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  U-BIX CORPORATION
  Application Form
PERSONAL INFORMATION
The field with a red asterisk(*) is required
Please tell us where you heard about this position:
others, please specify

Position applied for: Date:  (mm/dd/yyyy/)

Complete Name:

* Last
* First
* Middle (in full)
Nickname

Birthdate: (must be between 21-40 years old)

Sex    Male Female
Religion
Civil Status
Citizenship
TIN
SSS No.

Present Address:

House No. & Street
Subdivision/Barangay
Town/Municipality
City/Province
* Telephone No.
Mobile No.

Provincial Address:

House No. & Street
Subdivision/Barangay
Town/Municipality
City/Province
Telephone No.

* Email Address:
FAMILY BACKGROUND
Spouse's Information:

Name
Address
Nationality

Father's Information:

Name
Address
Nationality

Mother's Information:

Name
Address
Nationality

Children:

  Name  Age
 
 
 
 
 
 

EDUCATIONAL BACKGROUND
  SCHOOL YEARS ATTENDED
(from-to)		 DEGREE EARNED
Elementary
* Highschool
* College
Graduate School
Special Course

Goverment Licensure exams taken Date Taken
(mm/dd/yyyy)		 Rating(%)

EMPLOYMENT RECORD
Employment name, address & tel no. Position/s
 Date Employed
(mm/dd/yyyy) -
(mm/dd/yyyy) 		Salary
(Starting salary -
salary upon leaving) 		Reason/s for leaving

SPECIAL SKILLS
(Please include languages or dialects spoken)


OTHER INFORMATION
Do you have any friends/relatives employed in the office machines industry?
    No Yes, Name/s and Degree of relation
How about in the furniture industry?
    No Yes, Name/s and Degree of relation
Have you been accused of any crime?
    No Yes, Details
Are you willing to be relocated within the country?
    No Yes, Where
How soon can you start working if hired?
What is your minimum pay expected? (in pesos)
Why should you be hired by U-BIX Corporation and what do you expect in return?
Comments
CONFIRMATION
I hereby confirm that the mere filing of this form does not obligate the company to hire my services. I understand that if am hired, this application and I have stated herein shall form part of my 201 file.

I hereby affirm that the information given in this record is true and correct to the best of my knowledge and that i have not withheld anything which would affect my employment with the Company. Any willful representation or material omission by me in this form shall be valid ground for my dismissal for cause?

I hereby authorize U-BIX Corporation to investigate the accuracy and completeness of information contained herein as may be necessary for the purpose of considering me for employment.




  

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October 13, 2008
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