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Tie or sooo NETON oon : feooneny "TRAINING 8 SENUMAR es ner er eon ane seo SCHOOLNET Count Ee = [tern conenernene? CIWS SI aaa eee vines an ayumi wi Jevesisowhewrostevcr? [18 Ino [ay doyorton vig anersiomear ES STR star hs nt bet ested athe poten pice EMPLOYMENT REFERENCE (us be Your revousinmedat supervisor Ta cam “lan "ory thatthe nfrmatin provide ae true and cotet tothe best of my knowledge and eli. heveby ‘suthorte the company to Investigate all references contained on this form. | understand thet ery misrepresentation or falsifiation or omission of facts, of whatever nature required by tis appliaton shod ‘be considered sufcent cause for dismissal at anytime ding employment, Im compliance withthe Data Privacy Act (DPA) of 2012, and is Implementing Rules and Regulations (RR, 4 the undersigned, hereby trecly and voluntarily authorized Questesre, nes Employers/Forelgn Principals, Government Authorities (local and oversea), surance companies, and medical civics, to obtain, collet, store, hol, se, proces andor share any andi information, data or facts nthe performance of ts function as my recrultment ageney petalning to my private or persona te 'm connection with my aplication fr overseas employment. _ADPICANTS SIGNATURE VER PRINTED NAME ee enemeuea APPLICATION FOR EMPLOYMENT tenon epee reson nonnaron “tl | i wees —eet — me —z rracany ren -—-| our rome Poa cours = oS aes [ame [esinronone [aa Ean [na

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