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APPLICATION FORM PICTURE

HERE

1. PERSONAL DATA
SURNAME GIVEN NAME MIDDLE NAME

ADDRESS E-MAIL ADDRESS

DATE OF BIRTH(YMD) AGE SEX PLACE OF BIRTH TEL. NO.

CIVIL STATUS NO. OF CHILDREN RELIGION MOBILE NO.

PASSPORT NO. NATIONALITY HEIGHT (CM) BLOOD TYPE

PLACE ISSUED DATE ISSUED DATE EXPIRES WEIGHT (KGS) RIGHT HANDED 
 LEFT HANDED 

YES NO NORMAL ABNORMAL FARSIGHTED NEARSIGHTED ASTIGMATISM

COLOR BLIND EYESIGHT

2. EDUCATION BACKGROUND
FROM TO
SCHOOL / INSTITUTION: COURSE GRADUATE
(D/M/Y) (D/M/Y)
COLLEGE / UNIVERSITY Yes No
 
VOCATIONAL / TECHNICAL: Yes No
 
HIGH SCHOOL: Yes No
 
ELEMENTARY:

3. WORK EXPERIENCE (LOCAL & ABROAD)

FROM TO
COMPANY LOCATION POSITION PRODUCT SALARY REASON FOR LEAVING
(D/M/Y) (D/M/Y)
A.
B.
C.

4. DOCUMENTS HELD (check the box)

A. PASSPORT A. VOTER’S ID/CERT
B. NBI A. PEOS
C. BIRTH CERTIFICATE A. E-REGISTRATION
D. DIPLOMA
E. UMID ID
F. TIN NO.

PC PROGRAM KNOWLEDGE EQUIPMENTS/MACHINES OTHER SKILLS

TOOLS USED
OPERATED
REFERENCES

1. Complete Name:
Contact No:
Email:

2. Complete Name:
Contact No:
Email:

In case of Emergency:( 2 Member)

Name of Family Member:
Relationship:
Address:
Contact No.:

Name of Family Member:

Relationship:
Address:
Contact No.:

PLEASE ANSWER THE FOLLOWING QUESTIONS TRUTHFULLY

1. Primary reason why you want to work in Taiwan?______________________________________________

2. Any relatives/friends in Taiwan?  Yes No If yes where?_____________________________________

3. Do you smoke? Yes No. Do you drink?  Yes No. If yes, how often?_______________________

4. Do you eat _______meat?____fish?, or ___vegetables? Are you vegetarian? ______ No _____ Yes

5. Spoken language:  English  Filipino  Chinese (Pls. specify)_______________ Other language ___________________

6. Religion and Belief: _________________please rate your sanctity (5 as the strong believer): 1  2 3 4 5

7. Do you have tattoo?  Yes  No If yes which part? __________________________________________________________

8. Do you agree not to use your mobile phone during work hours? Yes No

9. Are you willing to work for extended hours?  Yes No

10. Are you willing to work on a night shift? Yes No.

lf No, please state your reason _____________________________________________________________________________

11. How do you rate your working attitude (1-5) 5 is the highest (very hard working)  1  2 3 4 5

12. If you have children, who will take care of your children when you leave for Taiwan? __________________________________

13. Will it be acceptable to you if you will not be able to attend church on Sunday? ________________________________________

14. What will you do if you miss your family?_______________________________

15. . If selected, how will you provide for your expenses? _____________________________

16. 16. Please indicate if you have any of the following. symptons:
Heart Ailment _____ Epilepsy _____ Asthma _____ Hypertension _____ Mental Disorder _____ Stomach Ailment _____
Others (Pls. specify) __________________ Previous Surgery / Operations ______________________ Any Previous Injury
______________________