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Atlas Application Form

The document is an application for employment for the position of Tactical Coordinator, dated August 29, 2025. It includes personal data, educational background, work experience, and other relevant information about the applicant, Esteban Jerome Salcedo. The form also contains sections for emergency contacts, references, and health-related inquiries.

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estebanjerome86
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0% found this document useful (0 votes)
17 views1 page

Atlas Application Form

The document is an application for employment for the position of Tactical Coordinator, dated August 29, 2025. It includes personal data, educational background, work experience, and other relevant information about the applicant, Esteban Jerome Salcedo. The form also contains sections for emergency contacts, references, and health-related inquiries.

Uploaded by

estebanjerome86
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

607 6thFlrCityland Shaw Tower, Shaw Blvd. cor. St.

Francis Mandaluyong City


Telefax.470-8297 / Direct Line 571-4611; email add.dames_internationalcorp@[Link]
APPLICATION FOR EMPLOYMENT
PERSONAL DATA SHEET
POSITION APPLIED FOR: ____________________________
Tactical Coordinator Date: _________________
August 29 2025
Please Check: Reffered ( ) by _____________________________ Walk-in ( ) 2x2 ID Picture
Starting Salary Expected: ________________________________
Taken within the last 6 months
SSS Number: ____________________________________________
02-4629606-3
Computer-generated or Xerox copy
Tax Identification Number (TIN): ____________________________
of picture is not acceptable
PHILHEALTH Number: ___________________________________
21-025685578-4
PAG-IBIG Fund Number: __________________________________

PERSONAL INFORMATION:
_____________________________________
Esteban ______________________________________
Jerome ________________________
Salcedo _____________
Surname First Name Middle Name Suffix
City Address: _______________________________________________________________________
Malolos Contact No.: ___________________________
Provincial Address: __________________________________________________________________
Bulacan Religion: ______________________________
Age: _________
27 Date of Birth: _______________
September 8 1997 Place of Birth: ________________________________________
Malolos Bulacan Citizenship: _________________
Filipino
Sex: [ / ] Male [ ] Female Height: ________
5’6 Weight: ______
70 Civil Status: [ ]/ Single [ ] Married [ ] Others, pls. specify; ______________
Name of Spouse: ______________________________________________ Age: ____________ Occupation: ____________________________
Number of Children, their name and date of birth
1. ____________________________________________________ 3.3.____________________________________________________
____________________________________________________
2. ____________________________________________________ 4. ____________________________________________________
Father's Name: _________________________________________
Joel A Esteban Occupation: ________________________
Fisher Man Contact No.: _____________________
Mother's Name: ________________________________________
Angelina S Esteban Occupation: ________________________
None Contact No.: _____________________
Their Address: _______________________________________________________________________________________________________________
Person to be contacted in case of emergency: __________________________________________
Joann S Esteban Relationship: ________________________________
Sister
Address: _______________________________________________________________________
1216 Enriquez St Bagna Malolos Bulacan Contact No.: _________________________________
EDUCATIONAL ATTAINMENT:
Educational Level Name / Address Date SY Attended (From - To) Course / Degree
Elementary _______________________________ _______________________________ ______________________________
High School _______________________________ _______________________________ _______________________________
Senior High School _______________________________ _______________________________ _______________________________
Vocational/College _______________________________ _______________________________ _______________________________
Trainings: Title Period of Trainings Conducted by:
________________________________________________________________________________________________
________________________________________________________________________________________________
WORK EXPERIENCE:
Name & Address (recent to previous) Inclusive Date Position / Reason for Leaving
____________________________________________ _________________________ ___________________________________________
____________________________________________ _________________________ ___________________________________________
____________________________________________ _________________________ ___________________________________________
____________________________________________ _________________________ ___________________________________________
____________________________________________ _________________________ ___________________________________________
____________________________________________ _________________________ ___________________________________________
PERSONAL REFERENCES:
Name & Address Occupation Contact Nos.
1. ___________________________________________ _________________________________ _________________________________
2. ___________________________________________ _________________________________ _________________________________
3. ___________________________________________ _________________________________ _________________________________
OTHER INFORMATION:
Any criminal record? [ ] Yes [ ✔ ] No If YES, give details: ___________________________________________
Have you ever been convicted of any crime or violation of any law decree, ordinance or regulation by the court or tribunal?
[ ] Yes [ ✔ ] No If YES, give details: ____________________
Have you ever been separated from the service in any of the following modes: resignation, retirement, dropped from the rolls, dismissal, termination,
end of term, finish contract, AWOL or phased out in the public/private sector? [ ] Yes [ ] No If YES, give details: ____________________
Name of relatives in our employ: ____________________________ Why do you want to join in our company? _____________________________
Have you ever work to the following companies?
Sawasde/Anaya Melawares Sales Bed Marcat Hi-Pro OLK
Ambassador Bed Rubbermaid Nipponware Sleepwell Bed Fine Living Dunlopillo
Physical handicaps or chronic illness? ____________ Diabetes? ____________
None Allergies? ____________
None Hypertension? ____________
None
Surgery? [ ] Yes [ ] No If YES, give details: _________________ Seizure? [ ] Yes [ ] No If YES, give details: _____________
Kidney Failure? _____________ Any special or training pertinent to the position applies for? _________________________________
Can you drive? [ ] Yes [ ] No Type of Vehicle: _____________ Do you have a driver's license? [ ] Yes [ ] No Restriction Code #: _______________
Do you drink? [ ] Yes [ ] No Do you smoke? [ ] Yes [ ] No Physical markings or Tattoo? [ ] Yes [ ] No Drug History? [ ] Yes [ ] No
Other skills : _________________________________ When are you start working for us? _________ Willing to assign at provincial area? [ ] Yes [ ] No
I declareunder oath that this Personal Data Sheet has been accomplished by me, and is a true correct and complete statement pursuant to the provision of pertinent laws, rules and
regulations of the Republic of the Philippines.

I also authorize the agency head/authorized representative to verify/validate the contents stated herein. I trust that all these information will be held strict confidentiality

_____________________________________ _____________________________
August 29 2025
Signature of Applicant Date Accomplished

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