APPLICATION FOR EMPLOYMENT

____GUI ____NCI ____OTC ____SCI ____ SFI ____SPI

____EFTI ____SDCI
(For HRGA's Use Only) Directions: Write legibly. Do not leave any item
unanswered. Put N/A on the items that are NOT APPLICABLE.
Applicant Profile
Application Date:
How did you learn about this job opening?
Others (please specify)
Job Fair Walk-in Employee Referral
JobStreet LinkedIn Name of Employee:

Contact Details:

Position Applied For:

First Choice: Second Choice: Third Choice:
Applicant Name: Nickname:
Present Address: Telephone No. :
Permanent Address: Mobile No.:
Email:

Personal Background
Gender: Citizenship: SSS No.:

Civil Status: Height: Tax Identification No.:

Date of Birth: Age: PhilHealth No.:

Place of Birth: Religion: Pag-IBIG No.:

Educational Background
Inclusive Dates From (mm/dd/yy) Graduate? Academic
To (mm/dd/yy)
Name of School Course/ Degree YES/ NO Achievements

High School:
Vocational:
College:
Post Graduate:

Employment History (Start from most recent)

Name of Immediate
Supervisor: Contact no.:
Company Name:
Name of HR
Department Head: Contact no.:

Date hired: Position upon hiring:

Date separated: Position upon separation:
Salary upon hiring: (if currently employed, indicate position):

Salary upon separation: Reason/s for Leaving:

(if currently employed, indicate salary): With Disciplinary Action Record? Yes No
Details (If Yes):

Name of Immediate
Supervisor: Contact no.:
Company Name:
Name of HR
Department Head: Contact no.:

Date hired: Position upon hiring:

Date separated: Position upon separation:
Salary upon hiring: (if currently employed, indicate position):

Salary upon separation: Reason/s for Leaving:

(if currently employed, indicate salary): With Disciplinary Action Record? Yes No
Details (If Yes):
 Name of Immediate
Supervisor: Contact no.:
Company Name:
Name of HR
Department Head: Contact no.:

Date hired: Position upon hiring:

Date separated: Position upon separation:
Salary upon hiring: (if currently employed, indicate position):

Salary upon separation: Reason/s for Leaving:

With Disciplinary Action Record? Yes No
(if currently employed, indicate salary):
Details (If Yes):

Professional License : License Number:

Driver's License (Restriction Code): License Number:
Other Licenses/ Certifications: Date Obtained:

Family Profile
If Single, indicate parents and siblings. If Married, indicate parents, siblings, spouse, and children.
Employment Details
Full Name Relationship Age
Company/ Occupation/ School Position

Other Information
1. Have you ever been involved, charged, or convicted of any of the
following cases?
Criminal Yes No Details

Yes No Details
Civil
Labor case Yes No Details

2. Do you have existing loans or monetary obligations with any bank or financial
institution? If yes, please specify details.

3. Do you have any actual or potential conflict of interest that exists between you and/or
the members of your immediate family (ie. working for competitor or same industry), and
SEAOIL?
If yes, please specify details.

4. Do you have any relatives/friends employed with SEAOIL or its

affiliates? If yes, indicate name and your relationship.

5. Are you suffering from any serious or chronic ailments that may
pose a risk/challenge in performing the job? If yes, please specify
details.

6. Are you willing to be assigned in other locations? Yes No

I hereby certify that all information provided in this form are true and correct to the best of my knowledge. I understand that any omission, false statement, or wrong
information supplied shall be the basis for the rejection of my application or dismissal if discovered subsequent to my start date.

I hereby authorize SEAOIL PHILIPPINES, INC., as well as its affiliates and accredited partners, to obtain relevant information to further evaluate and validate my
personal data through its standard recruitment and selection process (i.e. interview and background investigation).

Name Date
Signatture
CTAAC_F_001_091422_Rev.
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