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    Marvie Joyce Decano
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    9 views8 pages

    BJMP

    Uploaded by

    Marvie Joyce Decano

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 8
    ALL INFORMATION PROVIDED WILL BE TREATED WITH UTMOST CONFIDENTIALITY. BJMP APPLICANTS PERSONAL | "we.ssr*' PROFILE FORM "amxasen, (passport size) DIFORM NO. 1 8. 2022 IINSTRUCTIONS (Print legibly, Mark appropriate boxe “Answer all questions completely. H question is not eppicable, wite "NA ‘nwo’ and cannot obtain the answer rom personal rcords. 2 Pint or wit careful in balizen or fountain pe. gible or ncomplete forms wl have tobe done over, Use adional sheets for extra deal for any question’ for which you donot have sufficient space. 3 The comeciness of al statements made here wil be vei, Ary dlberateomiasion or distortion of mata fcts may| ive suicient cause for disapproval of apptcaton 4 Bo-as complete, honest, and spect as possi lin your responses. anaes 10 NAME EXTENSION FIRST NAME 11 5ex MIODLE NAME 12 CML STATUS, 2 DATE OF BIRTH 13 RELIGION 3 PLACE OF BIRTH 44 TRIBEIETHNIGITY “4 CITZENSHIP 15 BLOOD TYPE 3 HEIGHT (em) 16 BULT 6 WEIGHT (ka) 47 COMPLEXION 7 PRESENT ADDRESS (Specify exact lecaton of across incing be Barangay) @ PERMANENT ADDRESS {Spec exact att akrens ineluing be Baanony) {@ EMAIL ADDRESS Te MOBILE PHOKENO. Ii, SOCIAL MEDIA ACCOUNTS (ACCOUNTNAVE) 19 Facebook Tic Instagram Tinkedln Titer ‘Others Il, DISTINGUISHING MARKS (ex Birth marks, earlags, excess skin, ie [LOCATION [Locarion LOCATION LOCATION Page 1 of 8 20 SPOUSE LIVE-IN PARTNER’ FIANCE/E [Spouse [ J Others: DATE OF RTH ‘SURNAME [MOBILE No, FIRST NAME |OCCUPATION _ MIDDLE NAME EMPLOYER _ ADDRESS: [EMPLOYER'S jaooness 21 CHILDREN OR DEPENDENTS z List all of your children, including natural, adopted, step, andlor foster care. NAME DATE OF BIRTH AGE (Continue on separate sheet, if necessary) 22 PARENTS INAME OF FATHER JNAME OF MOTHER OCCUPATION OCCUPATION [PARENT'S ADDRESS 23 IN-LAWS INaMe OF FATHERINLAW NAME OF MOTHERINLAW, [OCCUPATION [OCCUPATION |PARENTS-IN-LAWS ADDRESS: 24 BROTHERS AND SISTERS NAME DATE OFBIRTH [CMLSTATUS] OCCUPATION ‘ADDRESS (Continue on separate sheet, necessary) Page 20f6| ‘ALL INFORMATION PROVIDED WILL BE TREATED WITH UTMOST CONFIDENTIALITY. [25 RELATIVES IN THE BJMP OR OTHER GOVERNMENT AGENCY. x NAME: RELATIONSHIP [POSITION ‘OFFICE AND ADDRESS. ‘(Continue on separate sheet, Fnecessary) [25 RECOVIMENDED BY ANDIOR CONTACT PERSON IN THE BJMP RANKINAME: UNIT DESIGNATION [a7 RELATIVEIS DETAINED IN BUMP JAILS NAME RELATIONSHIP TAIL DETAINED. ‘(Continue on separate shoal, W necessary) [V EDUCATIONAL BACKGROUND gape ee we orsoieot mo | peareey | forestier | wewevepaTes | ACADERC zo LeveL foowse Greenest onan (WRITE IN FULL) COURSE | Norarapuaten | FROM TO. RECEIVED meeNTARy asc ase SENOR HOH aoe TOORTONA Cae TeRTURY Foor Ceiba VLEMPLOYMENTHISTORY ee ‘Grenoiogca Fein aF Employer ance TE By. Accoun Tra pers. Inca a war expesies paras o Tare ae tod bah oa! an etn [29 INCLUSIVE DATES EMPLOYER CAUSE OF Fo] POSMONHELD | wattm ru | EMPLOvERSADOREss | _CAUSEOF Page 3 of | ALL INFORMATION PROVIDED WILL BE TREATED WITH UTMOST CONFIDENTIALITY. 30 IF SELF-EMPLOYED NATURE OF BUSINESS/SOURCE OF INCOME DATE ESTABLISHED. FR ORGANIZATIONS Hi gnae a ee Serena =e List names and eddossos of at cubs, ocas, erployes Grouse, eranizatins, Homeowners assacaons wheter sac or appointed !ntucig NGO membership of any kind (x membersitsuppot in any erpanizaton having headquariars or branch me foreign cau) 6 wich you belong or have belonged. PERIOD OF a1 NAME NEMBERSHP | POSITION HELD ‘ADDRESS FROM | 10 (Continae on separate shoot, necessary) ill CHARACTER REFERENCES eas arr oee List of atleast 5 people who know you wel, such as socal and family fends, e0-werkes, goverment acquaintances. Do ot include relatives, employers or hausemtes, or other individuals sted in hs document. 2 NAME (COMPLETE HOME AND BUSINESS ADDRESS | CONTACT DETAILS: List of at east 3 people who are your neighbor in your present residence. 33 NAME ‘COMPLETE HOME AND BUSINESS ADDRESS | CONTACT DETAILS [DX OTHER QUALITIES AND INFORMATION LANGUAGES AND DEGREE OF 34 PROFICIENCY 35 SPECIAL SKILLS 196 HOBBIES 37 SPORTS. 38 AWARDS AND RECOGNITION Page 4 of | ALL INFORMATION PROVIDED WILL BE TREATED WITH UTMOST CONFIDENTIALITY. “41 NAME OF BANKS/LENOING INSTITUTION'S WHICH YOU HAVE AN EXISTING LOAN NAME OF INSTITUTION. ‘BRANCH. "YEAR OF MEMBERSHIP. ‘42 HAVE YOU FILED A STATEMENT OF ASSETS, LIABILITIES, AND NETWORTH? ra YES Oo NO TF SO, IN WHAT AGENCY? “43 HAVE YOU FILED YOUR INCOME TAX RETURN? YES U1 NO i} ball PLACES OF RESIDENCES TT “44__ INCLUSIVE DATES FROM [70 (To include house no. sree ame, purokzone, barangay, lyimunipalty) ‘COMPLETE ADDRESS QUESTIONS: YES, GIVE THE DETAILS, (atach supporting documents) “FB FAVE YOU EVER BEEN ARRESTED FOR ANY VIOLATION OF LAW OTHER THAN TRAFFIC VIOLATION? Poiasc re (OR VIOLATION OF ANY LAW, DECREE, ORDINANCE (OR REGULATIONS IN ANY COURT OR TRIBUNAL? “47 HAVE YOU EVER BEEN CONVICTED OF ANY CRIME ‘OR VIOLATION OF ANY LAW, DECREE, ORDINANCE. [OR REGULATIONS IN ANY COURT OR TRIBUNAL? =< “Fe HAVE YOU EVER BEEN CHARGED WITH ANY ADMINISTRATIVE OFFENSE? aT Page 5 of | ALL INFORMATION PROVIDED WILL BE TREATED WITH UTMOST CONFIDENTIALITY. “Wnweded. you may use adaitonal shoes of paper or anor page. po land fom te exact eeaton fade Page 6 of | (ALL INFORMATION PROVIDED WILL BE TREATED WITH UTMOST CONFIDENTIALITY. ‘54 PERMANENT ADDRESS) sue ee z {oman ys son ol pf ane pe Ips ac wo] rome das go ane Page 7of 6 ALL INFORMATION PROVIDED WILL BE TREATED WITH UTMOST CONFIDENTIALITY. [Security Measures for Your Data [Retention of Your Information’ 1. To protect your personal information, we are Implementing |1. The authorized personnel retain the application ‘administrative, physical, and technical security measures, | records of non-successful candidates for a period 2. Your personal information is only accessible to authorized | of sx (6) months. BUMP personnel 12. We take reasonable stops to securely delete your [3 Both your paper and digital files are safely stored; the ‘personal data when it is no longer required, ‘paper fies are protected with physical protection, while the | Electronic data is also deleted, and o ensure that

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