GREAT WAYS MANPOWER INTERNATIONAL

Quality Management System

QUALITY FORM PHOTO

APPLICATION
Position Applied For Second Choice Application No.

APPLICANT INFORMATION
Last Name First Name Middle Name Sex Age

Present Address

Permanent Address

Place Of Birth Date Of Birth Civil Status Religion

E-mail Address Telephone/ Mobile No. Weight Height

Father: Last Name First Name Middle Name Date of Birth Contact Details

Mother: Last Name First Name Middle Name Date of Birth Contact Details

Name of Spouse (if Married): Last Name First Name Middle Name Date of Birth Contact Details

Name of Dependent
1) Date of Birth 3) Date of Birth

2) Date of Birth 4) Date of Birth

EDUCATIONAL BACKGROUND
Highest Educational Attainment Course Taken/ Finished

Name of School/ University & Address Inclusive Dates

ADVANCE STUDY / VOCATIONAL / TECHNICAL EDUCATION

Course Taken / Completed

Name of University or Vocational / Technical School Inclusive Dates

PROFESSIONAL LICENSE / INTERNATIONAL OR TECHNICAL EDUCATION

Profession License for License No. Rating Valid Until

Type of International Certification / Accreditation Held Conducted/ Given By Valid Until / Date Given

EMPLOYMENT HISTORY
Position / Job Title Name of Company / Complete Address Inclusive Dates

TRAINING INFORMATION, SCHOLARSHIP GRANT/S, ETC.

TRAINING COURSE TOPIC CONDUCTED BY INCLUSIVE DATES

Unit 309, 3rd Floor, Myers Bldg. / Velco Centre, corner R.S Oca & A.C Delgado Sts. South Harbor, Port Area Manila, 1018
Tel.Nos. (+632) 522-1322 Tele Fax: (+632) 522-2706
WEBSITE: www.greatwaysmanpower.com - ISO Certified Company - POEA LICENSE NO. 014-LB-012715-R

Form No.: GWMI-QF-041 Date Issued: 1/13/17 Revision #:1 Revision Date: 1/12/17 Approved by: Rosalie S. Habana
 GENERAL INFORMATION
Passport No. Place of Issue Validity

Driver License Type of Vehicle / Restriction Code Validity

Tax Identification Number (TIN) SSS / GSIS Philhealth No. Pag-ibig No.

IN CASE OF EMERGENCY, PERSON TO NOTIFY

Name Relationship

Address Telephone/ Mobile No.

ENGLISH PROFICIENCY (please rate yourself)

Verbal/ Spoken ( ) Fluent ( ) Good/ Above Average ( ) Average ( ) Poor/ Cannot Express Himself Well
Comprehension ( ) Excellent ( ) Good/ Above Average ( ) Average ( ) Poor/ Cannot Express Himself Well
Reading ( ) Proficient ( ) Good/ Above Average ( ) Average ( ) Poor/ Very Slow
Written ( ) Proficient ( ) Good/ Above Average ( ) Average ( ) Poor/ Cannot Express Himself Well

OTHER FOREIGN LANGUAGE YOU CAN SPEAK AND UNDERSTAND .

PROFICIENCY WITH THE USE OF COMPUTER (please rate yourself) .

REFERENCES
(three (3) persons not related to you)
NAME DESIGNTION / POSITION ADDRESS / COMPANY TELEPHONE NO.

PERSONAL UNDERTAKING

I certify that the answers given above are true and correct to the best of my knowledge and belief. Further, I fully understand and agree that my deliberate
omission or gross misrepresentation of dates and facts stated herein shall be a sufficient ground for denial or rejection of my application and cancellation
of my employment without any compensation if already deployed.

I certify further that it was thoroughly explained to me that as per the provision of POEA Memo Circular, Great ways Manpower Inc. has not authorized
anybody to collect payments. In any form, what so ever and that all payments shall be paid to the officially designated cashier of the company.

I fully understood and hereby agreed that all photocopied documents I submitted for evaluation will became property of Great Ways Manpower Int’l,
Inc. and may no longer be withdrawn.

Furthermore, I hereby certify that personally secure from Department of Foreign Affairs the passport I submitted to Great Ways Manpower Int’l, Inc.

Done this____________________ day of_____________, 20____ in the city of Manila.

_________________________ ______________________ __________________ __________________

Signature over Printed Name CTC Number Issued at Issued on Right Thumb Mark

Unit 309, 3rd Floor, Myers Bldg. / Velco Centre, corner R.S Oca & A.C Delgado Sts. South Harbor, Port Area Manila, 1018
Tel.Nos. (+632) 522-1322 Tele Fax: (+632) 522-2706
WEBSITE: www.greatwaysmanpower.com - ISO Certified Company - POEA LICENSE NO. 014-LB-012715-R

Form No.: GWMI-QF-041 Date Issued: 1/13/17 Revision #:1 Revision Date: 1/12/17 Approved by: Rosalie S. Habana
 Unit 309, 3rd Floor, Myers Bldg. / Velco Centre, corner R.S Oca & A.C Delgado Sts. South Harbor, Port Area Manila, 1018
Tel.Nos. (+632) 522-1322 Tele Fax: (+632) 522-2706
WEBSITE: www.greatwaysmanpower.com - ISO Certified Company - POEA LICENSE NO. 014-LB-012715-R

Form No.: GWMI-QF-041 Date Issued: 1/13/17 Revision #:1 Revision Date: 1/12/17 Approved by: Rosalie S. Habana