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APPLICATION FOR EMPLOYMENT

CANDIDATE INFORMATION
Application Date: Position Applied For: Name of Interviewer:
PERSONAL BACKGROUND
Applicant Name: JAYLORD RODRIGUEZ Nickname: ELOD
Mobile No.
Present Address: 539 ANTIPOLO DEL SUR, LIPA CITY BATANGAS 09496564728/09362503208
Email Address:
Provincial Address: PROPER TIGUISAN, BANSUD, ORIENTAL MINDORO jaylord.rodriguez@yahoo.com
Gender Height:
Date of Birth: JUNE 5, 1993 Place of Birth: ORIENTAL MINDORO 170cms.
Civil Status: Single Married Separated Male Weight:
Widow/Widower 70kgs.
Female
Blood Type:
If married/separated/widowed, since when? AB
FAMILY BACKGROUND
(if single, please indicate your parents' information only. If married, please indicate your parents, spouse, and
child/ren's information.)
EMPLOYMENT DETAILS
LAST NAME FIRST NAME RELATIONSHIP DATE OF BIRTH
Company Name Position Title
MORILLA LUCENA MOTHER MAY 5, 1961 N/A HOUSEWIFE
MORILLA AURILLO FATHER DEC.24, 1941 N/A DECEASED

EMPLOYMENT BACKGROUND
(Please start with your most recent employer)
Company Name: MERIDIEN BUSINESS LEADER,
INC Immediate Head: MARY GRACE DUNGKA
Position Held: CHECKER Inclusive Dates: JULY 04-NOV.26, 2016
Salary: 10,000 PLUS Reason For Leaving: ENDO
Company Name: JJRM PAMANA ASSOCIATION, INC Immediate Head: ENGR.JUANITO PORTUGAL
Position Held: GENERAL FIELD MANAGER Inclusive Dates: JULY 26, 2015-SEPT. 20, 2015
Salary: ALLOWANCE ONLY Reason For Leaving: COMPANY IRREGURALITIES
Company Name: COMPUTER ACCESS PROVIDERS,
INC Immediate Head: BRYAN BALDOZ
Position Held: TRAINING ORGANIZER Inclusive Dates: MAY 30, 2015-MAY 30, 2016
Salary: 6,000 Reason For Leaving: CAREER INHANCEMENT
OTHER QUALIFICATIONS
PARTICULARS LICENSED NUMBER RATING
Driver's License
Government License
Other License/s
NO (please specify location/s)
Are you willing to be assigned in other locations? YES ________________
Do you have pending administrative/labor case from your NO
previous employer/s? YES (please specify) _________________________
NO
Have you been convicted of any crime? YES (please specify) _________________________
Are you related by blood or by law to an employee in NO
other telecommunications YES (please specify additional information)
Name:
company? ______________ Name of Relative: ______________
Are you related by blood or by law to an employee of NO
any of the MVP group of YES (please specify additional information)
Name:
companies? ______________ Name of Relative: _______________
NO (please specify)
Have you been hospitalized in the past 5 years? YES __________________________
NO (please specify)
Did you have a serious medical condition in the past 5 years? YES __________________________
PROFESSIONAL REFERENCES
(aside from your immediate supervisor)
EMPLOYMENT DETAILS
LAST NAME FIRST NAME CONTACT NUMBER
Company Name Position Title
ALCADESMA NATIONAL HIGH
PEREZ DANILO 09472789139 SCHOOL TEACHER III
CITIZENS CRIME WATCH CHIEF
LUZ ZENAIDA 09186884928 ASSOCIATION, INC OFFICER
BALDOZ BRYAN 09495557812 MOBILEARN INC. TRAINOR
PERSONAL REFERENCES
(aside from your family members)
LAST NAME FIRST NAME CONTACT NUMBER RELATIONSHIP
MICHAEL
LANOT JOHN 09126368284 FRIEND
SANCHEZ CATHERINE 09099922846 FRIEND
JUANILIO ROWELYN 09485359908 FRIEND
I hereby declare that all stated information are true and correct. Any falsification made herein shall be taken as sufficient ground
for my dismissal. SMART COMMUNICATIONS, INC. and its subsidiaries and accredited partners are likewise authorized to obtain such
information as basis to further evaluate my personal data through its standard recruitment and selection process (i.e. interview,
background investigation).

SIGNATURE OVER PRINTED NAME / DATE