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PERSONAL DATA

Position Desired : ___________________________________ Date :__________________

Name : ___________________________________ Gender :__________________
City Address : ______________________________________________________________________
Provincial Address : ______________________________________________________________________
Telephone : ___________________________________ Cellphone :__________________
E-mail Address : ___________________________________ :__________________
Date of Birth : ___________________________________ Place of Birth :__________________
Civil Status : ___________________________________ Citizenship :__________________
Height : ___________________________________ Weight :__________________
Religion : ___________________________________
Spouse : ___________________________________ Occupation :__________________
Name of Children : ___________________________________ Date of Birth :__________________
: ___________________________________ :__________________
: ___________________________________ :__________________
Father’s Name : ___________________________________ Occupation :__________________
Mother’s Name : ___________________________________ Occupation :__________________
Language or dialect spoken and written: __________________________________________________________
Person to be contacted in case of emergency: _____________________________________________________
His or Her address and telephone: ______________________________________________________________

EDUCATIONAL BACKGROUND

Elementary : ___________________________________ Year Graduated :__________________

High School : ___________________________________ Year Graduated :__________________
College : ___________________________________ Year Graduated :__________________
Degree Received : ______________________________________________________________________
Special Skills : ______________________________________________________________________

EMPLOYEE RECORD

Company Name : ______________________________________________________________________

Position : ___________________________________ From:_____________ To:______________

Company Name : ______________________________________________________________________

Position : ___________________________________ From:_____________ To:______________

CHARACTER REFERENCE

Name : ___________________________________ Company :_________________________

Position : ___________________________________ Contact No.:_________________________

Name : ___________________________________ Company :_________________________

Position : ___________________________________ Contact No.:_________________________

Res . Cert. No. : ___________________________ I hereby

Issued at : ___________________________
Issued on : ___________________________
SSS No. : ___________________________
TIN No. : ___________________________
NBI No. : ___________________________
Passport No. : ___________________________