Personal Information

Name: Nickname: Desired Position:

Present Address: Asking Salary:
Permanent Address:
Age: Birthday: Birth place: Gender:
Civil Status: Religion: Contact Number/s:
SSS No: Phil Health No: Pag-Ibig Fund No: TIN No:
Family Background
Name Age Occupation School/Employer
Mother
Father

Siblings

Spouse, if applicable:

Child/ren

Educational Background
Date attended Graduated
Name of School Degree/Course Awards/Honor
From To Yes No
Elementary

Secondary

Tertiary

Post Graduate

Others

Government Examination Taken Date Rating

Employment History
Company Period Salary Reason for Leaving

Character Reference
Name Profession Contact Number

Do you know anyone working in VTSA International Inc. or its subsidiaries? If yes, who and how do you know him/her?

Where did you learn that we have an opening?

Earliest start date:

Have you ever been involved in a lawsuit, either as a plaintiff/petitioner or defendant/respondent? If yes, please provide details:

Have you ever been hospitalized for more than one day? If yes, for what illness?

Is this the first time that you are applying for a position at VTSA International Inc. or its subsidiaries? If not, please expound.

Are you willing to relocate? __________________

I, , have attested to the truthfulness and completeness of the information I have provided herein.
I give my consent to the Human Resources Department to conduct a reference background check in connection with my employment with all
my previous employer/s.

I will comply with the request of Human Resources Department to submit all necessary documents needed.

Signature over printed name

Date Accomplished: