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APPLICATION FOR EMPLOYMENT

Note: Please complete this form in capital letters. Please write legibly.
PERSONAL INFORMATION
Position Applied for:
Notice Period Required: __________________________
1. _______ Salary Expected: Php __________________________ per month
2. ________________________________ How did you come to apply with ALTAI Philippines Mining Corp.?
2. ________________________________________
Agency, please specify
Walk-In
Referral of
3. ________________________________________ Invitation Letter
Others, please specify
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Name: Nickname:
Bryan

Home Address: Office Address:

Contact Number: Contact Number:

09060777629

Sex: Height: Weight: Civil Status:

Male Female Single Married Widowed Separated

Date of Birth: Age: Place of Birth:

Community Tax Number: Place of Issue: Date of Issue:

SSS Number: TIN Number:

PHILHEALTH Number: PAG-IBIG Number:

Contact Person and Number in case of Emergency: Address:

If married, name of spouse: Is he/she working? If Yes, name of employer:

NONE
Yes No
Details of children, if any: Name Age Date of Birth

1.

2.

3.

Details of Parents:
Name Age Date of Birth
1. _ ___________________________________________________________ ___________________ ________________

2. ______________________________________________________________ _______________________ ________________

HRAD-FRM-PMF-1
(Revision 00)
Details of Siblings:
Name Age Date of Birth

1_____________________________________________________________ _________ ____________________________

2._____________________________________________________________ _________ _____________________________

3. ____________________________________________________________ _________ _____________________________

4. ____________________________________________________________ _________ _____________________________

5. ____________________________________________________________ _________ _____________________________

EMPLOYMENT RECORD
Please list in details your work experience, starting with your present employment.
Nature of
Position Title Inclusive Dates Name & Address of Company Salary Reason for Leaving
Business

EDUCATION
Level Inclusive Dates Name of School Awards/ Achievements Degree/Course

Elementary

High School

Vocational

College

Postgraduate

Are you studying for other courses? Yes No If Yes, please specify: ____________________________________________________

HRAD-FRM-PMF-1
(Revision 00)
Are you involved now? Yes No If Yes, please specify: ____________________________________________________

COURSES AND TRAINING ATTENDED

DESCRIBE YOURSELF BRIEFLY

KNOWLEDGE, SKILLS, SPORTS

MEDICAL
Have you suffered from any major sickness? Yes No

Migraine Medication
Operation/ Surgery Others, please specify:

Have you taken the pre-employment medical examination? Yes No

State when (mm/yy): ______________________________ For what position? ______________________________________________

I hereby certify that the above information given is correct and true.

Applicant’s Signature

HRAD-FRM-PMF-1
(Revision 00)