Employment Application Form

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APPLICATION FORM FOR EMPLOYMENT

POSITION APPLIED FOR: Date:


1st Priority:
2nd Priority:

PERSONAL DATA:

Name:
Last Name First Name Middle Name Nickname
City Address:
Tel. No.:
Provincial Address:
Tel. No.:
Date of Birth: Place of Birth: Age:
Sex: Citizenship: Civil Status:
Religion: Height: Weight:
SSS No.: TIN: PAG-IBIG No.:

FAMILY BACKGROUND:
Name Age Occupation/Company/Tel No.
Father
Mother
Spouse
Brother(s)/Sister(s)

If Married, No. of Children

EDUCATIONAL BACKGROUND:
Course School Attended Years Degree Earned/
Honor Received
Elementary
Secondary
Tertiary
Voc./Trade
Graduate Studies
Others
Special Training:
Dialect/Language(which you can speak):
Name of Friend/Relative connected with the Company:
Office Machines you can operate:
Physical or Health Defects:
Person to notify in Case of Emergency:
Address:

EMPLOYMENT RECORD:
Previous Employment (In chronological order present to initial)
Name of Company: _____________________________________________________________________
Address: _____________________________________________________________________________
Position:______________________________________________________________________________
Date of Service:________________________________________________________________________

Name of Company: _____________________________________________________________________


Address: _____________________________________________________________________________
Position:______________________________________________________________________________
Date of Service:________________________________________________________________________

Name of Company: _____________________________________________________________________


Address: _____________________________________________________________________________
Position:______________________________________________________________________________
Date of Service:________________________________________________________________________

Name of Company: _____________________________________________________________________


Address: _____________________________________________________________________________
Position:______________________________________________________________________________
Date of Service:________________________________________________________________________

REFERENCES:
NAME ADDRESS/TEL. NO OCCUPATION
_________________________ _____________________________ __________________________
_________________________ _____________________________ __________________________
_________________________ _____________________________ __________________________
_________________________ _____________________________ __________________________
Have you ever been involved in any criminal cases?___________________________________________
If yes, explain._________________________________________________________________________
_____________________________________________________________________________________
Lowest starting salary you will accept:______________________________________________________
I hereby authorize this company to investigate all references contained in this application.
I understand that any misinterpretation, falsification or omission of material facts of whatever
nature required by this application shall be considered sufficient cause for dismissal at any time during
employment with this company.

_____________________
Applicant’s Signature

PERSONNEL INFORMATION TO BE SUBMITTED TO APPROVING OFFICER

Department/Division : ___________________________________________________________
Position Hired for : ___________________________________________________________
Effectivity Date : ___________________________________________________________
Training Allowance : ___________________________________________________________
Starting Salary : ___________________________________________________________
Approving Person : ___________________________________________________________
Signature : ___________________________________________________________

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