J.C.
RODRIGUEZ CONSTRUCTION CORPORATION
167 J.P. Rizal Ave., Manggahan Rodriguez, Rizal
REMEMBER TO PROVIDE ALL THE INFORMATION REQUESTED THIS CAN HELP YOU TO GET A JOB
PERSONAL DATA
Date of Application: ___________________________
Name:
(LAST)
(FIRST)
(MIDDLE)
(NICKNAME)
Position Applied for: ______________________________________________
Salary/Rate Acceptable: __________________________
Other Skills: _____________________________________________________
Religion: _______________________________________
Present Address: ______________________________________________________________________
Tel. No. _____________________
Provincial Address (if any): ______________________________________________________________
Tel. No. _____________________
SSS #: ________________________ Philhealth #: ___________________________ Tin #: ___________________________
Date of Birth: ______________________________ Place of Birth: _______________________________________________
( ) Male
( ) Female
( ) Single
( ) Married
( ) Widow
( ) Separated
Height ______________ Weight _____________ Color of Eyes __________________ Hair _________________________
Father's Name: __________________________________ Address_______________________________________ Occupation _______________
Moher's Name: __________________________________ Address_______________________________________ Occupation _______________
If Married Data of Spouse:
Name:
(LAST)
(FIRST)
OTHER DEPENDENTS:
Name
(MIDDLE)
Relation
(AGE)
Birth Date
Person to be notified in case of Emergency:_________________________________________________________________
Relationship:______________________ Address: _____________________________________ Tel. Nol.: ______________
Do you or your spouse have relatives presently employed with us? ( ) YES
( ) NO
If yes, write the name and relationship: _____________________________________________________________________
Have you had ( ) Tuberculosis ( ) Heart Ailment ( ) Allergies Others: _______________________________________
Are you employed? ( ) YES ( ) NO
If yes, write name of employer __________________________________________
Address of employer ______________________________ Position___________________________ Salary______________
Are you willing to accept re assignment/transfer to any project of the company? ( ) YES
( ) NO
List of machinery, light or heavy construction equipment you qualified to operate and rapair:
Machinery/ Equipment
Where experience/ acquired
Number of years
__________________________________________________________________________
_______________________________
__________________________________________________________________________
_______________________________
__________________________________________________________________________
_______________________________
Do you posses a current Driver's License ( ) YES ( ) NO
Any other license: _______________________________
Type: ________________________ Number:___________________________ Expiration Date: _______________________
Have ever been convicted of a crime? ( ) YES
( ) NO
If yes specify charge/s: ___________________________
When/where convicted: __________________________________________________________________________________
EDUCATIONAL BACKGROUND:
School Attended:
Name of School
Address of School
Graduated
Degree/s
Elementary
_____________________________
______________________________
____________________ ______________________
High School
_____________________________
______________________________
____________________ ______________________
College
_____________________________
______________________________
____________________ ______________________
Major Subjects: _________________________________________ Special Courses Attended:_________________________
Vocational/Trade School
Attended
A JOB
__________________
(NICKNAME)
_______________
________________
_______________
_______________
_______________
_______________
( ) Separated
______________
on _______________
n _______________
(AGE)
Age
______________
______________
_______________
_____________
_____________
y______________
er of years
_________________
_________________
_________________
_______________
_______________
_______________
________________
Degree/s
__________________
__________________
__________________
________________
SUPERMIX REDI CONCRETE, INC.
167 J.P. Rizal Ave., Manggahan Rodriguez, Rizal
REMEMBER TO PROVIDE ALL THE INFORMATION REQUESTED CAN HELP YOU TO GET A JOB
Date of Application: ______________________
PERSONAL DATA
Name:
(LAST)
(FIRST)
(MIDDLE)
(NICKNAME)
Position Applied for: ______________________________________________
Salary/Rate Acceptable: __________________________
Other Skills: _____________________________________________________
Religion: _______________________________________
Present Address: ______________________________________________________________________
Tel. No. _____________________
Provincial Address (if any): ______________________________________________________________
Tel. No. _____________________
SSS #: _______________________ Philhealth #: __________________________ Tin #: __________________________
Date of Birth: ____________________________ Place of Birth: ____________________________________________
( ) Male
( ) Female
( ) Single
( ) Married
( ) Widow
Height ______________ Weight _____________ Color of Eyes ________________ Hair ____________________
Father's Name: ___________________________ Address____________________________ Occupation _____________
Moher's Name: ____________________________ Address______________________________ Occupation _____________
If Married Data of Spouse:
Name:
(LAST)
(FIRST)
OTHER DEPENDENTS:
Name
(MIDDLE)
Relation
(AGE)
Birth Date
Person to be notified in case of Emergency:_____________________________________________________________
Relationship:___________________ Address: _____________________________________ Tel. Nol.: ______________
Do you or your spouse have relatives presently employed with us? ( ) YES
( ) NO
If yes, write the name and relationship: ______________________________________________________________
Have you had ( ) Tuberculosis ( ) Heart Ailment ( ) Allergies Others: _________________________________
Are you employed? ( ) YES ( ) NO
If yes, write name of employer _______________________________________
Address of employer _________________________________ Position____________________ Salary______________
Are you willing to accept re assignment/transfer to any project of the company? ( ) YES
( ) NO
List of machinery, light or heavy construction equipment you qualified to operate and rapair:
Machinery/ Equipment
Where experience/ acquired
Number of years
____________________________________
______________________________________
_______________________________
____________________________________
______________________________________
_______________________________
____________________________________
______________________________________
_______________________________
Do you posses a current Driver's License ( ) YES ( ) NO
Any other license: _______________________________
Type: ___________________ Number:______________________ Expiration Date: ____________________
Have ever been convicted of a crime? ( ) YES
( ) NO
If yes specify charge/s: ___________________________
When/where convicted: _____________________________________________________________________________
EDUCATIONAL BACKGROUND:
School Attended:
Name of School
Address of School
Graduated
Degree/s
Elementary
_____________________________
______________________________
__________________________________________
High School
_____________________________
______________________________
__________________________________________
College
_____________________________
______________________________
__________________________________________
Major Subjects: _________________________________________
Special Courses Attended:_________________________
Vocational/Trade School
Attended
GET A JOB
_________________
(NICKNAME)
______________
_______________
_______________
_______________
_______________
_____________
( ) Separated
__________
on _____________
on _____________
(AGE)
Age
_____________
______________
___________
__________
_____________
______________
ber of years
__________________
__________________
__________________
______________
_______________
______________
Degree/s
__________________
__________________
__________________
_______________