CANDIDATE ONBOARDING FORM
Site: Start Date: September 5, 2023
Account: Citibank Position: CSR
Last Name: Lopez First Name: Irene Middle Name: Suffix/Prefix: Nickname/Alias: Irene
Pecley
Date of SSS No.:(*required) TIN:(*required)
Birth: MM:August DD: 26 0121609704 444020954
YYYY: 1991
Place of Birth:
Butac, Suyo, Ilocos Sur
Citizenship: Civil Status:▪ Single □ Married Philhealth:(*required) HDMF:(*required)
□ Widow/Widower 052012744781 121165716030
□ Legally Separated
Contact no./nos.: 09452475514 Email Address: hollylopez2020@[Link]
Complete Mother's Maiden Name: Venus Muller Complete Father's Name: Eddie Bawas Lopez
Pecley
In Case of Emergency Contact Name: Venus Lopez Contact No.: Relationship: Mother
09393746619
Complete Permanent Address: Suyo Proper, Suyo, Ilocos Sur
Name of School attended Course Taken School Year Location Highest Attainment
□ Graduate
The Sister of Sillang,
High School SY: 2006-2007 □ Senior
Mary Cavite
□ Junior
Ilocos Sur □ Graduate
Polytechnic Bachelor of Elementary Tagudin, □ Undergraduate
College 2011-2012
State Education (BEED) Ilocos Sur □ Vocational
College
Work Experience/s (List of all employment for the past 7 years including military service and self-employment)
Company Start End Supervisor
Business Address Job Title Contact No.
Name Date Date Name
Sitel Baguio City CSR June 27, August Coach Moi N/A
2016 8, 2019
Character Reference/s (Minimum of 5 persons but not including any immediate family members. Contact Number is needed)
Name Contact Number Company Name Designation Relationship
Margarita Galuga 09639944538 Barangay Official Captain N/A
Mylene Lapios Villanueva 09560722956 Government Teacher 3 N/A
Employee
Timoteo Abalos 09609226423 Government Official Counselor N/A
Renato Ngangac 09303029574 Government Counselor N/A
Official
Menzi Liwan 09605678989 Government PO3 N/A
Employee
Self-Declaration/Authorization
Dear Sir/Madam:
I am currently seeking employment with Alorica. As part of Alorica’s procedure of processing my application, an investigative report
about my background may be made. I, therefore, authorize Alorica to investigate information concerning my education, employment and all
other aspects of my background relevant to my proposed employment. I also certify that all information supplied in conjunction with my
application are complete, true and correct in all aspects and I have not willfully suppressed any fact. Your assistance in providing. Alorica the
information requested will be highly appreciated as it would help facilitate the processing of my application. I further acknowledge that all
personal information provided herein will be used for the purposes of my proposed employment application. Thus, I hereby authorize the
processing of my personal information including but not limited to the collection, recording, organization, storage, updating or modification,
retrieval, consultation, disclose, and use of information contained herein, including supporting documents, necessary for the administration of
this application.
Irene Pecley Lopez August 16,2023
Signature Over Printed Name Date
“This form and its content are copyright of ALORICA. All rights reserved. Any redistribution or reproduction of part or all the contents in any form is prohibited. You may
not, except with the expressed written permission from Human Resources, distribute or commercially exploit the content; nor this form be taken out of the company
premises.”
CONSENT TO THE PROCESSING OF PERSONAL INFORMATION
I am currently employed with, or have expressed interest in an employment position in the Alorica group of companies which includes
Alorica Philippines, Inc., Alorica Asia (ROHQ), Ltd., Alorica Teleservices, Inc., and Alorica Clark Philippines, Inc.
(“collectively referred to as “Alorica”) that is subject to the requirements of the Data Privacy Act of 2012, its Implementing Rules
and Regulations, and other issuances of the National Privacy Commission (collectively, “Data Privacy Act”) and relevant laws and
regulations pertaining to the processing of personal information.
I acknowledge that Alorica holds personal information, including sensitive personal information (as such terms are defined by the Data
Privacy Act), relating to its prospective, current, and former employees (collectively, “Employee Data”) in its capacity as employer and
in the conduct of its business.
Personal information includes my name, address, contact details, birthdate, and any other information which may reasonably identify
me. Sensitive personal information includes my race, ethnic origin, gender, age, marital status, health information, education,
employment information, financial information, genetic information, government issued numbers, tax returns, and other information
classified as “sensitive personal information” under the Data Privacy Act.
I agree that Alorica may process my Employee Data for the following legitimate purposes:
• evaluation and processing of applications for recruitment and employment;
• financial or criminal background checks;
• health screening and drug tests;
• workforce management;
• administration of health employment benefits;
• compensation-related activities, including equity compensation-related activities, compensation analysis and
administration;
• payroll processing (including management of salaries, expenses, taxes, required notifications to governmental authorities
and the like);
• remittances and employee contributions to government agencies;
• performance and absence management; job grading; benefits and personnel administration; HR reporting;
• compliance with legal and regulatory requirements;
• monitoring and enforcing compliance with Alorica’s policies and procedures and with legal and regulatory requirements;
• monitor quality of service;
• manage employee interactions with the various facilities and services offered by the organization (e.g. physical access);
business continuity and disaster recovery;
• establish a contact point in the event of emergencies;
• employee engagement, training and development, performance improvement, and productivity;
• internal audits, client, audits, and third party audits;
• organization, implementation and participation charitable initiatives;
• compliance with the Alorica’s and its client information security requirements and in response to client’s customer
complaints;
• processing necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity
of the employee, medical diagnosis, recording on an employee’s file any health issues that may affect an employee’s ability
to work or of which Alorica needs to be aware of;
• authentication and validation of submitted medical or hospital documents including abstracts, medical certificates, etc.;
• providing IT support and services as well as providing and hosting IT infrastructure;
• protecting the security of Employee Data, client information as well as Alorica’s data, systems, property, and premises;
and for any other purposes directly or indirectly related to those listed above.
I agree that my Employee Data may be disclosed to the following recipients or classes of recipients:
• Alorica’s parent, subsidiaries, affiliates, and their representatives and agents;
• Clients of Alorica and including clients’ affiliates, representatives, agents and vendors;
• Third party vendors that assess applicant skills, evaluate, or process applications;
• Third party vendors that conduct financial and criminal background checks;
• Third party vendors that conduct health screening and drug tests;
• Third party vendors such as payroll providers, banks, HMO and healthcare/clinic/hospital providers, and similar service
providers;
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• Third party vendors such as telecommunication, social media companies, and similar service providers;
• Third party vendors such as those that facilitate the employee rewards program, gamification, employee engagement
activities, training and development, and similar services;
• Third party vendors such as those that provide data storage services;
• Third party vendors that provide safety and security services including services necessary for the prevention and detection
of fraud or crime;
• Third party vendors conducting audit services;
• Industry groups such as the Contact Center Association of the Philippines and the Information Technology and Business
Process Association of the Philippines;
• Third parties that organize charitable initiatives as well as charitable organizations or foundations such as Making Lives
Better at Alorica (MLBA); and,
• Law enforcement and government agencies/organizations, but only to comply with obligations under applicable laws and
regulations, with disclosure necessary and proportionate to the purposes of disclosure (e.g. disclosure of certain personal
data, such as current health conditions, to public authorities due to public health emergencies)
• Other entities which Alorica may transact business with but subject to the purposes and limitations contained in this
consent form.
Alorica may also disclose Employee Data about its employees because of a sale of the assets of Alorica, mergers, acquisitions, or in
preparation for any of these events or events similar thereto, and pursuant to laws, regulations, and court orders or subpoenas that may
be received by Alorica.
I agree that my Personal Data may be disclosed and retained in or outside the country or jurisdiction in which information is originally
collected and retained.
I acknowledge that I have the right to access, update, and correct my Employee Data in my personnel records. I understand that I may
also opt-out from any processing activity unless the processing is allowed by contract, is necessary to comply with a legal obligation, is
necessary to protect vitally important interests an employee, is due to legitimate interests, is required by existing laws and regulations,
is necessary to protect the life, safety, health and well-being of the employee, is necessary to provide medical treatment, charitable
support is required in court proceedings, or legally mandated by government authorities.
I hereby acknowledge that I have been informed by Alorica of its use of my Employee Data in accordance with relevant laws. I hereby
expressly authorize Alorica to collect, process, and transfer my Employee Data that Alorica deems necessary to effectively and
efficiently administer the employment and conduct its business, for as long as necessary to fulfill the purposes of processing mentioned
above.
Irene Pecley Lopez
Signature over printed name
August 16, 2023
Date
For your data privacy concerns and requests, you can email the following Data Protection Officers: a.
Ms. Karen Marie Tomas ([Link]@[Link])
b. Ms. Bituin Bautista (Data.Privacy1@[Link])
Date_August 16,2023
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Consent
I, ___Irene Pecley Lopez__ , support the Alorica Group (Alorica Philippines, Inc., Alorica Asia [ROHQ], Ltd., West Contact
Services, Inc., Alorica Teleservices, Inc., and Alorica Clark Philippines, Inc.) and the Call Center Association of the Philippines
(“CCAP”) in their legitimate efforts to maintain honesty, integrity, professionalism, and fairness in our workplace and in the whole Business
Process Outsourcing industry (the “Industry”). I support all efforts of the Alorica Group and CCAP to guard our ranks against unscrupulous
employees, supervisors, administrators, and persons within our midst and work environment in order to maintain our personal safety, security
of the workplace, and integrity of the Alorica Group and the industry.
Pursuant to such efforts, I was informed that the Alorica Group, in collaboration with CCAP, will participate in the
implementation of a Critical Incident Report (“CIR”) Project, a centralized database containing specific personal information, sensitive or
otherwise, of current and former employees, of CCAP-member companies, including information on any fraud-related internal disciplinary
proceedings conducted against me and any civil and/or criminal cases arising therefrom.
As a data subject whose personal information, sensitive or otherwise, will be processed in relation to the CIR Project, I acknowledge
having viewed and provided with access to a copy of the Alorica Group’s Privacy Notice made in compliance to Republic Act no. 10173,
otherwise known as the Data Privacy Act. Having fully read and understood said Notice, I recognize the following:
1. I have been duly informed of the nature of the personal information to be processed in the CIR Project;
2. I have been informed of the scope, source and method of the personal processing involved in said project;
3. I have been informed of the purpose of such processing as well as the legitimate interests of the parties involved thereto;
4. I have been informed of the intended recipients of my personal information, sensitive or otherwise;
5. I have been informed of how long my personal information, sensitive or otherwise, will be retained; and
6. I have been informed of my rights and obligations as a data subject under the Data Privacy Act and its implementing rules and
regulations.
In support of the CIR Project, I expressly agree to the processing and disclosure of my personal information, sensitive or otherwise,
in accordance with the policies set forth in the Privacy Notice. In so giving this authority, I hereby warrant that my consent is freely given and
is an informed indication of my will.
Irene Pecley Lopez
Name and Signature