APPLICATION FOR EMPLOYMENT PHOTO.

Date: _01-17-2024_

Social Media / Specify: ___________ (ex. FB, Indeed, etc.)

Source: ____Walkin

_X__Referral

Re-apply___
Others

Position Applied For: 1. SALES ASSOCIATE

Expected Salary:
10,000

Availability to Start: ANYTIME

Preferred Branch / Dept to be assign:
KCC MALL DE ZAMBOANGA

PERSONAL INFORMATION
Last Name First Name Middle Name Nickname:
MULDONG ANTONIO III MILLAN AJ
Present Address:
URO COMPOUND, TUMAGA-
PUTIK ROAD, PUTIK,
ZAMBOANGA CITY
Permanent Address:
URO COMPOUND, TUMAGA-
PUTIK ROAD, PUTIK,
ZAMBOANGA CITY
Mobile No.: Landline: Email:
09263992524 dindimaegonzalez123@gmail.co
m
Date of Birth: Place of Birth: Age: Gender:
09/01/1997 ZAMBOANGA 26 MALE
CITY
Religion: Nationality: Civil Status
ROMAN FILIPINO SINGLE
CATHOLIC
Weight (kg): Height (ft, in): Blood Type:
65kg 6’0 ft B
Contact Person in Relationship: Address: Contact No.:
Case of Emergency:
MOTHER URO COMPOUND, TUMAGA-PUTIK 09458177968
JESSICA
ROAD, PUTIK, ZAMBOANGA CITY
MULDONG
SSS: Phic / Philhealth: HDMF / Pagibig MID: TIN:
142513768906 391753276

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FAMILY
INFORMATION
Name Relationship Age Occupation
ANTONIO T. FATHER 55 BUSINESSMAN
MULDONG JR
JESSICA M. MULDONG MOTHER 53
BUSINESSWOMAN
TASHA JHESKA M. SISTER 18 STUDENT
MULDONG
ANDREI M. MULDONG BROTHER 13 STUDENT

Special Skills:
COMPUTER LITERATE, INTERPERSONAL SKILLS

Interests / Hobbies:
FOOTBALL, VIDEO GAMES, CARS

Office Machine or Medical Equipment you can operate:

COMPUTER
Language / Dialect you can speak and write:
FILIPINO, CHAVACANO, ENGLISH, PORTUGUESE

Do you know someone working in Ideal Vision

Center?
Name of Employee:
_X_ YES __ NO ANGEL TIFANNIE
MIGUEL Relationship: FRIEND

Have you applied in Ideal Vision Center before? ___ YES _X_ NO

When: Position Applied:

Do you wear eyeglasses or contact lenses? ___ YES _X_ NO

Eye Grade Vision: Eyewear Brand: Where did you buy the product? How much?
(Optional)

Do you use eye drops? ___ YES _X_ NO

Do you have any health condition / mental disorder? Specify: NONE

TRAININGS / SEMINARS ATTENDED

Title / Topics Facilitated by: Inclusive Dates
FIRST AID TRAINING MR. ALBERT 2021
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 ACADEMIC & PROFESSIONAL
ATTAINMENT
School Course Year Graduated Award /
Achievement
Elementary: 2010 ATHLETIC AWARD
BALIWASAN CENTRAL
SCHOOL
High School: 2014 N/A
CLARET SCHOOL OF
ZAMBOANGA CITY
Vocational:
N/A

College: BACHELOR of 2022 N/A

WESTERN MINDANAO PHYSICAL EDUCATION
STATE UNIVERSITY
PROFESSIONAL DATA (if answer is YES, please provide YES NO
details on separate sheet)
1. Are there any disciplinary actions initiated and / or NO
are now pending against you by any company?

2. Has PRC license ever been suspended, revoked or NO

voluntarily / involuntarily reliquished?

3. Have you ever been convicted of felony or NO

misdemeanour other than minor traffic violations?

CHARACTER S
REFERENCE
Name Company Position Contact No.

I certify that all information stated are true and correct to the best of my knowledge, I hereby give
authority to Ideal Vision Center to verify its validity. I understand that any false information may be
sufficient grounds for the termination of my employment

ANTONIO M. MULDONG III

Signature over Printed Name of the Applicant Date

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