CLASS B

For Personnel Administration Department Use Only

Preliminary Screening by:
Date of Exam:
Place of Exam :

Result :

Level :

Given by :

APPLICATION FOR EMPLOYMENT Proficiency :

File Code:
Instructions:
Applicant No.:
1. Please fill out the application form in your own handwriting. Please write legibly.
Expected Monthly Salary:
2. Indicate only work experience and trainings that can be authenticated/documented.
3. Attach the following:
a. Photocopy of Civil Service Eligibility/Board or Bar Rating.(Original to be presented.)
b. Photocopy of Transcript of Records/ (Original to be presented)

Position Applied For: Teller / ATM Teller Date Available for Employment: Anytime
How did you hear about us? (Please check one) Advertisement Family Friend Jobfair Jobstreet
LANDBANK Website Leaflets/Posters Employee Referral: Nyssa Karina S. Adriano Others:

Last Name First Name Middle Name Nickname: Civil Status:

Sales Julius Caezar Zorilla Bojo Single
Current Address:26 Cambodia Street Betterliving Permanent Address: 26
Cambodia Street Betterliving
Subdivision, Brgy. Isabang, Lucena City Subdivision, Brgy. Isabang, Lucena City
Place of Birth: Phone No.: Mobile No.: Gender: Religion:
Lucena City +639174282164 +639174282164 Male Iglesia Ni Cristo
Citizenship: Email Address: Height: Weight:
■
Filipino Dual [email protected] 169cm 76kg
If Dual Citizenship, please indicate: as

EDUCATION
Type Inclusive Year Name of School and Address Honors / Awards
2003 2010 Lucena West I Elementary School, Brgy. Ilayang Iyam, Lucena City N/A
Elementary
2010 2014 Quezon National High School, Brgy. Ibabang Iyam, Lucena City N/A
High School
Inclusive Year Name of School and Address Degree / Major Course Honors / Awards
2014 2018 Manuel S. Enverga University Foundation, Brgy. Ibabang Bachelor of Science in Business Administration Major in N/A
College Dupay, Lucena City Management Accounting

N/A N/A N/A N/A N/A

Graduate Studies

GOVERNMENT AND PROFESSIONAL EXAMINATION/S

Date Place Rating

CIVIL SERVICE PROFESSIONAL ELIGIBILITY
03/18/2018 Lucena City 80.76

PROFESSIONAL LICENSE (PRC Board) Date Place Rating

N/A N/A N/A N/A

PROFESSIONAL CERTIFICATION
Date Place Rating
(CFA, CIA, CISA, CEFIMS, etc.)
N/A N/A N/A N/A

EMPLOYMENT RECORD Present and Past Employment Record (in chronological order, last position first)
(Use additional sheets as necessary.)
Assignment / Major
Inclusive Dates Position Employer and Address Basic Salary Functions
01/01/2024 06/30/2024 Project Evaluation Officer I Provincial Government of Quezon - Provincial Planning 26,999.94 Monitor and Evaluate of PPAs within
Quezon Province
and Development Coordinator

01/01/2023 12/31/2023 Project Evaluation Officer I Provincial Government of Quezon - Provincial Planning 25,439.04 Monitor and Evaluate of PPAs within
Quezon Province
and Development Coordinator

10/01/2022 12/31/2022 Project Evaluation Assistant Provincial Government of Quezon - Provincial Planning 17,504.96 Monitor and Evaluate of PPAs within
and Development Coordinator Quezon Province

07/01/2022 09/30/2022 Project Evaluation Officer I Provincial Government of Quezon - Provincial Planning 22,315.92 Monitor and Evaluate of PPAs within
and Development Coordinator Quezon Province

TRAININGS Indicate all trainings/seminars attended, special studies taken, scholarships enjoyed
(Use additional sheets as necessary.)
Title of Seminar and Training Where When No. of Training Hours
2023 CALABARZON M&E Forum Lima Park Hotel, Malvar, Batangas October 18, 2023 8 Hrs
Retooling on LGU Module (Coaching and Mentoring) Tagaytay Mission Camp, Tagaytay City, Cavite July 12-14, 2023 24 Hrs
E-RPMES User`s Training NEDA IV-A Office, Brgy. Milagrosa Calamba City, Laguna May 31, 2023 8hrs
Capability Building and Institutional Strengthening for the Provincial AFE Center Tagaytay City, Cavite November 28-29, 2023 16 Hrs
FAMILY BACKGROUND (Complete the following information.)
Father Mother
Name: Ariel Cavida Sales Name: Zorayda Albina Zorilla
Age: DECEASE Age: 55
Present Address: Present Address: 2298 Quezon Corner Burgos Street Ciudad Maharlika, Brgy. Ilayang Iyam, Lucena City

Occupation: Occupation: Government Employee

Employer and Address: Employer and Address: City Government of Lucena City Hall Complex, Kanlurang Mayao, Lucena City

College Degree: College Degree: Bachelor of Science Business in Administration Major in Accounting
College/University: College/University: Manuel S. Enverga University Foundation
School Address: School Address: Brgy. Ibabang Dupay, Lucena City
Employer and
Name Age Present Address Address Occupation
Spouse
N/A N/A N/A N/A N/A
Name Age Present Address School or Occupation (for those employed)
(Use additional sheets as necessary.)
Siblings JUSTINE Z. SALES 25 98 Quezon Corner Burgos Street Ciudad Maharlika, Brgy. Ilayang Iyam, Lucena C Iglesia Ni Cristo Evangelical Workers
JULIANA MARIE Z. SALES 23 98 Quezon Corner Burgos Street Ciudad Maharlika, Brgy. Ilayang Iyam, Lucena C
Polythenic University of Philippines
Name Age Present Address School or Occupation (for those employed)
(Use additional sheets as necessary.)
Children N/A N/A N/A N/A

Are you related to any former and/or current official or employee of LANDBANK:
a.) within the third degree of consanguinity (i.e. mother/father, Have you ever been a respondent in any administrative case
son/daughter,brother/sister, nephew/niece, uncle/aunt, or accused of any criminal case? Yes No
grandparent, grandchild)? Yes ■ No If yes, please provide specific details below or in a separate
If yes, give name/s of relative/s and relationship/s sheet.

b.) within the third degree of affinity (i.e mother-in-law/ father-in-

law, son-in-law/ daughter-in-law, brother-in-law/ sister-in-
law)? Yes ■ No
If yes, give name/s of relative/s and relationship/s Do you have any physical disability or previous sickness?
Yes ■ No
If yes, please provide specific details below or in a separate
c.) other relative/s not specified in items a and b? Yes No sheet.
If yes, give name/s of relative/s and relationship/s

EXTRA-CURRICULAR / BUSINESS OR COMMUNITY INVOLVEMENT

(Use additional sheets as necessary.)
Position Organization / Event Period
N/A N/A N/A

OTHER INFORMATION
SPECIAL TECHNICAL SKILLS:
DRIVING
SPORTS, HOBBIES AND INTERESTS: SWIMMING, BASKETBALL
APPLICANT UNDERTAKING & WAIVER
I understand that this application form does not constitute an offer of employment by the Land Bank of the Philippines and that any offer by the
Personnel Administration Department following submission of this application will be subject to verification of my personal information and sensitive
personal information, previous employment records, court records, community activities or dealings and will be contingent upon my satisfactorily passing
a physical examination by the Bank. Any false information given by me or concealment of relevant personal information or sensitive personal information
may be considered as material misrepresentation and will be a ground for the Bank to terminate my services in case I am employed. Furthermore, I
hereby hold the Bank free from any liability in any manner whatsoever for aggravation of any pre-existing medical condition whether disclosed or not that may
take place during my employment with the Bank.

I hereby knowingly, voluntarily and fully give my consent to the collection, recording, organization, storage, modification, retrieval, use, consolidation, and
such other processing that may be made by the appropriate authorities of the Bank of my personal information, sensitive personal information and/or
privileged information, including but not limited to my personal and family background, educational, employment and professional history, financial and
personal credit status, court and government records, medical findings and all other information that may be relevant to the determination of my physical,
mental and psychological fitness to be employed by, or remain employed in, the Bank and to undertake a particular task or activity inherent or necessary to
the nature of the work or position I may be considered for selection and placement as well as for future personnel movements.

Witness my signature this 21 day of February 20 24 , in the City of Manila

JULIUS CAEZAR Z. SALES

Applicant's Signature Over Printed Name
 JULIUS CAEZAR Z. SALES
Name:
APPLICATION FOR EMPLOYMENT (additional sheet)
EMPLOYMENT RECORD Present and Past Employment Record (in chronological order, last position first)
Dept./Unit of Assignment/
Inclusive Dates Position Employer and Address Basic Salary Major Functions
01/01/2022 06/30/2022 Planning Officer I Provincial Government of Quezon - Provincial Planning And Development Coordinator 22,315.92 Monitor and Evaluate of PPAs within Quezon Province

09/01/2019 12/30/2021 Administrative Aide VI Provincial Government of Quezon - Provincial Planning And Development Coordinator 13,850.98 Monitor and Evaluate of PPAs within Quezon Province

01/01/2019 08/31/2019 Administrative Aide III Provincial Government of Quezon - Provincial Planning And Development Coordinator 11,386.93 Monitor and Evaluate of PPAs within Quezon Province

10/05/2018 12/31/2018 Administrative Aide I Provincial Government of Quezon - Provincial Planning And Development Coordinator 9,980.96 Monitor and Evaluate of PPAs within Quezon Province

TRAININGS Indicate all trainings/seminars attended, special studies taken, scholarships enjoyed
No. of Training
Title of Seminar and Training Where When Hours
Mapping out of Collaborative Provincial Agriculture and Fisheries Extensions Program cum Capacity Building and
Institutional Strengthening
Lucena City October 26-28, 2022 24hrs
Climate and Disaster Risk Assessment (CDRA) Training Workshop Lucena City October 17-21, 2022 40Hrs
Regional Development and Management: Capacity Building for Province-led Agriculture and Fisheries Extesion
Center
Tanza, Cavite September 15-16, 2022 16Hrs
Training on Results-Based Monitoring and Evaluation (RBME) of LGU Infrastructure Projects Via Zoom April 26-28, 2022 24Hrs
Capability Development for Local Project Monitoring Committee (LPMCs) via Zoom November 9-10, 2021 16 Hrs

FAMILY BACKGROUND (Complete the following regarding your family.)

Name Age Present Address School or Occupation (for those employed)
N/A N/A N/A N/A

Siblings

Name Age Present Address School or Occupation (for those employed)

N/A N/A N/A N/A

Children

EXTRA-CURRICULAR / BUSINESS OR COMMUNITY INVOLVEMENT

Position Organization / Event Period
N/A N/A N/A