Professional Documents
Culture Documents
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I. GENERAL INFORMATION
FAMILY NAME FIRST NAME MIDDLE NAME NICK NAME
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V. SEMINARS ATTENDED
SEMINAR/S ATTENDED DATE ATTENDED VENUE CONDUCTED BY
VI. SKILLS
COMPUTER SKILLS:
Microsoft Office (Please specify):____________________________________
Other Programs/ Software: _________________________________________
LANGUAGE SKILLS DRIVING SKILLS
(Please specify what languages you can speak and Can you drive? Yes; Manual Automatic
write.)
No
Do you have a Driver’s License? Yes No
If yes, please write your Driver’s License #:______________________
VII. OTHER INFORMATION
a. Have you ever been convicted of a crime? If yes, please specify.
b. Have you ever suffered any serious illness or injury? If yes, please give details.
I certify that the information contained in the foregoing application is true and correct, any false statement is sufficient ground for my
dismissal in case I am employed.
Likewise, I hereby authorize the company to contact person/s or company name/s in this application and obtain information as it may
deem necessary concerning my application with [Insert Company Name].
_________________________________ ________________________________
Date of Application Applicant’s Name and Signature
FOR HRAD USE ONLY (Please indicate the results of the background investigation conducted on the space provided.)
Results:
Remarks:
Cleared for Hiring
Refer to Background Investigation (BI) attached
BI conducted by/ Date:
________________________
Signature over Printed Name
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