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  • Richfield Home Products (Phil.) Corp.: Employee Information Sheet

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    Audie Leung
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    This document contains an employee information sheet for Richfield Home Products (Phil.) Corp. It requests personal information such as name, address, contact details, education level, emergency contact, and medical history. The medical history section lists common conditions and asks the employee to indicate which apply to them. It also has a space for specifying any allergies to foods, medications, or other substances. The document is to be signed and dated by the employee.

    Original Description:

    Sample Employee Record

    Original Title

    Employee Record

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    This document contains an employee information sheet for Richfield Home Products (Phil.) Corp. It requests personal information such as name, address, contact details, education level, emergency contact, and medical history. The medical history section lists common conditions and asks the employee to indicate which apply to them. It also has a space for specifying any allergies to foods, medications, or other substances. The document is to be signed and dated by the employee.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    54 views1 page

    Richfield Home Products (Phil.) Corp.: Employee Information Sheet

    Uploaded by

    Audie Leung
    This document contains an employee information sheet for Richfield Home Products (Phil.) Corp. It requests personal information such as name, address, contact details, education level, emergency contact, and medical history. The medical history section lists common conditions and asks the employee to indicate which apply to them. It also has a space for specifying any allergies to foods, medications, or other substances. The document is to be signed and dated by the employee.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    RICHFIELD HOME PRODUCTS (PHIL.) CORP.

    Employee Information Sheet

    Full Name : ,
    Address :
    Gender :
    Birthday : Civil Status :
    Birthplace : SSS :
    Contact No. : PAG-IBIG :
    email : Philhealth :
    Highest Educational Attainment :
    Child/ren / Dependents Spouse :
    Name Age
    1.
    2.
    3.
    4.
    5.

    Person to Contact in Case of Emergency :

    Full Name : ,
    Address :

    Relationship : Contact No. :

    Medical History

    Y Y Y Y
    Allergies Bronchitis Head Injury High Blood Pressure
    Chills Joint Problems Seizures Low Blood Pressure
    Sinusitis Hemorrhoids Back Pain Fever
    Paralysis Dizziness Ear Infections Kidney Stones
    Anemia Chest Pain Heart Disease Excessive Fatigue
    Diabetes Cancer Tremors Chronic Swelling
    Thyroid Convulsions Vomiting Shortness of Breath
    Anxiety Meningitis Epilepsy Sexually Transmitted Disease
    Eczema Depression Chronic Cough Frequent Urinary Tract Infections
    Arthritis Constipation Chronic Colds Sickle Cell
    Nausea Fainting Pneumonia Diarrhea
    Insomnia Nervousness/Panic Malaria Hernia
    Asthma Ulcers Appendectomy Heartburn

    Are you allergic to any food, medications, or other substances?


    If yes, please specify:

    Signature Over Printed Name Date

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