MORA, LUMARDA AND ASSOCIATES

Certified Public Accountants

No. 2 Don J. Llorente St.,
Capitol Site,
Telefax :
Cell Nos.:
:
:

Cebu City, Philippines
255-4960
0905-2630557 (alex)
0917-6259527 (jun/oyang)
0927-5728150 (rheneir)

APPLICATION FOR EMPLOYMENT
Attach 2” x 2” photo

Employee Number (for HR use only): _____________
If employed, this becomes a part of your permanent record.
Position Preferred: ________________

Desired Salary: ___________

Personal Information:
Complete name (including nickname): _____________________________________
Present address (including telephone/mobile phone number/s:
__________________
____________________________________________________________________
Date of birth: __________
Civil status: _____

Place of birth: ___________

Height/weight: _______

Age: ____ Sex: ______

Citizenship: _____

Religion: ______

Family Background:
Father (name and occupation):
___________________________________________
Mother (name and occupation): __________________________________________
Brothers/sisters (name and occupation): ___________________________________
____________________________________________________________________
Spouse/children (name and occupation): ___________________________________
____________________________________________________________________
Educational Background:
High School (name of school/year graduated/honors received)
__________________
____________________________________________________________________

hospitalization or accidents in the past 2 years? If yes.MORA. please state the nature. LUMARDA AND ASSOCIATES Certified Public Accountants College (name of school/year graduated/honors received) ______________________ ____________________________________________________________________ Graduate Studies (name of school/year graduated/honors received) ______________ ____________________________________________________________________ Review School (name of school/ year attended) ______________________________ ____________________________________________________________________ Government Examinations Passed (include year taken/average): ___________ ___________________________________________________________________ Extra Curricular Activities (include position/dates): ______________________ ___________________________________________________________________ General Information: Would like to accept fieldwork? ____ overtime work? ____ out-of-town work? _____ Have you been accused of any misdemeanor or crime? If so. ____________________________________________________________________ Have you had any physical or mental condition which may limit your ability to perform the job applied for or pose a potential risk to other employees? ____________________________________________________________________ Skills/hobbies: ________________________________________________________ Computer Literacy: Application for Employment -2- . ____________________________________________________________________ Have you had any illnesses. please explain.

position. reason for leaving. salary. please notify: ____________________`Relationship: Application for Employment -3- . address and contact information): ___________________________________________________________ _ ____________________________________________________________________ ___________________________________________________________ _ ____________________________________________________________________ ___________________________________________________________ _ In case of emergency. name and contact information of superiors working with): ___________________________________________________________ _ ____________________________________________________________________ ___________________________________________________________ _ ____________________________________________________________________ ___________________________________________________________ _ ____________________________________________________________________ ___________________________________________________________ _ ____________________________________________________________________ References (state three references. position. inclusive dates. LUMARDA AND ASSOCIATES Certified Public Accountants MS Word (high/medium/low): _________ MS Excel (high/medium/low): _______ Other MS application (please state) _______________________________________ Accounting and other applications/programs you have experience (please state) ____________________________________________________________________ Employment Record (state name of employer.MORA. including the companies they are connected with.

I also authorize and request each former employer. correct and complete. our employer shall have the right and option to terminate my employment at any time. In the event of my employment. and to give any or all information that may be sought in connection with this application. firm or person stated above to answer any or all questions that may be asked. LUMARDA AND ASSOCIATES Certified Public Accountants _______ Address/contract information: ____________________________________________ * * * I hereby certify that the above information is true. I agree that should the information furnished above proved to be false.MORA. I hereby authorize my employer or its duly authorized representative to verify the given information. incorrect or incomplete. Signature of Applicant Application for Employment Date -4- .

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