AXEIA GROUP OF COMPANIES

APPLICATION FORM

Position Applied
1st choice Instrument Man 2nd choice Cad Operator 3rd choice Survey Aide

Desired Salary

20,000

Personal Information
Nick Name CJ Mobile No. 09152710655
Family Name Hernandez Landline No.

First Name Carl John Email Address cjcjcjhernandez@gmail.com

Middle Name Ibañez Facebook URL carljohn.hernandez

Present Address Brgy. San Juan Balayan, Batangas

Provincial Address Brgy. San Juan Balayan, Batangas

Date of Birth May 25, 1983 Age 40 Citizenship Filipino

Place of Birth Nasugbu, Batangas Civil Status Single Religion Christian
Gender Male Height 5'9 Weight 55kg.

SSS No. 33-7999837-4 Tax ID No. 407044819000 PhilHealth No.

Passport No. Place Issued Expiry Date

Driver’s License No. D18-12-009709 Restriction 1,2 Expiry Date

Family Members
Name Relationship Occupation Company Age
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APPLICATION FORM

In case of Emergency, please contact:

Name Janice Dela Cruz Relationship Live-in partner
Address Brgy. San Juan Balayan, Batangas Contact No. 09050956442

Educational Background
Name of School Address Course Date
Graduated
(Month, Year)

Grade School Philippine Christian University Taft Ave. Manila 1999

High School Balayan National High School Paz St. Balayan, Batangas 2002
College

Vocational

Others

Personal Qualification, Licenses,

and/or Specialized Trainings

Scholastic Awards

Language Spoken/Written English, Tagalog

Computer Software (Indicate
Proficiency High, Average, Low) Autocad (high)

Professional Involvement
Organization Name Position Inclusive Years

No. of Jobs held in the past 10 years ______________

2
Have you applied in Axeia before? ____Yes ____No When?_________________
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APPLICATION FORM

Employment History (Start with the most recent)

Company Geometric Land Surveying Inclusive Dates May 2007 - March 2021

Nature of Business Private Surveying Office Location Balayan, Batangas

Starting Position Survey Aide Salary 350/day
Leaving Position Team Leader, Instrument Man Salary 600/day
Provide services for all kinds of land survey benefits are not good/no OT pay
Core Functions Titling assistance Reason of Leaving Misunderstanding with Immediate superior

Immediate Superior Eduardo B. Pilotin Contact Number

Company Scad Services Pte., Ltd. Inclusive Dates

Nature of Business Cabinet factory Location EPZA Rosario, Cavite

Starting Position Production operator Salary 257/day
Leaving Position Production Operator Salary 257/day
Core Functions Reason of Leaving End of Contract
Produce all types of export quality cabinets

Immediate Superior Contact Number

Company United Cycle Inc. Inclusive Dates July 2002- December 2002
Nature of Business Bicycle assembly Location Amaya Tanza, Cavite
Starting Position Production Operator Salary 252/day
Leaving Position Production Operator Salary 252/day
Core Functions Assembles all kinds of bicycles. Reason of Leaving End of Contract
Immediate Superior Contact Number

Company Inclusive Dates

Nature of Business Location

Starting Position Salary

Leaving Position Salary

Core Functions Reason of Leaving

 AXEIA GROUP OF COMPANIES
APPLICATION FORM

Immediate Superior Contact Number

Company Inclusive Dates

Nature of Business Location

Starting Position Salary

Leaving Position Salary

Core Functions Reason of Leaving

Immediate Superior Contact Number

How did you know our opening? _____________________

Thru online job sites.
How soon can you start? ___________________________
ASAP
Have you ever been terminated or requested to resign from any Job?
_______No _______Yes If Yes, please give details_____________________________________
Have you ever been arrested (excluding traffic violation)?
_______No _______Yes What were the circumstances?_________________________________
When was your last physical and medical examination? What was the diagnosis / findings?
____________________________________________________________________________________
Back in 2020 I think. Covid check-up / Negative.

State your qualifications and reasons of your application in the said position and /or in this company

Well I think I have the years of experience regarding with the job. I've had handled most if not all kinds of surveying instruments.

What are your CORE Values in life? Why?

Family comes first.

Describe your personality, strengths and weaknesses

I'm a fun to be with person and I get along with others very well.

What do you think it takes to be successful in an organization like this? What can you contribute to our
company?
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APPLICATION FORM

I think if you do your craft seriously and improves it along the way you'll be successful on that field.

Character References
Name Company/Address Position Contact Numbers

Elmer Ramos Brgy. San Juan Balayan, Batangas Brgy. Chairman

Villamor Dela Vega Brgy. San Juan Balayan, Batangas Brgy. Councilor

I affirm that the foregoing statements are true, that all information is correct and complete. I authorize the company
to make inquiries of former employers and references. If employment is obtained under this application, I undertake
and promise to be bound by all rules and regulations of the company in force at this time, or that may hereafter be
adopted. I understand that any false statement or any omission of information herewith requested would be
deemed good cause for separation of employment is obtained under this application.

Signature

Printed Name Carl John I. Hernandez

Date Sept. 27, 2023