CLEAR ALL

APPLICATION FORM
DATE : 01/31/2025
POSITION APPLIED FOR : JUNIOR WEB DEVELOPER
COMPANY : ASIALINK GROUP OF COMPANIES

SOURCE :  WALK-IN  JOB FAIR ✔ JOB SITE JOBSTREET/SEEK  REFERRAL

PERSONAL RECORD All fields must be completed. Please write clearly.

SURNAME DELA CRUZ FIRST NAME ROSE ANN JOY MIDDLE NAME GORDO NICKNAME ROAN/RO

PRESENT ADDRESS BLOCK 76 LOT 11 BRGY. 174 PAULINO COMPOUND AREA C CAMARIN CALOOCAN CITY TEL NO. NA

PERMANENT ADDRESS BLOCK 76 LOT 11 BRGY. 174 PAULINO COMPOUND AREA C CAMARIN CALOOCAN CITY TEL NO. NA

DATE OF BIRTH/AGE 06/08/1999 25 PLACE OF BIRTH CALOOCAN CITY GENDER FEMALE MOBILE NO. 09150451981

CITIZENSHIP FILIPINO CIVIL STATUS SINGLE RELIGION ROMAN CATHOLICEMAIL ADDRESS [email protected]

SSS NO. 35-2202876-1 PHILHEALTH NO. 02-252956498-1 TIN 616-412-578-0000 PAGIBIG NO. 121310878888 HEIGHT 147 cmWEIGHT 41 kg

FAMILY NAME BIRTHDATE AGE OCCUPATION PRESENT ADDRESS

FATHER RONIE M. DELA CRUZ 02/01/1975 49 Contruction Worker
BLOCK 76 LOT 11 BRGY. 174 PAULINO COMPOUND AREA C CAMARIN CALO

MOTHER MILAGROSA G. DELA CRUZ 11/22/1971 53 HousewifeBLOCK 76 LOT 11 BRGY. 174 PAULINO COMPOUND AREA C CAMARIN CALO
ROMMEL JOHN G. DELA CRUZ 12/21/1995 29 Packer BLOCK 76 LOT 11 BRGY. 174 PAULINO COMPOUND AREA C CAMARIN CALO

ROMELYN JOANA G. DELA CRUZ 07/21/1997 27 Assistant Casher

BLOCK 76 LOT 11 BRGY. 174 PAULINO COMPOUND AREA C CAMARIN CALO
SISTERS /
RONIE G. DELA CRUZ JR 09/20/2002 22 College Student
BLOCK 76 LOT 11 BRGY. 174 PAULINO COMPOUND AREA C CAMARIN CALO
BROTHERS
ROMMEL JOSHUA G. DELA CRUZ 09/23/2005 19 NA BLOCK 76 LOT 11 BRGY. 174 PAULINO COMPOUND AREA C CAMARIN CALO

RONIEL JAY G. DELA CRUZ 12/05/2008 16 Highschool Student

BLOCK 76 LOT 11 BRGY. 174 PAULINO COMPOUND AREA C CAMARIN CALO

SPOUSE NA 0 - -
NA 0 - -

CHILDREN
(Even if Single
Parent)

FATHER-IN-LAW NA 0 - -
MOTHER-IN-LAW NA 0 - -

SCHOOL / UNIVERSITY ADDRESS INCLUSIVE DATES DEGREE ACHIEVED

POST GRADUATE STUDIES

COLLEGE BACHELOR'S DEGREE GRADUA

University of Caloocan CityCongressional Avenue 2018-2022

HIGH SCHOOL Sisters of Mary of Banneux, Inc. Biga II, Silang Cavite 2012-2016 GRADUATE
San. Antonio, Sta. Magdalena, Sorsogon
San Antonio Elementary School 2006-2012 GRADUATE
ELEMENTARY
Technical Drafting NC II, Computer System Services NC II
OTHERS/ VOCATIONAL COURSE Biga II, Silang Cavite 2021-2022 National Certicate

PROFESSIONAL QUALIFICATIONS OR SPECIALIZED TRAININGS (e.g. CPA, BAR, etc.)

WHAT WHEN WHERE RATING

GOVERNMENT EXAMINATIONS TAKEN

WHAT WHEN WHERE RATING

LANGUAGES AND DIALECTS SPOKEN AND UNDERSTOOD Filipino, English, Bicol

LIST ALL COMPUTER SYSTEMS, OFFICE MACHINES AND EQUIPMENT THAT YOU CAN OPERATE System Unit, Laptop, Projector, and Printer
HOBBIES AND RECREATIONAL ACITIVITIES Reading, Listening to Music and Cleaning
form: REV 12.19.17
EMPLOYMENT RECORD Please start with the most recent

1. COMPANY NAME Equitable Computer Services ADDRESS Makati City POSITION / DEPARTMENT
System Analyst 1 / System Development Ser

SUPERVISOR Macy Hular REASON FOR LEAVING Distance of Office from Home TEL NO. NA

PERIOD OF EMPLOYMENT FROM November 15, 2022 TO September 29, 2023 SALARY 22,000

SPECIFIC DUTIES AND FUNCTIONS Monitoring, updating, and resolving system issues

2. COMPANY NAME ADDRESS POSITION / DEPARTMENT

SUPERVISOR REASON FOR LEAVING TEL NO.
PERIOD OF EMPLOYMENT FROM TO SALARY
SPECIFIC DUTIES AND FUNCTIONS
3. COMPANY NAME ADDRESS POSITION / DEPARTMENT
SUPERVISOR REASON FOR LEAVING TEL NO.
PERIOD OF EMPLOYMENT FROM TO SALARY
SPECIFIC DUTIES AND FUNCTIONS

REFERENCES List 3 persons not related to you who are familiar with your qualifications and character
NAME ADDRESS CONTACT NO. OCCUPATION
Leila Jane L. Alejandre Business Analyst

Ian Ermino Back-end Developer

Pamela Kathleen J. Tupas System Analyst 1

PERSON TO NOTIFY IN CASE OF EMERGENCY

NAME Milagrosa G. Dela Cruz RELATIONSHIP Mother CONTACT NO. 09264464654
ADDRESS BLOCK 76 LOT 11 BRGY. 174 PAULINO COMPOUND AREA C CAMARIN CALOOCAN CITY

WHY SHOULD WE HIRE YOU? Explain in not more than fifty (50) words

HAVE YOU BEEN CHARGED OR CONVICTED OF ANY CRIME?  YES 

✔ NO
If “yes”, pls. briefly describe the crime, date, place of conviction and legal disposition of the case(s):

ANY CURRENT ILLNESS OR PHYSICAL DEFECTS? 

✔ YES  NO
If “yes”, pls. describe: I have PTB (Pulmonary Tuberculosis) and am undergoing medication for 6 months, I am currently in my 4 months and have the approval of the doctor for work.

HAVE YOU BEEN HOSPITALIZED IN THE PAST 12 MONTHS?  YES 

✔ NO
If “yes”, pls. state what illness, date of confinement and hospital:
DO YOU HAVE RELATIVE(S) WORKING AT ASIALINK GROUP OF COMPANIES?  YES 
✔ NO
If “yes”, pls. provide details:
NAME RELATIONSHIP COMPANY / BRANCH

PRE - EMPLOYMENT STATEMENT

I hereby declare that I have freely and voluntarily given the foregoing personal data/information to the Asialink Group of Companies (“Asialink” for brevity). I hereby
consent to give the right to Asialink to utilize such information for the purpose of conducting a thorough investigation into my background and to verify the veracity
and truthfullness of all the statements I made herein. I hereby absolutely release, completely clear, and forever discharge any party supplying such personal
data/information in connection with such investigation.
I further consent to take all tests, examinations, and/or assessments that Asialink may deem necessary to evaluate my fitness and qualification for employment. In
case of employment, I fully understand that any falsification, concealment, and/or misrepresentation on my part in my application shall be sufficient ground as a
basis for my termination.
I hereby agree and consent that Asialink Group of Companies may collect, use, disclose and process my personal information even those classified as sensitive
personal information or privilege information set out in this form and/or otherwise provided by me, for one or more of the purposes which may be required in
connection with my application for employment with Asialink.
ROSE ANN JOY G. DELA CRUZ 01/31/2025
SIGNATURE OVER PRINTED NAME DATE (mm/dd/yyyy)