JEMSTONE GLOBAL

APPLICATION FORM

www.jemstoneglobalrecruitment.com

2012 EDITION

MANILA: 1132 Pablo Ocampo corner Dian Street,

CEBU: Room 211-214 Cesars Foodland Bldg.,
Malate, Manila, Philippines
Gov. Cuenco Ave., Banilad, Cebu City, Philippines
Tel No. (02) 522-4797 Telefax: (02) 522-4912
Tel No. (032) 346-7834 Telefax: (032) 238-8386

Instructions: Please fill up the following in good penmanship and kindly avoid erasures

Position Applied: ____________________________________________________

Date Applied:
_____________ Contact Number: _______________________
APPLICANTS PERSONAL INFORMATION

__________________ _____________________________ ________

(Last name)

Sex: M / F

(First Name)

Civil Status: _____________

(M.I.)

Date of Birth: _____/_____/_____

MONTH

DAY

YEAR

Age: ______ Place of Birth: ______________ Religion: ___________________

Height: ____________ Weight: _______________
Passport No.: ____________________ Date of Expiry:_____________ Place Issued:_________________
Home Address:
________________________________________________________________________________________
Home Contact No.: _____________________________
Permanent/Provincial Address:
_________________________________________________________________________________________
Provincial Contact No.: _____________________________
E-mail Address: ________________________

Best Day and Time to Call: ____________________

Other Details:
Spouses Name: __________________________________ Age:_______ Occupation:_________________
Address: ____________________________________ Contact No. _____________
EDUCATIONAL BACKGROUND
NAME OF SCHOOL

DEGREE

YEAR GRADUATED

High School
College
Vocational Course:

EMPLOYMENT BACKGROUND
Name of Employer:

Position:

Address:

From - To:

Name of Employer:

Position:

Address:

From - To:

Name of Employer:

Position:

Address:

From - To:

SUMMARY OF JOB DESCRIPTION:

OTHER SKILLS: (CONSTRUCTION, HRM, ETC.)

PLEASE ENCIRCLE YOUR ANSWER
ARE YOU WILLING TO HAVE A MULTI-TASKING JOB?
DO YOU HAVE ANY WORK EXPERIENCE OVERSEAS?
ARE YOU WILLING TO LEAVE HOME AND WORK ABROAD?
ARE YOU WILLING TO LEAVE YOUR FAMILY TO WORK ABROAD?

YES
YES
YES
YES

/ NO
/ NO
/ NO
/ NO

I CERTIFY THAT THE ABOVE INFORMATION CONTAINED HEREIN IS CORRECT AND TRUE. I FURTHER CERTIFY THAT THIS HAS
BEEN DONE TO THE BEST OF MY KNOWLEDGE AND THAT I AM AGREEBLE TO THE COMPANY TAKING DISCIPLINARY ACTION
AGAINST ME IF ANY INFORMATION IS FOUND TO BE FALSE.
______________________________

____________________________________________

DATE SIGNED

SIGNATURE OVER PRINTED NAME

TO BE FILLED IN ONLY BY AUTHORIZED JEMSTONE GLOBAL STAFF AS WELL AS THE EMPLOYER/FINAL INTERVIEWER:
POSITION OFFERED:

DATE OF FINAL INTERVIEW:

SALARY/WAGE OFFERED BY EMPLOYER

EMPLOYERS SIGNATURE:

MY SIGNATURE IN THE BOX TO THE RIGHT IS AN

INDICATION THAT I AM FULLY AGREEABLE TO THE
AMOUNT OFFERED BY THE EMPLOYER.

EMPLOYEES SIGNATURE:

THIS REGISTRATION FOR IS NOT FOR SALE / NO REGISTRATION FEES COLLECTED

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PROVIDING WORLD CLASS OPPORTUNITIES FOR THE GLOBAL FILIPINO