APPLICATION FOR EMPLOYEMENT
VISUAL MIX, INC.
708 Cityland 10 Tower 2, H. V. dela Costa St
Makati City
Name:______________________________________________ Date Applied________________
Last Given Middle
Position Applied: __________________________________ Desired Salary: ______________
PERSONNAL DATA
Date of Birth: _______________ Age: _________________Place of Birth_____________________
Height:____________________ Weight:________________Complexion______________________
SEX ( )M ( ) F Civil Status ( ) Single ( ) Married ( )
Widower/Separated
Residence Cert. No. ______Date\Issued_______________Place Issued:______________________
SSS No.: ___________________ Date of Coverage__________TIN:__________________________
Valid Driving License( if any) ( ) Non-Professional ( ) Professional
Present Address: _________________________________________Tel.No____________________
Permanent Address: ______________________________________Tel. No.___________________
Name of nearest relative/neighbor who has telephone: ____________Tel. No.
__________________
Person to notify in case of
emergency:__________________________Relationship______________
Address: ________________________________________________Tel. No.___________________
INFORMATION REGARDING MEMBERS OF THE FAMILY
Relationship Name Age Occupation Office Address
Father
Mother
Brothers &
Sisters
Spouse Name:_______________________________________ Date of Marriage_______________
Spouse’s Occupation: ________________________________ No of Children: ________________
Name of Children Date of Birth Age
Application for Employment
Page 2
Who referred you to us? __________________________________. Do you have relative/friend
employed with Booksale ? ____/YES/_____/NO/ If yes pls specify name _________________
REFERENCES OTHER THAN RELATIVES AND/OR PREVIOUS EMPLOYERS
Name Occupation Address Tel No.
Hospitalization within the past five (5) years?( ) YES( ) NO
If yes, please specify:________________________________________________________________
EDUCATIONAL BACKGROUND
Inclusive Date
Name of School Location Fr. To Degree
Postgraduate/
College/
University
Vocational
Technical
Secondary
Primary
SPECIAL SKILLS:
( )Typing ( ) Stenography ( ) Computer Operations ( ) Others:
__________________
EMPLOYEMENT RECORD: List down first your most recent employment
Employment Period
From To Company Name Address Position Salary
Page 3 Application for Employment
Brief job function related to your most recent employment:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________
Have you ever been discharge or requested to resign from any position? ( ) yes ( ) no If YES pls explain
____________________________________________________________________________
Have you ever been arrested or convicted of nay crime? ( ) yes ( ) no If so, please tell the nature of the
case: _________________________________________________________________________
While under our employ, will you simultaneously be employed in any other company? ( ) yes ( ) no
Do you owe anything to a present or past employer? ( ) yes ( ) no If so, please give particulars:
_________________________________________________________________________
SKETCH OF PRESENT ADDRESS
STATEMENT:
I hereby certify that all the answers and statements in the Application for Employment are true and correct. Any
intentional misrepresentation made herein shall render my application null and void or shall mean immediate
dismissal from employment.
______________________
Signature of Applicant
______________________
Printed Name of Applicant
