© Copyright Envision Corporation. 2002. All rights reserved.

Protected by the copyright laws of the United States & Canada and by International
treaties. IT IS ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR

MAKE SURE TO FILL OUT THOSE ITEMS MARKED WITH (*)

Employment Application Form

PLEASE PRINT ALL INFORMATION REQUESTED EXCEPT SIGNATURE
* Date: 10/06/2021
*Name: MACARAYA KURT BRYAN LAZARO

Last First Middle Prefix / Suffix

*Present Address:
PUROK 1 BARANGAY SAN AGUSTIN BABAK ISLAND GARDEN CITY OF SAMAL DAVAO
DEL NORTE 8119
Number Street City Province Zip
Length of Stay at the Present Address: Social Security System No.:
8 YEARS
*Contact Number: 09673213102

*Position Applied For: Days/Hours Available to Work:

CUSTOMER SERVICE REPRESENTATIVE No Pref Thur

Mon Fri
Tue Sat
Wed Sun

*Salary Desired: 14000

How many hours can you work weekly? Can you work nightshift?
40 HOURS A WEEK or more YES
*Employment Desired:
❑ ✔FULL-TIME ONLY ❑ PART-TIME ONLY ❑ FULL- OR PART-TIME
When are you available for work?
ASAP
EDUCATION & OTHER INFORMATION
LEVEL NAME OF LOCATION NO. OF MAJOR &
SCHOOL (Complete mailing address) YEARS DEGREE
COMPLETED
*High School
LUPON Cambing Baratua St., 4 Yrs.
VOCATIONAL HS Lupon, Davao Oriental
*College
INTERCITY ARAULLO ST, DAVAO CITY 1st year BSIT
COLLEGE undergrad.
*Graduate
© Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by International
treaties. IT IS ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR

MAKE SURE TO FILL OUT THOSE ITEMS MARKED WITH (*)

Have you ever been convicted of a crime?

❑✔No ❑ Yes
If yes, explain the number of conviction(s), nature of offense(s) leading to conviction(s), how
recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

*What is your means of transportation to work?

COMMUTE
SKILLS

Typing ❑ Yes Word ❑ Yes

❑ No _____ WPM Processing ❑ No _____ WPM

Personal ❑ Yes PC ❑ Other Skills:

Computer ❑ No Mac ❑

Please list two references other than relatives or previous employers.

*Name: NELSON BACALSO *Name: JOSHUA PANTONIAL

*Position: CSR *Position: CSR

*Company: AWESOME OS *Company: AWESOME OS

Address: Address:
Matina, Davao City Matina, Davao City

*Contact Number: 09635397326 *Contact Number: 09512628292

*An application form sometimes makes it difficult for an individual to adequately summarize a
complete background. Use the space below to add any additional information necessary to
describe your full qualifications for the specific position for which you are applying for..

- Hardworking
- Very keen to details
- Can work gracefully under pressure
- Fast decision making.
- Can work timely and efficiently

Please list your work experience for the past five years beginning with your
Work Experience most recent job held. If you were self-employed, give firm name. Attach
additional sheets if necessary.
Job One
*Name of Company: *Name of Last Supervisor *Employment Dates Salary

SUTHERLAND GLOBAL GERALD CABUGA From: 08/07/17 Start: 15,000

Final: 17000
To: 07/06/20
Complete Address:

*Contact Number: *Your Last Job Title:

© Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by International
treaties. IT IS ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR

MAKE SURE TO FILL OUT THOSE ITEMS MARKED WITH (*)

ASSOCIATE HEALTCARE
+6324592900 ext. 282888
*Reason for Leaving (be specific): HEALTH ISSUES / PANDEMIC

*List the jobs you held, duties performed, skills used or learned, advancements or promotions
while you worked at this company.

- Work as associate healthcare, handling claims and benefit call

under professional provider line.

Job Two
*Name of Company: *Name of Last *Employment Dates Salary
Supervisor:
FLAWORLD SOLUTIONS From: MARCH / 17 Start:14000
GLEMAR SARDA
Final: 14000
To: JULY / 17
Complete Address:

*Contact Number: *Your Last Job Title:

N/A ACCOUNT EXECUTIVE
*Reason for Leaving (be specific): LAYING OFF AGENTS

*List the jobs you held, duties performed, skills used or learned, advancements or promotions
while you worked at this company.

- Work as a customer service rep under SEO Campaign and financial account

Job Three
*Name of Company: *Name of Last *Employment Salary
Supervisor: Dates
Start: 12000
CONCENTRIX MICHELLE BANDARA From: 10/14/16
Final: 12000
To: 02/28/17
Complete Address:

*Contact Number: *Your Last Job Title:

N/A CUSTOMER CARE ASSOCIATE
*Reason for Leaving (be specific):
MINISTERIAL WORK

*List the jobs you held, duties performed, skills used or learned, advancements or promotions
while you worked at this company.

- Work as a chat and email support under Amazon

© Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by International
treaties. IT IS ILLEGAL AND STRICTLY PROHIBITED TO DISTRIBUTE, PUBLISH, OFFER FOR SALE, LICENSE OR SUBLICENSE, GIVE OR

MAKE SURE TO FILL OUT THOSE ITEMS MARKED WITH (*)

*May we contact your present employer?

❑ ✔Yes ❑ No
Did you complete this application yourself?
❑ ✔Yes ❑ No
If not, who did?

PLEASE READ CAREFULLY

APPLICATION FORM WAIVER

I authorize the processing of the data that I have disclosed in this application form and I also authorize
the verification of all statements contained herein. I understand that the misrepresentation or omission
of facts called for may be used as a ground for this application to fail, and if I shall have already started
working with SiBS before the misrepresentation or omission is discovered, that I shall undergo
disciplinary action that may lead to my employment’s termination. I hereby give the Company my
consent and permission to contact schools, previous employers, references, and others, and hereby
release the Company from any liability as a result of such act of contacting people. Finally, I am fully
aware of the pertinent provisions of the Data Privacy Act and hereby allow the Company to make
necessary disclosures of any data contained herein in furtherance of the verification of the data and
representations that I have made through this application form and in other documents pursuant to my
job application..
KURT BRYAN MACARAYA

● *Signature of Applicant over Printed Name *Date: 10/06/21

This Company is an equal employment opportunity employer. We adhere to a policy of making

employment decisions without regard to race, color, religion, sex, sexual orientation, national origin,
citizenship, age or disability. We assure you that your opportunity for employment with this Company
depends solely on your qualifications.

Thank you for completing this application form and for your interest in our business.