BIO-DATA

PERSONAL INFORMATION

Position Desired: ________________________________________ Date: _________________________

Name: ________________________________________________ Nickname: _____________________

Present Address: ______________________________________________________________________

Permanent Address: ____________________________________________________________________

Place of Birth: _______________________________ Contact No(s): _____________________________

Date of Birth: ________________________________ Email Address: ____________________________

Gender: ________________ Age: ____________ Civil Status: __________________________________

Religion: ________________________________ Citizenship: ___________________________________

Language Spoken: _______________ Height: __________________ Weight: ______________________

Name of Spouse: ___________________________________ Occupation: _________________________

Children’s name/s and date of birth:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Father’s Name: ____________________________________ Occupation: _________________________

Mother’s Name: ___________________________________ Occupation: __________________________

Person to be contacted in case of emergency: ________________________________________________

Address: _____________________________________________________________________________

Relationship: ______________________________ Contact No(s): _______________________________

EDUCATIONAL BACKGROUND

Elementary: ___________________________________________ Years Attended: _________________

High School: ___________________________________________ Years Attended: _________________

College: ______________________________________________ Years Attended: __________________

Course/Degree Received: ________________________________________________________________

Skills: _______________________________________________________________________________
EMPLOYMENT RECORD

Name of Company Address Position From - To

CHARACTER REFERENCES

Name Occupation/Position Address Contact No.

Res. Cert. No.: _________________________ Issued at: _____________ on: ____________

SSS Number: _________________________ TIN: _________________________________

NBI Clearance Number: __________________ PhilHealth Number: _____________________

Passport Number: _______________________ Place of Issue:__________________________

Expiry Date: ___________________________

I certify that the above information is true and correct to the best of my knowledge and belief. I also understand that
any misinterpretation will be considered a reason for withdrawing an offer or subsequent dismissal if employed.

____________________________________________

Applicant’s Signature Above Printed Name