APPLICATION FORM
PERSONAL INFORMATION
LAST NAME FIRST NAME MIDDLE NAME
Empleo John Stephen Dejos
Nickname Maiden Name (if applicable) Civil Status
John NA Single
Date of Birth (MM/DD/YYYY) Sex Place of Birth
10:03/1988 Male Mantalongon Barili Cebu
Present Address
Mantalongon Barili Cebu
Length of stay in present address:
Permanent Address
Mantalongon Barili Cebu
Length of stay in permanent address:
Telephone Number Mobile Number Email Address
+639682896123 johnjoeempleo@[Link]
SSS Number TIN
06-2902430-2 762 428 726 000
Philhealth HDMF
12-050827001-7 121028736046
Mother's Maiden Name:
First Name Middle Name Last Name
Florencia Lopez Dejos
Father's Name:
First Name Middle Name Last Name
Reynaldo Saavedra Empleo
Emergency Contact
First Name Middle Name Last Name
Reynaldo Saavedra Empleo
Emergency Contact Details
(0962) 744 7929
EDUCATIONAL BACKGROUND (Highest Educational Attainment)
Name Registered in School
John Stephen Dejos Empleo
Name of School Attended
University of San Carlos
Address of School
(including branch)
P. del Rosario St., Cebu City, Cebu, Philippines
Contact Information
032) 230 0100
Years Attended From: 2005 To: 2009
□ Graduate (Year Graduated 2009 )
Degree/Course Taken BSHRM □ Undergraduate
CHARACTER REFERENCE (Superior or colleague, not related by consanguinity of affinity)
Name of Reference Relationhip
Company/School Contact Number
Position Email Address
Name of Reference Relationhip
Company/School Contact Number
Position Email Address
Name of Reference Relationhip
Company/School Contact Number
Position Email Address
EMPLOYMENT BACKGROUND (Starting from the most recent employment)
Name of Company
Address of Employer
Contact Number
Position Title
Employment Period From: To: Currently Employed?
Basic Salary
Reason for Leaving
Immediate Superior/s Contact Number Email Address
Name of Company
Address of Employer
Contact Number
Position Title
Employment Period From: To:
Basic Salary
Reason for Leaving
Immediate Superior/s Contact Number Email Address
Name of Company
Address of Employer
Contact Number
Position Title
Employment Period From: To:
Basic Salary
Reason for Leaving
Immediate Superior/s Contact Number Email Address
Note: Please provide additional sheet/s should the applicant have more than 3 previous employers
I hereby certify that the facts set forth in the above employment application are true and correct to the best of my
knowledge.
Signature over Printed Name Date