Application for Employment

Position Applied For

Desired Salary

Photo (2x2)

How did you know the job opening?

Date Available For Work

Personal Information

Full Name

Nick Name

Present Address

Zip Code

Home Phone

Permanent Address

Zip Code

Cell Phone

Date of Birth

Place of Birth

Nationality

Email Address

Civil Status

Gender

Social Media Account

(FB/Twitter/Instagram/etc.)

Religion

SSS Number

(Ten Digits)

TIN

(Nine Digits)

Tax Code

PhilHealth Number

(Twelve Digits)

Pag-ibig Number

License Number

(PRC/Driver)

Name of Spouse

(If Married)

Date of Birth

Age

Occupation

Name of Children

Date of Birth

Age

Name of Children

Date of Birth

Age

Father's Name

Date of Birth

Age

Occupation

Address

Contact Number

Mother's Name

Date of Birth

Age

Occupation

Address

Contact Number

Person to be contacted in case of emergency

Education

Primary

Secondary

Tertiary

Others

Other Certifications, Eligibility or Licenses Held

Honors, Achievements, Extra Curricular Activities, Hobbies or Interests

Special Skills

Languages Spoken or Written

Seminars / Trainings Attended

A. Name and Address of Employer

Date (Month and Year)

Salary

Position / Status of Appointment

Reason for Leaving

(Be Specific)

Immediate Supervisor

Position

Tel No

Duties & Responsibilities

B. Name and Address of Employer

Date (Month and Year)

Salary

Position / Status of Appointment

Reason for Leaving

(Be Specific)

Immediate Supervisor

Position

Tel No

Duties & Responsibilities

C. Name and Address of Employer

Date (Month and Year)

Salary

Position / Status of Appointment

Reason for Leaving

(Be Specific)

Immediate Supervisor

Position

Tel No

Duties & Responsibilities

D. Name and Address of Employer

Date (Month and Year)

Salary

Position / Status of Appointment

Reason for Leaving

(Be Specific)

Immediate Supervisor

Position

Tel No

Duties & Responsibilities

Additional Information

Do you have any relatives that is currently working in this company?

No

Yes

Have you ever been charged / found guilty / convicted of any administrative offense?

No

Yes

If yes, please specify details.

Have you ever been separated from any company / employer thru any of the following?

No

Yes

If yes, please specify details.

Have you ever applied or worked with this company before?

No

Yes

If yes, what is your last position or designation and when?

Are you willing to relocate or accept provincial assigments?

No

Yes

If yes, what part of the country would you prefer to be assigned?

Are you currently using any kind of illegal drugs? or currently undergoing?

No

Yes

If yes, please specify details.

Character References (List down three (3) names other than relatives)

I hereby certify that all entries on this job application and complete to the best of my knowledge. I also agree and understand that any falsification of information may result in my forfeiture of application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination of employment. I also understand that all information on this job application is subject to verification and I consent to criminal history and background checkes. Further, I agree that you may contact reference and educational institutions listed on this application.

I have read this form, understood its contents and consent to the processing of my personal data. I understand that my consent under the Data Privacy Act of 2012 and other applicable laws.

LBRD respects the privacy of your personal information. When you interact with us, you agree to share your personal data such as name, contact detail, social media accounts, email addresses, and other information necessary to respond to your requested transactions or services, queries, and/or complaints to address the aforesaid matter. The use of personal information will be kept as a minimum requirements to address and periodically oversee your concerns, improve our services, and keep you informed about LBRDC's products and services.

I agree to these terms and conditions.

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