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    IPAMS Cabin Crew Evaluation Form

    Uploaded by

    bjvasquez08
    I pams

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    © All Rights Reserved
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    IPAMS Cabin Crew Evaluation Form

    Uploaded by

    bjvasquez08
    42 views2 pages
    I pams

    Original Title

    IPAMS+Cabin+Crew+Evaluation+Form(1)(1) (1)

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    I pams

    Copyright:

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

    IPAMS Cabin Crew Evaluation Form

    Uploaded by

    bjvasquez08
    I pams

    Copyright:

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

    IPAMS Recruitment SCCS Form-001

    Revised October 14, 2019

    STANDARD CABIN CREW SCREENING FORM

    FULL Vasquez Brenthone John Gonzales


    Name Surname First Name Middle Name

    Date of Birth/Age August 9, 1997/ 25 Height 178 CM

    Passport Valid Until January 11, 2033 Weight 74 KG (current)

    Civil Status Single Weight 74 KG (over/under)

    Physical Screening: (to be filled out by IPAMS Recruitment Staff)


    FACE Vision:
    TEETH
    ARMS
    LEGS
    COMPLEXION

    REACH TEST Both Right Left Below 212 CM

    GROOMING
    Comm. Skills & Personality

    Work, Family and


    Scholastic Background

    Date of Last Application

    ASSESSMENT and
    RECOMMENDATION

    1 1.5 2 RESERVED POOLING

    School/Organizations:
    Referred by: Name: Position:
    SRA or Job fair Date: Venue:
    Social Media

    IPAMS Mobile App/Website Walk-in Word of Mouth Advertisements


    Evaluated By (Initial): Date:
    Evaluated by (Second Screening/Final): Date:
    Please complete this form and declare fully all medical conditions.
    Failure to do so can mean cancellation of your application.

    March 19, 2023


    Date of last Medical Examinations :__________________________
    PAL EXPRESS MEDICAL DEVISION
    Name of Medical Facility / Place :__________________________

    Please put a Check (√) under the YES or NO column if you were
    diagnosed having the following conditions, and indicate treatment
    /corrective procedures done prior this application:
    Treatment /
    Medical Condition YES NO
    Corrective Procedure
    Tuberculosis / PTB ✔

    Asthma ✔

    Skin Disease(s) / Allergy ✔

    Hepatitis “B” (HBSAG) ✔

    Hepatitis “C” ✔

    Renal / Kidney Disease ✔

    Heart Disease ✔

    Hypertension ✔

    Diabetes ✔

    Thyroid Problem ✔

    Hernia ✔

    Body Tattoos ✔

    Vision(specify condition) ✔

    Hearing (specify condition) ✔

    Scoliosis (indicate degree) ✔

    Other Physical Deformities


    (ex. Gunshot or stab wounds, ✔
    trauma, etc.

    1. If you have undergone surgical operation, please explain and


    Indicate the date, nature and other information

    N/a
    2. If you are currently taking any medication, please indicate what
    Medicine / drug and for what illness / disease

    N/a
    CERTIFIED CORRECT:

    _______________________________
    Applicant Signature

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