University of the Visayas

EMPLOYEE PROFILE SHEET

Name : _______________________________________
Employee No. : _______________________________________ Insert 2x2
Position : _______________________________________ Picture here
Department : _______________________________________
Date Hired : _______________________________________
Years of Service: _______________________________________

EDUCATIONAL PROFILE (Please attach photocopy of TOR/Diploma if not submitted)

Level/ Degree School Graduated Year Graduated
Basic Education (Primary)
Basic Education (Secondary)
Undergraduate (Specify degree here)

Graduate (Specify degree here)

Post – Graduate (Specify degree here)

LICENSURE / CERTIFICATIONS (Please attach photocopy of proofs if not submitted)

Licensure / Certification License No. / Place of Issue Validity Dates

PRODUCTIVE WORK EXPERIENCE (from recent to past; use back sheet when needed)
Position / Job Title Company Inclusive Dates

GOVERNMENT ISSUED NUMBERS

Tax Identification No: Social Security System No:
Pag-IBIG (HDMF) No: PhilHealth No:

PERSONAL DATA
Date of Birth: Sex: Religion:
Civil Status: Contact No. Email Address:
Birth Place
Current Address:
Home Address:
Contact Person (In case of Emergency):
Adress/Contact No of Contact Person:

ACKNOWLEDGEMENT
I declare that all personal information given above is true and correct, and that I have not willfully suppressed any
material fact. I understand that any misrepresentation and/or false information that the company may discover in the
course of my employment will cause my immediate dismissal from the institution.

Moreover, I fully understand that in compliance with R.A. 10173 or the Data Privacy Act of 2012, The University of the
Visayas shall only collect data that are within the scope of the intention for the data collection and by no means be used
outside the premises thereof without giving prior notice to me. Furthermore, no rectification, alteration and deletion of
any of the data that I have provided herein shall be made in my behalf without any ratification from my end.

_________________________
Signature Over Printed Name
UV.HRD.2021.OPS-RSP.009

University of the Visayas Human Resources Department, Corner D. Jakosalem & Colon St., Cebu City Philippines 6000
Telephone : (032) 253-6413 loc. 210 Email : hrdmain@uv.edu.ph Website : www.uv.edu.ph