APPLICANT INFORMATION SHEET

Position Applied for  

Expected Salary  
Date Available for Employment  

Name
     
Last First Middle Name Middle Initial Nickname

Address
Permanent Address   Tel. No.
Provincial Address   Tel. No.
Sex Civil Status Date of Birth Height
Citizenship If Alien, ACR No. Place of Birth Weight
PAG-IBIG No. SSS No. TIN NO. Religion

Have you ever filed an application at PLI before? Have you ever been employed at PLI before?
Yes No Yes No

Position: Employee No:

Date: Position/Department:

Do you have any relatives already employed at PLI?

Yes No
Name:
Relation:

How did you got to know of our vacancy?

Newspaper/Advertisement Campus Recruitment
Relative/Friend Others (pls. specify)_____________

Have you ever been convicted of a crime? If yes, please explain.

       

Have you ever been arrested on criminal charges? If yes, please explain.
       

Person to contact in case of Emergency Relationship

Address Tel. No.
Name of Family Member Age Address Occupation Employer Tel.No.
Father:        
Mother:        
Spouse :        
Brother/Sister:        
(eldest to youngest)        
         
         
         
         

Children (eldest to youngest) Date/Place of Birth Children (eldest to youngest) Date/Place of Birth
       
       
       

Name/Address of Employer Date Position/s and Nature of Work Salary Reason for Leaving
         
         
         
         
         
         

Name/Address of School Date Attended Degree/Major Year Graduated Honors/Awards

Received
Elementary        
High School        
College        
Post-Graduate        
Trainings        
(Technical/Vocational)

Government Examination/s Taken Date/Place Taken Rating Obtained

     
Office Machines Operated/Special Skills

     

     

Driver’s License No.  

Languages/ Dialects Spoken  

Seminars Attended Date Seminars Attended Date

       
       
       

Membership/Affiliation with Professional Date of Membership Position

Organization/s
     

     

     

Employee who referred you to PLI Department/Section

List three personal references (not relatives)

Name Occupation Complete Address Tel.No.
       
       
       

I certify that the information contained in this application are accurate, true and complete. I hereby authorize Pascual Laboratories, Inc. or its
authorized representative to investigate any statement contained herein and contact any person or company named in this application. I understand and
agree that any misrepresentation or omission of facts shall be considered sufficient cause for this application to be void and may serve as a ground for
immediate dismissal, should these misrepresentation/s or omission/s come to light at any time during my tenure with Pascual Laboratories, Inc.
I hereby also authorize any person or company named in this application to release to Pascual Laboratories, Inc. or its authorized representative any
and all information concerning myself, personal or otherwise, and release all parties from all liability for any damage that may result from finishing
same to Pascual Laboratories, Inc. I am also signifying my willingness to accept an assignment anywhere in the Philippines.

Signature of Applicant
Date