PERSONAL DATA SHEET

(For Merchandisers / Promo Personnel)

Please do not leave any space blank, write "none" or "not applicable" for no entries. Use black or blue ballpen only. Write check (/)mark on applicable box.

GENERAL INFORMATION
SURNAME FIRST NAME MIDDLE NAME

PERMANENT ADDRESS

DATE OF BIRTH AGE HEIGHT GENDER RELIGION

□ Male □ Female

□ DIRECT HIRE □ UNDER AGENCY

VENDOR NAME NAME OF AGENCY
FAMILY BACKGROUND
NAME RELATIONSHIP BIRTHDAY

NAME OF RELATIVES WORKING IN WALTERMART, SM, RELATIONSHIP

ABENSONS GROUP (IF ANY) / BRANCH

PERSON TO NOTIFY IN CASE OF EMERGENCY RELATIONSHIP

EDUCATIONAL BACKGROUND
LEVEL SCHOOL ATTENDED YEAR COMPLETED
HIGH SCHOOL
COLLEGE / VOCATIONAL
WORK EXPERIENCE
POSITION COMPANY DATE

HAVE YOU EVER WORKED IN ANY SUPERMARKET / DEPARTMENT STORE? □ NO

HAVE YOU EVER BEEN CONVICTED OF ANY CRIME? □ NO

HAVE YOU EVER BEEN HOSPITALIZED? □ NO

HAVE YOU EXPERIENCED OR STILL EXPERIENCING ANY PHYSICAL HEALTH PROBLEM? □ NO

PLEASE INDICATE IDENTIFYING MARKS IF ANY (BIRTH MARK/TATTOO/SCAR/ MOLE/ SURGICAL SCAR)

OATH OF UNDERTAKING

I understand that any misinterpretation, falsification or any omissiion of facts of what ever nature of this information sheet shall be sufficient ground for non-eligibility at any

time during my assignment in this company

NAME AND SIGNATURE OF APPLICANT / DATE OF APPLICATION

 1" x 1" Picture

ble box.

NICKNAME

MOBILE NUMBER
PHONE NUMBER
CIVIL STATUS
□ Single □ Married □ Separated

VENDOR / AGENCY CONTACT NUMBER

OCCUPATION

POSITION

CONTACT NUMBER

COURSE

REASON FOR LEAVING

□ YES (GIVE DETAILS)

□ YES (GIVE DETAILS)

□ YES (GIVE DETAILS)

□ YES (GIVE DETAILS)

d for non-eligibility at any