FOR HRG USE ONLY

TEST RESULTS Date of Exam: _______________________

Overall Score (O): ____________________________________
Cognitive Ability (R&F): ________________________________
HR INTIAL INTERVIEW RESULT: _______________________
APPLICATION FOR EMPLOYMENT Interviewer/s: ________________________________________

PERSONAL
NAME (Last) (First) (Middle Name)

PRESENT ADDRESS (House No., Street, Barangay/Village/District,City,Province) PHONE NO.

MOBILE NO.
2"x2"
PROVINCIAL ADDRESS (House No.,Street, Barangay/Village/District,City/Province) PHONE NO. Picture

MOBILE NO.

OFFICE ADDRESS EMAIL ADDRESS

SEX AGE (Optional) DATE OF BIRTH (Optional) PLACE OF BIRTH HEIGHT WEIGHT CITIZENSHIP PHYSICAL LIMITATIONS

CIVIL STATUS NAME OF SPOUSE (Write N/A if not applicable) NO. OF CHILDREN [ ] RENT HOME [ ] OWN HOME
[ ] LIVING WITH RELATIVES [ ] BOARD
PERSON TO CONTACT IN CASE OF EMERGENCY RELATIONSHIP ADDRESS and PHONE NO. RELIGION (Optional)

ARE YOU RELATED TO ANY EMPLOYEE OF PNB OR ALLIED BANK WITHIN THE 2nd CIVIL DEGREE OF CONSANGUINITY OR AFFINITY?
[ ] YES [ ] NO. IF YES, PLS. INDICATE NAME AND RELATIONSHIP.

HAVE YOU TAKEN EXAMS IN PNB BEFORE? [ ] YES [ ] NO IF YES, WHEN?

HAVE YOU EVER BEEN EMPLOYED IN PNB BEFORE? [ ] YES [ ] NO. IF YES, WHEN AND WHERE?

HAVE YOU BEEN CHARGED WITH AND/OR CONVICTED OF ANY CRIMINAL/ADMINISTRATIVE OFFENSE? [ ] YES [ ] NO IF YES, PLEASE EXPLAIN.

HAVE YOU EVER BEEN DISCHARGED OR FORCED TO RESIGN FROM ANY POSITION? [ ] YES [ ] NO
IF YES, GIVE DETAILS.

Do you have any CREDIT CARD or ANY LOANS (i.e. Auto, Housing or Personal Loans, SSS, PAG-IBIG, or GSIS) that are past due or under restructured
arrangement? [ ] YES [ ] NO IF YES, PLEASE PROVIDE DETAILS.

HAVE YOU HAD ANY SERIOUS ILLNESS / DISEASE, HOSPITALIZATION OR ACCIDENT? [ ] YES [ ] NO
IF YES, PLEASE EXPLAIN.

AT PRESENT, DO YOU HAVE ANY HEALTH CONCERNS? IF YES, PLEASE PROVIDE DETAILS.

EDUCATION
DATES ATTENDED GRADUATED ACADEMIC
NAME AND LOCATION OF SCHOOL DEGREE RECEIVED / COURSE
FROM TO YES NO AWARD/S

ELEMENTARY

HIGH SCHOOL

SENIOR HIGH
SCHOOL

COLLEGE /
UNIVERSITY

MASTER'S
DEGREE

LIST OF EXTRA-CURRICULAR ACTIVITIES/AFFILIATIONS WITH OTHER GROUPS

LANGUAGES/DIALECTS SPOKEN

GOVERNMENT EXAMINATION/S PASSED

TYPE OF EXAMINATION DATE/PLACE TAKEN RATING OBTAINED

SEMINARS ATTENDED

HOBBIES AND INTERESTS

CAREER
POSITION/S PREFERRED SALARY DESIRED DATE AVAILABLE FOR EMPLOYMENT

WHAT TYPE OF WORK DO YOU PREFER?

ARE YOU WILLING TO BE ASSIGNED IN THE PROVINCE? [ ] YES [ ] NO. IF YES, WHERE?

ARE YOU ALLOWING US TO SHARE YOUR PERSONAL DATA WITH OUR SUBSIDIARIES? [ ] YES [ ] NO

CONFIDENTIAL
 WORK
Give information regarding present and former employment. Indicate by "X" mark, whether position was full-time or part-time.
ATTACH supporting papers or documents
Current or Full-time
NAME AND ADDRESS OF EMPLOYER DATES Previous Rank
POSITION/NATURE OF WORK SALARY REASON FOR LEAVIN
Part-time
Present or last employer From: At Employment

To: At Leaving

Second Last From: At Employment

To: At Leaving

Third Last From: At Employment

To: At Leaving

Fourth Last From: At Employment

To: At Leaving

Fifth Last From: At Employment

To: At Leaving

FAMILY
NAME AGE COMPANY/POSITION CURRENT HOME AD
Father

Mother

Spouse

Brothers

Sisters

Children Name Date of Birth Name

REFERENCE
FRIEND/S EMPLOYED AT PHILIPPINE NATIONAL BANK, IF ANY:
NAME CONTACT NO. POSITION / DIVISION OR BRANCH

REFERRED BY: RELATIONSHIP TO REFERRER:

NAME CONTACT NO.

LIST THREE PERSONAL REFERENCES (NOT RELATIVES)

NAME OCCUPATION COMPLETE ADDRESS/CONTACT NUMBER

I CERTIFY THAT ALL ABOVE INFORMATION ARE TRUE AND CORRECT. LIKEWISE, I HEREBY AUTHORIZE PHILIPPINE NATIONAL BANK OR IT
AUTHORIZED REPRESENTATIVE TO VERIFY ANY INFORMATION IN RELATION TO THIS APPLICATION.
I UNDERSTAND THAT ANY FALSE INFORMATION GIVEN IN THIS APPLICATION SHALL BE SUFFICIENT CAUSE FOR THE TERMINATION OF MY
EMPLOYMENT. FURTHER, THE BANK RESERVES THE RIGHT TO RETAIN YOUR DATA WHEREVER SITUATED, IN ACCORDANCE WITH PNB'S RETEN
POLICY OR IF PNB IS REQUIRED TO DO SO BY APPLICABLE LAWS AND REGULATIONS.

SIGNATURE OVER PRINTED NAME DATE

Revised:11/07/2023

CONFIDENT
 REASON FOR LEAVING

CURRENT HOME ADDRESS

Date of Birth

ION OR BRANCH

O REFERRER:

NO. OF
RESS/CONTACT NUMBER YEARS
KNOWN

NE NATIONAL BANK OR ITS

THE TERMINATION OF MY
ANCE WITH PNB'S RETENTION

DATE

CONFIDENTIAL