APPLICATION FOR EMPLOYMENT Position applied for:________________________________________________________ Salary expected:_____________________________ Can start on:____________________ Name: Miss/Mrs./Mr._____________________________________________________________                                                                (in block letters) Date of Birth:___________________________ Place of Birth:________________________ Present Address:______________________________________ Tel:__________________ Permanent Address:____________________________________ Tel:__________________ Citizenship:______________ Religion:__________ Age:_____ Height:______ Weight:______ Marital Status:_________________ Children (name & age):___________________________ Father/Husband's Name:______________________________ Occupation:______________ Mother/Wife's Name:________________________________ Occupation:_______________ Brothers & Sisters & their Occupation: _________________________________________________________________________ _________________________________________________________________________ School/University Attended                      From          To                    Degrees Obtained ___________________________ ____________________ _________________________ ___________________________ ____________________ _________________________ ___________________________ ____________________ _________________________ Special Awards                                                        Seminars Atended: ________________________________                 ________________________________ ________________________________                 ________________________________ ________________________________                 ________________________________                                                                   Languages:        Speak        Read        Write Typing:_______ words per minute            ____________  _______  _______  ________ Shorthand:________words per minute      ____________  _______  _______  ________                                                                  ____________  _______  _______  ________ Others:______________________          ____________  _______  _______  ________                                                                              (check appropriate columns) Former Employers (in chronological order) Name & Address              From       To          Designation & Salary          Reason for leaving                                                                   Upon Joining | Upon Leaving ___________________ ______ ______ ___________ ___________ ______________ ___________________ ______ ______ ___________ ___________ ______________ ___________________ ______ ______ ___________ ___________ ______________ Do you have any objection if we contact previous employers?_______________________ References: (other than relatives)                    Name                             Address                                  Occupation _____________________ _______________________ ________________________ _____________________ _______________________ ________________________ _____________________ _______________________ ________________________ Relatives employed with this company:                       Name                                  Position ______________________ _________________________ ______________________ _________________________ ______________________ _________________________ Have you had any illness requiring hospitalization?_______________ How long?_________ SSS No.____________ Date of Effectivity:______________ BIR TAN_______________ Rsidence Certificate No. A-_________ issued at________on_______. Have you previously been convicted by a court or detained by police in jail?_______ Can you secure an NBI clearance?_____. Have you applied with our company before?______. When?__________. It is understood and agreed thatany misrepresentation by me in this application will be sufficient cause for cancellation of this applicationand/or separation from the Company's service, if I have been employed, I agree to abide by all the rules and regulations of this Company. ___________________________                            _____________________________                       Date                                                                Signature of Applicant >>BACK<<