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PROMO
Keyman Form – Land Based
Personal Data
Name
*
Present Address
*
Civil Status
*
Prov'l Address
Citizenship
*
E-mail Address
*
Religion
Mobile Number
*
Blood Type
Place of Birth
*
Height (ft/in)
Date of Birth
*
Weight (kg)
Family Data
Name of Spouse
Occupation
Home Address
Company
Place of Birth
Company Address
Date of Birth
Office Telephone Number
Children
Child
Name
Birth Date
Age
Place of Birth
Occupation
Company
Name of Father
*
Home Address
*
Place of Birth
*
Date of Birth
*
Occupation
*
Company
Company Address
Office Telephone Number
Name of Mother
*
Home Address
*
Place of Birth
*
Date of Birth
*
Occupation
*
Company
Company Address
Office Telephone Number
Siblings Birth Order
Eldest to Youngest - including yourself
Sibling
Name
Birth Date
Occupation
Company
Educational Background
Elementary
School / Address
*
Years Attended
*
Honors Received
Degree Earned
Secondary
School / Address
*
Years Attended
*
Honors Received
Degree Earned
Collegiate
School / Address
Years Attended
Honors Received
Degree Earned
Graduate
School / Address
Years Attended
Honors Received
Degree Earned
Vocational
School / Address
Years Attended
Honors Received
Degree Earned
Other
School / Address
Years Attended
Honors Received
Degree Earned
Medical History
Indicate Medical History in the space provided below, type NONE if not applicable:
Allergies
Cardiovascular Problems
Gastrointestinal Problems
Personal/Family History of Mental Disorder
Vision Problem
Respiratory Problem
OTHERS that are not listed above
Please answer YES or NO:
Do you smoke (cigarette or tobacco)?
Yes
No
Do you drink alcohol?
Yes
No
Have you undergone any operation?
Yes
No
Government Exams Taken
Exam
Examination
Date
Place
Rating
Work Experience
Begin with the most recent employment
Employment
From
To
Company
Address
Telephone Number
Salary
Job Position
Reason for Leaving
Salary Expectation
*
1. Which job did you enjoy the most? Why?
2. Was there anything that you particularly dislike about any of your jobs? Why?
3. Give at least three reasons why GS should hire you. What values can you add to the company?
4. What are your expectations from GS?
Important Training and Seminars Attended
For the last 5 years
Training / Seminar
Year
Title of the Seminar / Training
Venue
Character References
Immediate Head/s and or HR Manager/s of previous companies
Reference
Name
Company / Organization
Contact Number
Position
Relation
Other Information
Strengths
Areas for Improvement
What is your personal Mission Statement?
Skills attained over the past year
Languages / Dialect Spoken
Do you have family / families living in the province?
Yes
No
Do you have plans to go abroad in the future?
Yes
No
Local Travels
Foreign Travels
Are you acquainted with anyone in the company?
Yes
No
If so, who?
Relationship
Have you ever been charged or convicted of any criminal, civil and/or administrative case?
Yes
No
If yes, please indicate below:
Have you ever filed any criminal, civil and/or administrative case against an individual or an organization?
Yes
No
If yes, please indicate below:
SSS No.
HDMF No.
Philhealth No.
TIN
Certification and Waiver
I hereby certify that the above information are true and correct. Any misinformation, misrepresentation or non-disclosure of facts would be sufficient cause for the termination of my services with the company.
Date
Proceed with Application
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Personal Data
First Name
Middle Name
Last Name
Nickname
Middle Name
Last Name
Nickname
Present Address
Present Address
Civil Status
Civil Status
Provincial Address
Provincial Address
Citizenship
Citizenship
Email Address
Email Address
Religion
Religion
Mobile Number
Mobile Number
Blood Type
Blood Type
Place of Birth
Place of Birth
Height
Height
Date of Birth
Date of Birth
Weight
Weight
Family Data
Name of Spouse
Name of Spouse
Occupation
Occupation
Home Address
Home Address
Company
Company
Place of Birth
Place of Birth
Company Address
Company Address
Date of Birth
Date of Birth
Office Tel. No.
Office Tel. No.
CHILDREN
Name
Birthdate
Age
Place of Birth
Occupation
Company
Name of Father
Name of Father
Name of Mother
Name of Mother
Home Address
Home Address
Home Address
Home Address
Place of Birth
Place of Birth
Place of Birth
Place of Birth
Date of Birth
Date of Birth
Date of Birth
Date of Birth
Occupation
Occupation
Occupation
Occupation
Company
Company
Company
Company
Company Address
Company Address
Company Address
Company Address
Office Tel. No.
Office Tel. No.
Office Tel. No.
Office Tel. No.
SIBLINGS BIRTH ORDER (Eldest to Youngest-including yourself)
Name
Birthdate
Occupation
Company
Educational Background
Level
School / Address
Years Attended
Honors Received
Degree Earned
Elementary
School / Address
Years Attended
Honors Received
Degree Earned
Secondary
School / Address
Years Attended
Honors Received
Degree Earned
Collegiate
School / Address
Years Attended
Honors Received
Degree Earned
Graduate
School / Address
Years Attended
Honors Received
Degree Earned
Vocational
School / Address
Years Attended
Honors Received
Degree Earned
Other
School / Address
Years Attended
Honors Received
Degree Earned
Medical History
Indicate Medical History in the space provided below,
type NONE if not applicable:
Please answer YES or NO:
Allergies
Allergies
Do you smoke (cigarette or tobacco)?
No
Cardiovascular Problems
Cardiovascular Problems
Do you drink alcohol?
No
Gastrointestinal Problem
Gastrointestinal Problem
Have you undergone any operation?
No
Personal/Family History of Mental Disorder
Personal/Family History of Mental Disorder
Vision Problem
Vision Problem
Respiratory Problem
Respiratory Problem
OTHERS that are not listed above:
OTHERS that are not listed above
Government Exam Taken
Examination
Date
Place
Rating
Work Experience
(Begin with the most recent employment)
From-To
Company
Address
Tel. No.
Salary
Job Position
Reason for Leaving
Salary Expectation
Salary Expectation
1. Which job did you enjoy the most? Why?
2. Was there anything that you particularly dislike about any of your jobs? Why?
3. Give at least three reasons why GS should hire you. What values can you add to the company?
4. What are your expectations from GS?(Answer Below)