Form No.

: HR/F-019
CHARLEX INTERNATIONAL CORPORATION
4F One E-Com Center, Palm Coast Avenue
Mall of Asia Complex, Pasay City

INFORMATION SHEET
Instructions:

1. PRINT all answers 2.WRITE N/A if not applicable 3.Use separate sheet(s)if necessary

Position Applied For Expected Salary Date Available for Employment

Are you willing to work overtime? How did you apply? ___ Walk-in
Yes _____ ___ School Posting ___ Others ____________________________

No _____ ___ Online Job Posting ___ Referred by: ____________________________

PERSONAL
Name

Last Name First Name Middle Name Nickname

Present Address Contact Nos:
Landline
Mobile

Provincial Address Contact Nos:

Landline
Mobile
Email Address

Civil Status No. of Dependents Religion

Date of Birth _____________________________ Tax ID Number ___________________________ Age _________________

Place of Birth _____________________________ SSS Number ___________________________ Gender ___ Male ___ Female

Citizenship _____________________________ PHIC / Philhealth ___________________________ Height _________________

Nationality _____________________________ HDMF / Pag-ibig ___________________________ Weight _________________

RELATIVES / FRIENDS WORKING IN THIS COMPANY

Name Relationship Department Assigned Contact No.

Language / Dialect _________________________ _________________________ _________________________

Spoken Read Written

FAMILY BACKGROUND

Name Date of Birth Occupation Employer / Company / Address Home Address

Father:

Mother:

Spouse:

Brothers/Sisters

Children

PERSON TO BE CONTACTED IN CASE OF EMERGENCY

Name Contact No.

Address Relationship
EDUCATIONAL BACKGROUND

Degree & Major

School / Address Year Begin Year Graduated Honors Received
Field of Study
Post Graduate / Others

Graduate / Special Studies

College

High School

Elementary
Do you have plans to pursue further studies? If YES, when & what course?
 WORK EXPERIENCE

Name/Company/Address of Employer Inclusive Dates Position/Title Last Salary Superior Reason for Leaving

GOVERNMENT EXAMS PASSED

Title/Type of Exams Year Taken Rating

TRAINING / SEMINAR / WORKSHOP ATTENDED

Title of Seminar / Training Inclusive Dates Trainor Venue

ACTIVITIES / AFFILIATIONS / ORGANIZATIONS

Organization Dates Position

OTHERS

Office Machine you can operate

Computer Software

Other Skills

Hobbies / Talent
MEDICAL HISTORY

Blood Type: Vision: Allergies:

Major Disease, Illness, Surgery: X-Ray:
Any Physical Defect:
Sketch to your Residence

I hereby warrant that all my answers to all foregoing questions are true and correct, and that if any of the above information is found to be false or if any of the facts or
circumstances are found to have been misrepresented or concealed, my employment may be terminated at any time.

I agree to sumbit myself, upon request, for physical and medical examination by the company's physician.

HAS A CASE (Whether Civil,Criminal or Administrative) BEEN FILED AGAINST YOU? ____ YES ____ NO
IF YES SO, PLEASE STATE THE PARTICULARS, i.e. nature, when filed, status etc.

Certified True and Correct:

_____________________________________________________ __________________________
Signature Over Printed Name Date Accomplished