BIO-DATA
PERSONAL DATA:

PERSONAL DATA

Name : ___________________________________________ Gender  : _____________________

Position : ________________________________________________________________________________
City Address : ________________________________________________________________________________
Provincial Address :________________________________________________________________________________
Telephone : ___________________________________________ Cell phone : _____________________
E-mail Address : ___________________________________________ : _____________________
Date of Birth : ___________________________________________ Place of Birth : _____________________
Civil Status : ___________________________________________ Citizenship  : _____________________
Height : ___________________________________________ Weight : _____________________
Religion : ________________________________________________________________________________
Spouse  : ___________________________________________ Occupation  : _____________________
Name of Children : ___________________________________________ Date of Birth  : _____________________
Father’s Name : ___________________________________________ Occupation  : _____________________
Mother’s Name : ___________________________________________  Occupation : _____________________
Parent’s Address  : ________________________________________________________________________________
Language/Dialect spoken &written: ____________________________________________________________________
Person to be contacted in case of emergency: _____________________________________________________________
His/Her Address and Telephone: ______________________________________________________________________

EDUCATIONAL BACKGROUND

Elementary : ___________________________________________ Year Graduated : _____________________

High School : ___________________________________________ Year Graduated : _____________________
Vocational Course 1: ___________________________________________ Inclusive Dates: _____________________
Vocational Course 2: ___________________________________________ Inclusive Dates : _____________________
Vocational Course 3: ___________________________________________ Inclusive Dates : _____________________
College : ___________________________________________ Inclusive Dates : _____________________
Degree Received : ________________________________________________________________________________
Special Skills : ________________________________________________________________________________

EMPLOYMENT RECORD

Company Name 1 :________________________________________________________________________________
Position : ___________________________________________ From: ____________ To: ____________
Company Name 2 : ________________________________________________________________________________
Position : ___________________________________________ From: ____________  To: ____________
Company Name 3 : ________________________________________________________________________________
Position : ___________________________________________ From: ____________ To: ____________
(Please use extra sheet if necessary)

CHARACTER REFERENCES
RDS: 
Name 1 : ___________________________________________ Co./Add. : ________________________
Position : ___________________________________________ Contact No : ________________________
Name 2 : ___________________________________________ Co./Add. : ________________________
Position : ________________________________________ Contact No.: ________________________

SSS No. :________________________
TIN No. : ________________________ I hereby certify that the above information is true and correct to the best of
HDMF ID No. : _________________________ my knowledge and belief under the penalties of perjury.I also understand
Philhealth No. : ________________________ that any omission of information or misrepresentationshall be considered
NBI No. : ________________________ sufficient reason for subsequent dismissal from employment.
___________________________
________________________
Please attach at least two photocopies of valid govt. IDs
with counter signature. Signature
________________________