Lot 424D Riverside Avenue, California

Village, Novaliches, Quezon City,

NCR, Philippines
(Tel) (+63) 2 8 739-2755

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EMPLOYEE INFORMATION SHEET
HRAD-JVT-002

PERSONAL DATA:
Last Name: First Name: Middle Name: Nickname:

Gender: Weight: Height: Age: Date of Birth: Place of Birth:

Citizenship: Civil Status: With Car:

Single _____ Married _____ Widowed _____ Separated ___ Yes ____ No____
Religion: Current/Latest Salary Expected Salary:
Type of Car:

Permanent Address: Contact Number/s:

Provincial Address: Contact Number/s:

Email Address 1: Company Email Address 2: Contact Number(s):

Father's Name: Occupation: Contact Number(s):

Mother's Name: Occupation: Contact Number(s):

If Married Name of Spouse: Occupation: Contact Number(s):

No. of Child: Age of Eldest: Age of Youngest: How Many Brothers do you have? How Many Sisters do you have?

Person to notify in Case of Emergency: Relationship: Address: Contact Number(s):

ELEMENTARY Duration:

Address: Telephone Number / Website:

HIGH SCHOOL Duration:

Address: Telephone Number / Website:

COLLEGE Duration:

Address: Telephone Number / Website:

Course: Major:

Hobbies and Interests:

_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
____________________________________

Languages/Dialects Spoken Written

Spoken/Written
Fluently Not Flu- Adeptly Not Adeptly
ently
         
         
         
         
 Lot 424D Riverside Avenue, California Village,
Novaliches, Quezon City, NCR, Philippines
(Tel) (+63) 2 8 739-2755

EMPLOYMENT RECORD: Present to Last Employer

Name of Employer

Address

Immediate Superior

Last or Present Designation

& Primary Duties and
Responsibilities

Period – Month & Year

From : ____________________ To : ____________________ Final Annual Salary: ___________________

Name of Employer

Address

Immediate Superior

Last or Present Designation

& Primary Duties and
Responsibilities

Period – Month & Year

From : ____________________ To : ____________________ Final Annual Salary: ___________________

Name of Employer

Address

Immediate Superior

Last or Present Designation

& Primary Duties and
Responsibilities

Period – Month & Year

From : ____________________ To : ____________________ Final Annual Salary: ___________________

Name of Employer

Address

Immediate Superior

Last or Present Designation

& Primary Duties and
Responsibilities

Period – Month & Year

From : ____________________ To : ____________________ Final Annual Salary: ___________________

Name of Employer

Address

Immediate Superior

Last or Present Designation

& Primary Duties and
Responsibilities

Period – Month & Year

From : ____________________ To : ____________________ Final Annual Salary: ___________________
 Lot 424D Riverside Avenue, California Village,
Novaliches, Quezon City, NCR, Philippines
(Tel) (+63) 2 8 739-2755

TRAININGS & SEMINARS ATTENDED:

SEMINAR/TRAININGS DATE COVERED ADDRESS CONDUCTED BY

GOVERNMENT EXAMS TAKEN:

EXAMS TAKEN EXAM DATE DATE PASSED RATING PLACE/RANK CERTIFICATE NO.

REFERENCES:
NAME MAILING ADDRESS TITLE/OCCUPATION YEARS KNOWN

Tax Identification Number Social Security Number Passport Number Driver’s license Number

Philhealth Number PAGIBIG Number Position Applied For: Commencement Date:

Are you or were you involved in any Administrative, civil, or criminal cases? No _______ Yes _______

Give particulars of the case: ______________________________________________________________________________________

Have you had any physical or mental condition which limits your ability to perform the job applied for or pose a potential risk to other
employees? No _______ Yes _______

Please describe:
________________________________________________________________________________________________

All representations by me in this data sheet are true and correct to the best of my knowledge and belief; I have not knowingly omitted
any related information of an adverse nature. With this, I hereby authorize the Zhongwang Machineries Philippines Inc. and its
affiliated companies to investigate and verify all the statements made in this application. I understand that any false statement made
in this application will be a sufficient cause for dismissal at any time.

Signature inside the box

______________________________
Signature Over Printed Name / Date