ANNEX "A"

To IOM - 2013-9384
PR SAVINGS BANK
Company

EMPLOYEE INFORMATION FORM (EIF)

Updated as of __________________________

Instruction: Please fill-out the following information correctly and accurately in type written form in the space provided.

Employee No.: ____________________________________

c/o HR

Last Name:____________________
fajardo First Name:______________________
Ma. Rema Middle Name:__________________
Nickname: _____________________

EMPLOYEE MASTERFILE
GENERAL INFORMATION
Date Hired: c/o HR Division : _______________________c/o HR
Employee Status: Probationary Department: _______________________c/o HR
Position:_________________________________

Branch/UNIT : _______________________ Position Level: _______________________c/o HR

SSS No. _________________________

Philhealth No. _________________________
Pag-ibig No. _________________________
Tax ID No. _________________________ Tax Status _______________________

OTHER REFERENCES

Present Address: _________________________

Permanent Address: _________________________________________________________________________
Block/Lot No. Street Subdivision/Village

_________________________________________________________________________
Baranggay Municipality/City Province

Telephone No./Cellphone No. _____________________________

Landline: _____________________
Birthday: _________________________
Email Address: _________________________
Gcash No. _________________________

EMPLOYEE 201 FILE

EDUCATIONAL BACKGROUND
ELEMENTARY:
School: _________________________________________________________________
Award/s Received: _________________________________________________________________
Date Inclusive:(mm/dd/yy) _________________________________________________________________

HIGH SCHOOL:
School: _________________________________________________________________
Award/s Received: _________________________________________________________________
Date Inclusive:(mm/dd/yy) _________________________________________________________________

COLLEGE:
School: _________________________________________________________________
Degree Earned: _________________________________________________________________
Award/s Received: _________________________________________________________________
Date Inclusive:(mm/dd/yy) _________________________________________________________________

POST-GRADUATE:
School: _________________________________________________________________
Degree Earned: _________________________________________________________________
Date Inclusive:(mm/dd/yy) _________________________________________________________________
Award/s Received: _________________________________________________________________

VOCATIONAL:
School: _________________________________________________________________
Degree Earned: _________________________________________________________________
Date Inclusive:(mm/dd/yy) _________________________________________________________________
Award/s Received: _________________________________________________________________

please turn to page 2

AWARDS RECEIVED:
AWARDS INSTITUTION DATE GIVEN (mm/dd/yr)

LICENSE:
EXAM RELEASE
DATE DATE
LICENSE TYPE PLACE RATING LICENSE NO. (mm/dd/yr) (mm/dd/yr)

DEPENDENT
Name
(Last name, First name, Middle name) BIRTHDAY (mm/dd/yr) RELATIONSHIP

FAMILY BACKGROUND:
(Parents, Spouse, Children, Brothers/Sisters)
Name
(last name, First name, Middle Birth Date
name) Gender (mm/dd/yr) Status Company Name Occupation Relationship

* Please use another sheet of paper if space provided is not enough

EMPLOYMENT BACKGROUND:
(from present down to earliest employment)
FROM TO
Employer Name Position Salary (mm/dd/yr) (mm/dd/yr)

* Please use another sheet of paper if space provided is not enough

INFORMATION ON TRAINING AND SEMINARS ATTENDED:

(For in-house and outsourced training and seminars)
Training/Seminar Title Date Facilitator Venue
 * Please use another sheet of paper if space provided is not enough

SPECIMEN SIGNATURE INITIALS

SKILLS:_________________________________

I hereby certify that all information given is true and accurate to the best of my knowledge.

____________________________
Signature Above Printed Name
HRD

Updating of Human Resource Information System/201 file _________________________

date