EMPLOYEE INFORMATION SHEET

1. Complete this form correctly.

2. All sections are to be filled if applicable, NA if not.
PERSONAL PARTICULARS

FULL NAME
(Last Name, Given Name, Middle Name) Robert Renan Maata
PERMANENT ADDRESS

Bl
k11 l
ot 170 sub urban brgySan Jose RodriguezRizal
MAILING ADDRESS (if different from abo ve) Home Phone Number:

Mobile Number:
09513300309
E-MAIL ADDRESS: NATIONALITY: SEX:
rr.maata@ gmail
.com FIl
ipino Mal
e
DATE OF BIRTH: PLACE OF BIRTH: RELIGION:
October 26,1993 Manil
a Roman Cathol
ic
SSS: TIN: PHILHEALTH:
3448645765 461-659-137-000 01-025665131-4
PAG IBIG: MARITAL STATUS: TAX STATUS:
1211-5000-8126

EDUCATION (please state with most recent)

NAME OF INSTITUTION FROM/TO QUALIFICATION OBTAINED

CentralCol
leges ofthe Phil
ippine B.S El
ectronics Engineering

WORK EXPERIENCE (begin with the present or most recent employment)

NAME OF COMPANY NATURE OF BUSINESS FROM/TO POSITION HELD SALARY DRAWN

1
Metrotel
works Inc Tel
ecom 2018-2023 DriveTest Engineer

;lREASON FOR LEAVING

REASON FOR LEAVING

REASON FOR LEAVING

REFERENCES (Not immediate family members, who we may verify information)

NAME OCCUPATION CONTACT (email/telephone) YEARS KNOWN

Jeramae Dumaual CSR 09652635575 7

Employee Information Sheet | 24-7 Intouch PH | U.P. Town Center, Phase II, 3/F Corporate Tower, Katipunan Ave., Diliman, Quezon City

Please give details of any relatives or friends currently under the employment of 24/7 Intouch

NAME OF FRIENDS/RELATIVES POSITION HELD RELATIONSHIP

Raymond Carl
o Maata CSR Brother

FAMILY PARTICULARS (please state clearly the particulars of your immediate family)

NAME RELATIONSHIP OCCUPATION AGE

Rainero Maata Father 57

Nonita Maata Mother 55

Sister 31
Reah Ann Maata

Ryan JayMaata Brother 33

Raymond Carl
o Maata Brother 27

IN CASE OF EMERGENCY:

NAME: RELATIONSHIP: CONTACT NUMBER:

Nonita Maata Mother 09392826972
ADDRESS:
Same as mine

Please answer the following questions (put a check mark)

YES NO If “YES”, please elaborate

1. Do you have any illness or physical disability?

/
2. Have you ever been convicted of any criminal offense?
/

3. Do you have any military obligation?

/

4. Are you currently pregnant? (For female only)

I hereby declare that to the best of my knowledge and belief, the information given in this application is correct. I also understand that if it
is subsequently disclosed that I have willfully given incorrect information or withheld information, my application will be disqualified or if I
have been appointed, the company may terminate my employment with immediate effect.

________________________________________________
SIGNATURE OF EMPLOYEE / DATE

Employee Information Sheet | 24-7 Intouch PH | U.P. Town Center, Phase II, 3/F Corporate Tower, Katipunan Ave., Diliman, Quezon City