For Personnel Administration Department Use Only

Preliminary Screening by:

Date of Exam:
Place of Exam :

Result :

Level :

Given by :
Proficiency :
APPLICATION FOR EMPLOYMENT
File Code:
Instructions:
Applicant No.:
1. Please fill out the application form in your own handwriting. Please write legibly.
Expected Monthly Salary:
2. Indicate only work experience and trainings that can be authenticated/documented.
3. Attach the following:
a.Photocopy of Civil Service Eligibility/Board or Bar Rating.(Original to be presented.)
b.Photocopy of Transcript of Records/ (Original to be presented)
Recent 1X1 I.D. Picture
Position Applied For: Date Available for Employment:
How did you hear about us? (Please check one) Advertisement Family Friend Jobfair Jobstreet
p
LANDBANK Website Leaflets/Posters Employee Referral:______________ Others: _________________
Last Name First Name Middle Name Nickname: Civil Status:

Current Address: Permanent Address:

Place of Birth: Phone No.: Mobile No.: Gender: Religion:

Citizenship: Email Address: Height: Weight:

Filipino Dual
If Dual Citizenship, please indicate:____________________________

EDUCATION
Type Inclusive Year Name of School and Address Honors / Awards

Elementary

High School
Inclusive Year Name of School and Address Degree / Major Course Honors / Awards

College

Graduate Studies

GOVERNMENT AND PROFESSIONAL EXAMINATION/S

CIVIL SERVICE PROFESSIONAL ELIGIBILITY

Date Place Rating

PROFESSIONAL LICENSE (PRC Board) Date Place Rating

PROFESSIONAL CERTIFICATION
Date Place Rating
(CFA, CIA, CISA, CEFIMS, etc.)

EMPLOYMENT RECORD Present and Past Employment Record (in chronological order, last position first)
(Use additional sheets as necessary.) Dept./Unit of
Assignment / Major
Inclusive Dates Position Employer and Address Basic Salary Functions

TRAININGS Indicate all trainings/seminars attended, special studies taken, scholarships enjoyed
(Use additional sheets as necessary.)
Title of Seminar and Training Where When No. of Training Hours
FAMILY BACKGROUND (Complete the following information.)
Father
Name:___________________________________________
Age: ___________
Present Address:___________________________________
Occupation:_______________________________________
Employer and Address:_______________________________
College Degree:___________________________________
College/University:_________________________________
School Address:___________________________________
Name
Spouse
Mother
Name:______________________________________________
Age: ___________
Present Address:_____________________________________
Occupation:_________________________________________
Employer and Address:________________________________
College Degree:______________________________________
College/University:____________________________________
School Address:______________________________________
Employer and
Age Present Address Occupation
Address

Name Age Present Address School or Occupation (for those employed)

(Use additional sheets as necessary.)
Siblings

Name Age Present Address School or Occupation (for those employed)

(Use additional sheets as necessary.)
Children

Are you related to any former and/or current official or employee of LANDBANK:
a.) within the third degree of consanguinity (i.e. mother/father,
son/daughter,brother/sister, nephew/niece, uncle/aunt,
grandparent, grandchild)? Yes No
If yes, give name/s of relative/s and relationship/s
_________________________________________________
_________________________________________________
Have you ever been a respondent in any administrative
case or accused of any criminal case? Yes No
If yes, please provide specific details below or in a
separate sheet.
____________________________________________________
____________________________________________________

b.) within the third degree of affinity (i.e mother-in-law/ ____________________________________________________

father-in-law, son-in-law/ daughter-in-law, brother-in-law/
sister-in-law)? Yes No
If yes, give name/s of relative/s and relationship/s
_________________________________________________
_________________________________________________
c.) other relative/s not specified in items a and b?
If yes, give name/s of relative/s and relationship/s
_________________________________________________
_________________________________________________
EXTRA-CURRICULAR / BUSINESS OR COMMUNITY INVOLVEMENT
(Use additional sheets as necessary.)
Position Organization / Event
____________________________________________________
____________________________________________________
Do you have any physical disability or previous sickness?
Yes No
If yes, please provide specific details below or in a
Yes No separate sheet.
____________________________________________________
____________________________________________________
____________________________________________________
Period

OTHER INFORMATION
SPECIAL TECHNICAL SKILLS:
___________________________________________________________________________________________________
SPORTS, HOBBIES AND INTERESTS:
___________________________________________________________________________________________________
APPLICANT UNDERTAKING & WAIVER
I understand that this application form does not constitute an offer of employment by the Land Bank of the Philippines and that any offer by the
Personnel Administration Department following submission of this application will be subject to verification of my personal information and sensitive
personal information, previous employment records, court records, community activities or dealings and will be contingent upon my satisfactorily passing
a physical examination by the Bank. Any false information given by me or concealment of relevant personal information or sensitive personal information
may be considered as material misrepresentation and will be a ground for the Bank to terminate my services in case I am employed. Furthermore, I
hereby hold the Bank free from any liability in any manner whatsoever for aggravation of any pre-existing medical condition whether disclosed or not that
may take place during my employment with the Bank.

I hereby knowingly, voluntarily and fully give my consent to the collection, recording, organization, storage, modification, retrieval, use, consolidation, and
such other processing that may be made by the appropriate authorities of the Bank of my personal information, sensitive personal information and/or
privileged information, including but not limited to my personal and family background, educational, employment and professional history, financial and
personal credit status, court and government records, medical findings and all other information that may be relevant to the determination of my physical,
mental and psychological fitness to be employed by, or remain employed in, the Bank and to undertake a particular task or activity inherent or necessary to
the nature of the work or position I may be considered for selection and placement as well as for future personnel movements.

Witness my signature this _______day of ______________________ 20____ , in the City of Manila

_______________________________________________
Applicant's Signature Over Printed Name
Name:_______________________________________
APPLICATION FOR EMPLOYMENT (additional sheet)
EMPLOYMENT RECORD Present and Past Employment Record (in chronological order, last position first)
Dept./Unit of Assignment/
Inclusive Dates Position Employer and Address Basic Salary Major Functions

TRAININGS Indicate all trainings/seminars attended, special studies taken, scholarships enjoyed
No. of Training
Title of Seminar and Training Where When Hours

FAMILY BACKGROUND (Complete the following regarding your family.)

Name Age Present Address School or Occupation (for those employed)

Siblings

Name Age Present Address School or Occupation (for those employed)

Children

EXTRA-CURRICULAR / BUSINESS OR COMMUNITY INVOLVEMENT

Position Organization / Event Period