APPLICATION FORM

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10/07/2020 Job Position

Date Filed 1st PLANT OPERATION
Preference
Position Applied for ENGINE ROOM OPERATOR 2nd PLANT MAINTENANCE

Desired Salary Php 25,000 3rd

Application Source LinkedIn

Website Job Ad Referral Walk-in ✔ Others

A. PERSONAL INFORMATION
1 Last Name First Name Middle Name Nick Name
DE VILLA JOHN PAUL DE LA CRUZ PAU
2 Present Address (St./Town/City/Province) Contact Details
Home Fax N/A
46 CATAMBAY ST., BRGY. MAG-AMPON, TANAY 09052791579
RIZAL Region Zip Code Mobile No. 09052791579 E-mail
IV-A 1980 devilla.johnpauldc@gmail.com
3 Provincial Address (St./Town/City/Province) Contact Details
46 CATAMBAY ST., BRGY. MAG-AMPON, TANAY Home 09052791579 Fax
N/A
Region Zip Code 1980 Mobile No. E-mail
RIZAL IV-A 09052791579 devilla.johnpauldc@gmail.com
4 Date of Birth Place of Birth Gender
SARIAYA, QUEZON Age 25 Civil Status SINGLE Since when (if applicable)
OCTOBER 26,1994 ✔ Male Female
Height Weight 75 kg Nationality Religion ROMAN CATHOLIC Languages ENGLISH, TAGALOG
170 cm FILIPINO
SSS No. 34-66405660 Philhealth No. 08-026561810-7 Pag-Ibig No. 1212-4501-7881 TIN 740-831-753-000 Tax Status SINGLE
5 Name of Person to be notified in case of emergency
Contact Details
Name MERCEDES DE VILLA Relationship Tel. No. Mobile No.
MOTHER 09078076288 09078076288
Present Address 46 CATAMBAY ST., MAG-AMPON, TANAY, RIZAL Zip Code 1980 E-mail N/A

B. EDUCATIONAL BACKGROUND
6 Period (MM/DD/YY) School Location Honors Received
Graduate N/A N/A N/A N/A N/A

Degree/Title N/A Major/Minor N/A

Period (MM/DD/YY) School Location Honors Received
College 06/07/13 05/15/18 SOUTHERN LUZON STATE UNIVERSITY LUCBAN, QUE. N/A
Degree/Title B.S. MECHANICAL ENGINEERING Major/Minor N/A
Period (MM/DD/YY) School Location Honors Received
Technical/
Vocational N/A N/A N/A N/A N/A
Degree/Title N/A Major/Minor N/A

High School 06/05/07 03/30/11 SARIAYA INSTITUTE SARIAYA, QUE. N/A

Elementary 06/06/01 04/01/07 REAL CENTRAL ELEMENTARY SCHOOL REAL, QUE. 1ST HON. MENT.

C. GOVERNMENT/LICENSURE EXAMS PASSED

7 Date Taken Name/ Title of Exam Institution Passed Rating

08/25-26/2018 MECHANICAL ENGG. LICENSURE EXAM PRC PASSED 89.85

N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A

D. FAMILY BACKGROUND
8 Family Members (If married, spouse & children; if single, parents & siblings)
Name (Last Name, First Name) Relationship Occupation / Place of Occupation/School Birthday/Birth Place Citizenship

JUAN DE VILLA FATHER FARM OWNER 11/23/61 | BATANGAS FILIPINO

MERCEDES DE VILLA MOTHER HOUSEWIFE 06/06/64 | BICOL FILIPINO

MARCIAL DE VILLA BROTHER OFW-FARMER 06/21/90 | QUEZON FILIPINO
 JOAN DE VILLA SISTER OFW-CAREGIVER 03/29/92 | QUEZON FILIPINO
JOHN DE VILLA BROTHER N/A 11/05/02 | QUEZON FILIPINO

JGS Form No. 001-06 Revised February 2013

JGS Form No. 001-06 Revised February 2013

E. WORK HISTORY (Start from the most recent)

9 Company MILLENNIUM ENERGY, INC. Tel. No. Nature of Business ENERGY
N/A
Address (City/Country) NAVOTAS CITY, METRO MANILA Last Salary Period Covered
14,500 2ND HALF JULY
Last Position Held Reason for Leaving
PLANT OPERATOR PERSONAL
10 Company
Company
ABOITIZ POWER CORPORATION Tel. No. N/A Nature of Business ENERGY
Address (City/Country) Last Salary Period Covered
CEBU CITY, CEBU 12,500 2ND HALF APRIL
Last Position Held N/A Reason for Leaving
PERSONAL
Company Tel. No. Nature of Business
11 N/A N/A N/A
Address (City/Country) Last Salary N/A Period Covered
N/A N/A
Last Position Held N/A Reason for Leaving N/A
N/A
F. TRAINING RECORDS (Start from the most recent/you may attach additional sheets if necessary)
12 Period (MM/DD/YY) Course Provider Location

G. ORGANIZATIONS AND AFFILIATIONS

13 Period (MM/DD/YY) Organization Name Role Achievements/Awards
10/20/19 10/20/20 PHILIPPINE SOCIETY OF MECH. ENGRS. MEMBER N/A
N/A N/A N/A N/A N/A
H. MEDICAL HISTORY
14 Birth Mark NONE Allergies
NONE Physical Defect/ Major Surgery/Illness NONE
Blood Type Grade
AB(-) Do you wear glasses/contact lenses? ✔ Yes No 175/125

I. OTHER INFORMATION
Machines you can operate DIESEL ENGINE, GAS TURBINE, GENERATOR, Other
CNCTalents
LATHETECHNICAL REPORTING (ORAL AND WRITTEN)
15

Software programs you can use SCADA, DCS, PLC (SIEMENS) Sports/Hobbies SWIMMING, SURFING, HIKING, RUNNING
Who referred you to the Company? Driving License
BRYAN CHRISTOPHER REYNO NONE
Are you willing to be relocated? ✔ Yes No If yes, indicate what preferred place/location ANYWHERE IN THE PHILIPPINES
16 Do you have friends/relatives in any of the JG Summit Affiliates?
Name ( Last Name, First Name) Relationship Company Occupation

N/A N/A N/A N/A

N/A N/A N/A N/A
N/A N/A N/A N/A

J. CHARACTER REFERENCES
Name ( Last Name, First Name) Relationship Company Contact Number

ALBERTO FRANCISCO SUPERVISOR/CONSULTANT MILLENNIUM ENERGY, INC.09088149848

JOSE MARGO MANANQUIL ELECTRIFICATION HEAD ALTERNERGY 09178984294
ROLANDO CENERA PLANT MANAGER GLOBAL BUSINESS POWER09567061362

K. SIGNATURE

I hereby affirm to the best of my knowledge and belief that all the answers to the foregoing are true and correct. I acknowledge that
the filing of this application does not entitle me to any acquired right and JG Summit Holdings, Inc. - Universal Robina Corporation may
dispose of this application if it so desires. I also authorize JGSHI - URC to inquire as to my record from any or all of my previous employers
without liability arising therefrom.

I further acknowledge that any misrepresentation in the foregoing answers which may be subsequently found shall be sufficient cause
for my dismissal if already employed by JGSHI - URC.
 JOHN PAUL DE LA CRUZ DE VILLA
OCTOBER 07,2020

Applicant's Signature Over Printed Name Date

N.B. You will be requested to supply pieces of documentation evidence which support the statements you have made above. Do not,
however, send any documentary evidence until you have been asked to do so by JGSHI - URC, and in any event, do not submit the
original texts or reference or testimonials or publications unless they have been obtained for the sole use of JGSHI - URC.

JGS Form No. 001-06 Revised February 2013