APPLICATION FOR EMPLOYMENT

Instructions: Please completely fill out this application form.

CHANNEL OF APPLICATION
School Placement Job Posting Sites (e.g. Jobstreet, Indeed) Social Media / Internet Walk-in/Phone-in Referred By: __________________
I. CAREER PLAN
Career Objective Position Applying For Expected Monthly Salary

Current Employment Status Date Available for Employment Previously applied in Avolution Inc. or any
of our sister companies? If YES, when and
o Employed what position?
o Unemployed
o Freelancer
o Others
II. PERSONAL INFORMATION
Full Name (Last, First and Middle Name) Nickname Gender:

Present Complete Address Own House Rented for how many years? _____

Permanent Complete Address Own House Rented for how many years? ____

Contact Details E-mail Address Birthdate Birthplace Age

Citizenship Religion Civil Status Single In a relationship Married Separated Widowed Single with live-in partner

III. GOVERNMENT BENEFITS INFORMATION

SSS TIN IV.

SSS UMID PAGIBIG / HDMF V.

PHILHEALTH LICENSE/S VI.

IV. EDUCATIONAL INFORMATION

Educational Level School and Address Degree Earned Inclusive Dates Achievements / Awards /
Affiliations
Primary

Secondary

Tertiary

Masteral

Special Course/s

Special Skills / Trainings Languages / Dialect written and / or spoken

Government / Licensure Examinations Date Taken Rating Machine / Equipments / Software used and Mastery Level
(1 ist the lowest and 5 is the highest)

V. EMPLOYMENT INFORMATION (Start with present or latest employment)

Company Name and Address Position Inclusive Dates Salary & Benefits Immediate Superior Reason/s for leaving

May we inquire from your previous / present employer? YES NO

Do you have any pending applications (Local and Abroad)? YES NO
VI. PRESENT OR LATEST COMPENSATION PACKAGE (at least from the last 2 employers)
Company: Allowance/s HMO / Insurances Incentives | Commissions | Bonuses Other benefits (please specify):
Basic Salary ___ Leave Credits

Company: Allowance/s HMO / Insurances Incentives | Commissions | Bonuses Other benefits (please specify):
Basic Salary ___ Leave Credits

Document Title Document No Revision No. Effective Date Page No

Application Form HR-REC-02 2 01 MAY 2022 1 of 2
 VI. BACKGROUND REFERENCE (Do not include family and relatives)
NAME COMPANY / POSITION RELATIONSHIP CONTACT DETAILS

VII. FAMILY INFORMATION

RELATIONSHIP NAME AGE OCCUPATION COMPANY / SCHOOL /
EMPLOYER / BUSINESS
Father

Mother

Brothers and Sisters

Spouse / Live-in-Partner
Children

Friends / Relatives working in

Avolution Inc. and sister
companies
VIII. MEDICAL HISTORY
Do you have any present or past medical history which will present consideration as to job assignments? If so indicate the condition.

Have you had any illness, hospitalization / surgical operations or accidents in the past two (2) years? If yes, please specify.

Check any of these conditions you have or had: o Musculoskeletal (scoliosis, fractured bones, disc or joint
o Allergic Disorders (asthma, hay fever, hives) problems)
o Vision Problems (glasses, defects or disease) o Gastrointestinal Problems (ulcer, liver disease, bowel problems)
o Cardiovascular Conditions (elevated blood pressure, anemia, heart
abnormalities)
IX. ESSAY (Please answer the following in not less than 200 words in all)
1. What is the most important thing in your life right now?

2. What was the most difficult situation you have ever been into and how you handle it?

3. What expertise or knowledge can you contribute to this company? Please state your previous achievements if necessary.

I certify that the above written information is true and correct, and I hereby authorize Avolution Inc. to verify above given
information. I understand that any misinterpretation contained herein shall be considered sufficient cause for cancellation of my
application or ground for my dismissal at any time during my employment.

________________________________________________
(Signature over Printed Name and Date

Document Title Document No Revision No. Effective Date Page No

Application Form HR-REC-02 2 01 MAY 2022 2 of 2