-ADSIA LOGISTICS INC

Blk.3 Lt. 3A Cebu Light Industrial Park,

Basak, Lapu-lapu City, Cebu
Tel No. 642-7849 Application for Employment
www.adsialog.com

PERSONAL BACKGROUND
Last Name First Name Middle Name Nickname

Present Address Email:

Provincial Address Mobile No./s PHOTO

Date of Birth Place of Birth Nationality Religion

(MM/DD/YYYY)

Civil status Sex SSS Number Philhealth Number Height (ft.)

( ) Single ( ) Female
( ) Married ( ) Male TIN Number Pag-ibig Number Weight (lbs.)
Others: __________
Name of Spouse Date of Birth (MM/DD/YYYY) Position/Employer/Address

Names of Children Date of Birth (MM/DD/YYYY) Position/Employer or School/Address

Name of Parents Date of Birth (MM/DD/YYYY) Position/Employer/Address

Father
Mother

Name of Siblings Date of Birth (MM/DD/YYYY) Position/Employer or School/Address

If parents are unemployed, what is the family source of income?

Contac Person in case of emergency Relationship Address

Contact No./s:
How did you learn of the job opening? Do you have relative/s employed with us?
( ) Job AD ( ) Relative/s ( ) YES, if yes write the name, position and degree of relationship ( ) NO
( ) Friend/s ( ) Student/s

Others: _________________________________ _________________________ ________________________ ___________________

Name Position Relationship
EDUCATIONAL BACKGROUND
LEVEL
School Name/ Address Course/ Degree Inclusive School Year Honors/Received
Post Graduate

Graduate

Tertiary

Secondary

Primary

Others

BAR/Board/Government Exam Taken Rating Licensure No. Place/ Date Exam Taken
 EMPLOYMENT BACKGROUND
Position Company Name, Address, Telephone Number/s Inclusive Date of Latest/ Last Pay
Employment (Fr-To)

Job Summary / Scope of Responsibilities Reason for Leaving

Position Company Name, Address, Telephone Number/s Inclusive Date of Latest/ Last Pay
Employment (Fr-To)

Job Summary / Scope of Responsibilities Reason for Leaving

Position Company Name, Address, Telephone Number/s Inclusive Date of Latest/ Last Pay
Employment (Fr-To)

Job Summary / Scope of Responsibilities Reason for Leaving

Do you have any pending loans (SSS, Paigibig)?

CHARACTER REFERENCES
Name Position Company / Address Telephone No/s

I HEREBY DECLARE THAT THE ANSWERS GIVEN ARE TRUE AND CORRECT.IN THIS CONNECTION,
I HEREBY AUTHORIZE ANY COMPANY REPRESENTATIVE TO VERIFY / VALIDATE THE CONTENTS STATED
HEREIN AND I AGREE THAT FOR ANY FALSE ANSWER STATED IN THIS FORM, THE COMPANY MANAGEMENT
HAS THE RIGHT TO TERMINATE ME FROM SERVICE.

_________________________________________________ ___________________________
Applicant’s signature (over printed name) Date Accomplish
(Continue on separate sheet if necessary)

POSITION:

EXPECTED SALARY:

1) How do you describe yourself? (Paano mo ilarawan ang iyong sarili?)

2) How have your previous positions prepared you for this one? (Papaano ka nahanda ng nakaraan mong trabaho
para sa posisyong ito?)

3) Tell us about your interpersonal skills. (Magdetalye kung paano ka nakikisalamuha sa ibang tao.)

4) Why do you want to work with ADSIA? (Bakit gusto mong magtrabaho sa ADSIA?)
 ADSIA LOGISTICS INC
Blk.3 Lt. 3A Cebu Light Industrial Park, New Employee
Basak, Lapu-lapu City, Cebu
Tel No. 642-7849
www.adsialog.com
Information and Checklist

Are you related by consanguinity of affinity to any employee in the company?

( ) yes ( ) no
If “YES” give particulars: ___________________________________________________________
___________________________________________________________________________
Have you ever been charged or convicted to any crime for violation of any law degree ordinance?
( ) yes ( ) no
If “YES” give particulars: ___________________________________________________________
___________________________________________________________________________
Have you been confined to a hospital?
( ) yes ( ) no
If “YES” give particulars: ___________________________________________________________
___________________________________________________________________________
Have you ever tried taking any prohibited drugs?
( ) yes ( ) no
Have you ever retired been force to resign or dropped from employment in the public or private sector?
( ) yes ( ) no
If “YES” give particulars: ___________________________________________________________
___________________________________________________________________________