J.C.

RODRIGUEZ CONSTRUCTION CORPORATION

167 J.P. Rizal Ave., Manggahan Rodriguez, Rizal

REMEMBER TO PROVIDE ALL THE INFORMATION REQUESTED THIS CAN HELP YOU TO GET A JOB

PERSONAL DATA

Date of Application: ___________________________

Name:
(LAST)

(FIRST)

(MIDDLE)

(NICKNAME)

Position Applied for: ______________________________________________

Salary/Rate Acceptable: __________________________
Other Skills: _____________________________________________________
Religion: _______________________________________
Present Address: ______________________________________________________________________
Tel. No. _____________________
Provincial Address (if any): ______________________________________________________________
Tel. No. _____________________
SSS #: ________________________ Philhealth #: ___________________________ Tin #: ___________________________
Date of Birth: ______________________________ Place of Birth: _______________________________________________
( ) Male

( ) Female

( ) Single

( ) Married

( ) Widow

( ) Separated

Height ______________ Weight _____________ Color of Eyes __________________ Hair _________________________

Father's Name: __________________________________ Address_______________________________________ Occupation _______________
Moher's Name: __________________________________ Address_______________________________________ Occupation _______________

If Married Data of Spouse:

Name:
(LAST)

(FIRST)

OTHER DEPENDENTS:
Name

(MIDDLE)

Relation

(AGE)

Birth Date

Person to be notified in case of Emergency:_________________________________________________________________

Relationship:______________________ Address: _____________________________________ Tel. Nol.: ______________
Do you or your spouse have relatives presently employed with us? ( ) YES

( ) NO

If yes, write the name and relationship: _____________________________________________________________________

Have you had ( ) Tuberculosis ( ) Heart Ailment ( ) Allergies Others: _______________________________________
Are you employed? ( ) YES ( ) NO

If yes, write name of employer __________________________________________

Address of employer ______________________________ Position___________________________ Salary______________

Are you willing to accept re assignment/transfer to any project of the company? ( ) YES

( ) NO

List of machinery, light or heavy construction equipment you qualified to operate and rapair:
Machinery/ Equipment
Where experience/ acquired
Number of years
__________________________________________________________________________
_______________________________
__________________________________________________________________________
_______________________________
__________________________________________________________________________
_______________________________
Do you posses a current Driver's License ( ) YES ( ) NO

Any other license: _______________________________

Type: ________________________ Number:___________________________ Expiration Date: _______________________

Have ever been convicted of a crime? ( ) YES

( ) NO

If yes specify charge/s: ___________________________

When/where convicted: __________________________________________________________________________________

EDUCATIONAL BACKGROUND:
School Attended:

Name of School

Address of School

Graduated

Degree/s

Elementary

_____________________________

______________________________

____________________ ______________________

High School

_____________________________

______________________________

____________________ ______________________

College

_____________________________

______________________________

____________________ ______________________

Major Subjects: _________________________________________ Special Courses Attended:_________________________

Vocational/Trade School
Attended

A JOB

__________________

(NICKNAME)

_______________

________________

_______________

_______________

_______________
_______________
( ) Separated

______________

on _______________

n _______________

(AGE)

Age

______________

______________

_______________

_____________

_____________

y______________

er of years
_________________
_________________
_________________

_______________

_______________

_______________

________________

Degree/s

__________________

__________________

__________________

________________

SUPERMIX REDI CONCRETE, INC.

167 J.P. Rizal Ave., Manggahan Rodriguez, Rizal

REMEMBER TO PROVIDE ALL THE INFORMATION REQUESTED CAN HELP YOU TO GET A JOB
Date of Application: ______________________

PERSONAL DATA
Name:
(LAST)

(FIRST)

(MIDDLE)

(NICKNAME)

Position Applied for: ______________________________________________

Salary/Rate Acceptable: __________________________
Other Skills: _____________________________________________________
Religion: _______________________________________
Present Address: ______________________________________________________________________
Tel. No. _____________________
Provincial Address (if any): ______________________________________________________________
Tel. No. _____________________
SSS #: _______________________ Philhealth #: __________________________ Tin #: __________________________
Date of Birth: ____________________________ Place of Birth: ____________________________________________
( ) Male

( ) Female

( ) Single

( ) Married

( ) Widow

Height ______________ Weight _____________ Color of Eyes ________________ Hair ____________________

Father's Name: ___________________________ Address____________________________ Occupation _____________
Moher's Name: ____________________________ Address______________________________ Occupation _____________

If Married Data of Spouse:

Name:
(LAST)

(FIRST)

OTHER DEPENDENTS:
Name

(MIDDLE)
Relation

(AGE)
Birth Date

Person to be notified in case of Emergency:_____________________________________________________________

Relationship:___________________ Address: _____________________________________ Tel. Nol.: ______________
Do you or your spouse have relatives presently employed with us? ( ) YES

( ) NO

If yes, write the name and relationship: ______________________________________________________________

Have you had ( ) Tuberculosis ( ) Heart Ailment ( ) Allergies Others: _________________________________
Are you employed? ( ) YES ( ) NO

If yes, write name of employer _______________________________________

Address of employer _________________________________ Position____________________ Salary______________

Are you willing to accept re assignment/transfer to any project of the company? ( ) YES

( ) NO

List of machinery, light or heavy construction equipment you qualified to operate and rapair:
Machinery/ Equipment
Where experience/ acquired
Number of years
____________________________________
______________________________________
_______________________________
____________________________________
______________________________________
_______________________________
____________________________________
______________________________________
_______________________________
Do you posses a current Driver's License ( ) YES ( ) NO

Any other license: _______________________________

Type: ___________________ Number:______________________ Expiration Date: ____________________

Have ever been convicted of a crime? ( ) YES

( ) NO

If yes specify charge/s: ___________________________

When/where convicted: _____________________________________________________________________________

EDUCATIONAL BACKGROUND:
School Attended:

Name of School

Address of School

Graduated

Degree/s

Elementary
_____________________________
______________________________
__________________________________________
High School
_____________________________
______________________________
__________________________________________
College

_____________________________
______________________________
__________________________________________

Major Subjects: _________________________________________

Special Courses Attended:_________________________
Vocational/Trade School
Attended

GET A JOB

_________________
(NICKNAME)

______________

_______________

_______________

_______________

_______________
_____________
( ) Separated

__________

on _____________

on _____________

(AGE)
Age

_____________

______________

___________

__________

_____________

______________

ber of years
__________________
__________________
__________________

______________

_______________

______________

Degree/s

__________________

__________________

__________________

_______________