EMPLOYMENT APPLICATION FORM

This company is compliant to the Data Privacy Act of 2012. All personal data and information you will provide by accomplishing this form shall be used to
process and assess your application for employment. By accomplishing and submitting this form to the HR department, you are hereby granting your consent to
the company to proceed in collecting and processing your personal information in relation to your application for employment.

Date of Application:
Position Applied:
2x2
APPLICATION SOURCE - For HR Use Only:
Colored Photo
Walk-in
Online Job Portal
Referral by:
Third-Party Agency
Others, please specify

PERSONAL INFORMATION
Last Name First Name Middle Name Nickname/Alias

Present Residence
Address
Provincial Address

Other residential address for the last seven (7) years, please use additional sheet if necessary

Mobile Number 1 Mobile Number 2 Landline Number Email Address

Date of Birth Place of Birth Age Gender Civil Status Citizenship Religion

FAMILY BACKGROUND
Full Name Age Occupation Company/Business/School
Father

Mother

Sibling 1

Sibling 2

Sibling 3

Sibling 4

SPOUSE

Child 1

Child 2

Child 3
In case of emergency, person to notify:
Contact
Name Relation
Number
EDUCATION
Finished Degree/Course Year Graduated School Name and Address
Master’s Degree

College Degree

Vocational Course

High School

Elementary

Achievements
SKILLS & CERTIFICATIONS
Position-related skills
Special Training / Professional
Certification Licenses No.
Can you drive?
Languages Spoken:
(4wheels)

PREVIOUS EMPLOYMENT RECORD

Previous employment for the last seven (7) years and start with the most recent employer
 Company Position Title

Address Tel Nos:

Employment
Nature of Business
Period
Immediate Head Designation

Primary Role or Responsibilities

Reason for Leaving

Company Position Title

Address Tel Nos:

Employment
Nature of Business
Period
Immediate Head Designation

Primary Role or Responsibilities

Reason for Leaving

EMPLOYMENT GAP
Please explain any gaps in employment record
Employment gap duration (month-day-year) Reason for employment gap

Residence address during the employment gap

Employment gap duration (month-day-year) Reason for employment gap

Residence address during the employment gap

CHARACTER REFERENCES
Full Name Position Company Contact Details

VOLUNTARY DISCLOSURE
Have you been discharged from employment because your conduct of work was not satisfactory?

Have you been civilly, criminally, or administratively charged/arrested/acquitted of a crime? If so, please state the circumstances

Have you been hospitalized because of a serious illness? If so, please describe the condition you had.

Do you have relatives working at ACC Group (AVLS, Allcard, Allcard Technologies, The Hive-AVLS, First Alpha, Roy-al Congruent)? Please state the
name, positon, company, and your relation to them.

Are you currently engaged in any business competing/conflicting with the interest of the above-mentioned companies?

Do you have relatives or family members working in any direct and significant competitor of the above-mentioned companies?

I hereby authorize the company to verify/investigate all the data and information contained in this form in relation to my application for employment. I hereby
release all parties from any liability arising from such verification/investigation. I understand that any misrepresentation or omission of facts called for is a
cause for termination of my hiring process or employment.

My signature below certifies my consent of allowing the company to use my personal data in processing my application and that I have read, understood, and
agreed to the foregoing and to the best of my knowledge, that all information written by me on this application form are all true and correct.

Applicant’s Signature Over Printed Name