PERSONAL INFORMATION

Last Name: First Name: M.I.: Nickname:

Sex: Height: Weight: Age:

Date of Birth: Place of Birth: Citizenship:

Civil Status: Single Married Widowed Separated       Religion:

Present Address: Phone No.:

Permanent Address: Phone No.:

T.I.N.: SSS No.: Pag-ibig No.: Philhealth:

Father's Name:     Age: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100      Birthday: Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec  

Company:      Occupation:

Mother's Name:      Age: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100     Birthday: Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec  

Company:      Occupation:

Brothers/Sisters' Name:      Age: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100     Birthday: Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec  

Company:      Occupation:

SCHOLASTIC RECORD

Name:       Education Attainment: Elementary High School College Post Graduate Vocational

University:       Address:

Date Attended:       Degree:  

Honors:      List of Computer Courses:


EMPLOYMENT RECORD (from present to previous employment)

Company Name 1:       

Position:    Duration:   Salary:

Reason for Leaving:


Company Name 2:       

Position:    Duration:   Salary:

Reason for Leaving:


Company Name 3:       

Position:    Duration:   Salary:

Reason for Leaving:


ORGANIZATION/CLUB MEMBERSHIP

Organization 1:   Position:

Inclusive Year: Accomplishment:


Organization 2:   Position:

Inclusive Year: Accomplishment:


Organization 3:   Position:

Inclusive Year: Accomplishment:


HOBBIES AND INTERESTS

1. Have you previously applied with our firm and to it's affiliates for a position?

   YES NO      If yes, what position and when?

2. Do you have any employment commitment or job application with another firm?

   YES  NO      If yes, what company?

3. How did you learn about Alterations plus opening?

   Walk-in   Ads       Referral of  

4. Are you willing to work on during weekends and/or holidays? YES  NO

5. Are you or were you involved in any administrative, civil or criminal case?

   YES  NO      Give particulars:

6. Have you had any physical or mental condition which limits your ability to perform the job applied for a potential risk to the other employees?

   YES  NO      Please describe :


EXAMINATION TAKEN

Exams Taken1:  Date Taken :

Rating/Rank:   Certificate No.:


Exams Taken 2:  Date Taken :

Rating/Rank:   Certificate No.:


Exams Taken3:  Date Taken :

Rating/Rank:   Certificate No.:


REFERENCES

Name 1:

Mailing Address :

Telephone No.:


Name 2:

Mailing Address :

Telephone No.:


Name 3:

Mailing Address :

Telephone No.:


CERTIFICATION AND AUTHORIZATION

I certify that all informations given here are true & complete to the best of my knowledge. In the event of employment, I understand that false or misleading information given in my application or interviews may result in discharge. I hereby authorize therefore the company to conduct such investigations and inquiries of my personal employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision.

Applicant:         Date: