Employment History: Name Address Occupation
Uploaded by
Nasir AhmedEmployment History: Name Address Occupation
Uploaded by
Nasir AhmedEMPLOYMENT HISTORY
(From the last three companies)
Name of Company: ________________________________________________________ Position: _____________________
Company Address: ________________________________________________________ Date Employed: _______________
Reason for Leaving: _____________________________________ Starting Salay/Wage: _____________________________
Name of Company: ________________________________________________________ Position: _____________________
Company Address: ________________________________________________________ Date Employed: _______________
Reason for Leaving: _____________________________________ Starting Salay/Wage: _____________________________
Name of Company: ________________________________________________________ Position: _____________________
Company Address: ________________________________________________________ Date Employed: _______________
Reason for Leaving: _____________________________________ Starting Salay/Wage: _____________________________
REFERENCES
List three (3) responsible person/s not related to you by blood or marriage who can give definite information regarding your character and ability:
NAME
ADDRESS
OCCUPATION
________________________________________
________________________________________
________________________________________
________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________
_________________________________
_________________________________
_________________________________
C E R T I F I C A T I O N
I HEREBY CERTIFY that the information above is true and correct according to the best of my knowledge and I
understand that any information found to be false shall cause this application to become null and void and in my way
obligate the Company to employ the undersigned;
Right
____________________________________________________
Res. Cert. No. ____________________
Date Issued: _____________________
Issued At: _______________________
SIGNATURE OVER PRINTED NAME
Thumb Mark
QUALIFICATIONS/EXPERIENCES:
( ) Adequate
( ) Inadequate
( ) Unrelated
( ) Satisfactory
( ) Unsatisfactory
REMARKS:
RECOMMENDATION/ S:
( ) Hire
( ) Do not Hire
( ) Hold for future Reference/s
( ) Inactive Files
Classification: _________________________________________
Assignment/Division: ___________________________________
Rate of Pay: ___________________________________
Section: _______________________________________
Location: _____________________________________________
Effective: ______________________________________
REMARKS:
RECOMMENDED FOR HIRING:
__________________________________________________
Signature
APPROVED BY:
__________________________________________________
Signature
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
racter and ability:
UPATION
___________________
___________________
___________________
___________________
ge and I
my way
___________________
D NAME
active Files
_______________
_______________
_______________
__________________
SUPERMIX REDI CONCRETE, INC.
167 J.P. Rizal Ave., Manggahan Rodriguez, Rizal
REMEMBER TO PROVIDE ALL THE INFORMATION REQUESTED THIS 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
O GET A JOB
_________________
(NICKNAME)
______________
_______________
_______________
_______________
_______________
_____________
( ) Separated
__________
on _____________
on _____________
(AGE)
Age
_____________
______________
___________
__________
_____________
______________
ber of years
__________________
__________________
__________________
______________
_______________
______________
Degree/s
__________________
__________________
__________________
_______________