? ___________________________________________________________

WHAT SELF-IMPROVEMENT MEASURES DO YOU HAVE AT PRESENT? _____________________________________
_____________________________________________________________________________________________
IF THERE IS ANYTHING ELSE IN YOUR BACKGROUND WHICH YOU THINK WOULD BE OF PARTICULAR INTEREST TO
THE COMPANY, PLEASE GIVE THE INFORMATION BELOW:
_____________________________________________________________________________________________
_____________________________________________________________________________________________

APPLICANT’S STATEMENT

In signing this application for employment, I hereby certify that all the information given hereon is true
and nothing but the truth and I understand that any misstatement, misrepresentation may cause my dismissal
from my employment if I am accepted or employed. I also understand, further, that my previous employers will be
asked for information concerning my work, habits, character or skill, or any action in my transaction. I hereby
authorized SUREWAY PROMOTIONS, INC. to inquire with my former employers and those stated in the character
reference about myself.

I understand and agree that, if employed, it will be a probationary basis for not more than five (5) months
or otherwise agreed upon and that my service may be terminated at any time during this period at discretion of
the company, without compensation for the period actual service rendered. I shall inform in writing the company,
within 48 hours any changes of address, civil status, family record, etc. when employed.

I further agree to follow the work assignment and schedule accordingly by the company and to follow all
the rules and regulation of the company.

SSS NO. ________________ ___________________________________

TIN NO. ________________ Applicant’s Signature
PAG-IBIG NO. ________________
PHILHEALTH NO. ________________ ___________________________________
Applicant’s Name in Print

___________________________________
D A T E
Requirements Needed:
1. 3 pcs. 2 x 2 current B/W photo
2. Original Copy of:
A. Certificate of Employment or Employment Clearance
B. Valid NBI Clearance, current
C. Drug Test by government accredited agency
D. Medical Certificate by a doctor certifying that you are fit to work
3. Photo copy of:
A. SSS I.D. D. Pag-ibig I.D.
B. TIN I.D. E. Valid Driver’s License
C. Philhealth I.D. F. Certified True Copy of Transcript of Record (optional)