QF-RECR-35/Rev. 00/07.20.

15

Attach a
1x1 ID picture
with printed
name at the
back.

APPLICATION FOR EMPLOYMENT

Please type or print legibly. Do not leave blanks.

Indicate N/A if not applicable.
Important: Attach updated resum, photocopy of transcript and diploma, copy of CSC eligibility/Board/Bar rating
1st
choice:

Position Applied For:

2nd
choice:

3rd
choice:

Bureau/ Division:
Date Available for Work: Expected Monthly
Salary:

How did you hear of our vacancy?

Newsprint

DTI Publication

Walk in

Referred by:

Others:

__________

___________

PERSONAL INFORMATION
(Last Name)

(First Name)

(Middle Name)

Present Address

Maiden Name (if married)

Mobile Number
Home Number

Permanent Address

Office Number
Email Address

Age

Sex

Name of Spouse

Birthdate

(mm-dd-yyyy)

Place of Birth

Occupation of Spouse

Are you presently or have been employed by

DTI or any DTI agencies?
YES

Civil Status

Citizenship
Filipino

No. of Children

TIN
Non-Filipino

Person to contact in case of emergency

If Yes, indicate latest position held and Bureau/

Division

Membership in Organization/s:

NO

Non-Academic Recognition/s:

EDUCATION
Please attach copy of transcript of records and diploma.
Course / Degree / Major
Year
Name of School / Address
(If undergraduate, indicate number
Graduated
of units)

Level

Blood Type

Are you willing to accept Provincial

Assignment?
YES

NO

Hobbies/ Special Skills:

Dual Citizenship
Contact No.

Honors / Awards

Graduate/ Post
Graduate
College
High School
Others

EMPLOYMENT RECORD
Starting with your present post, list in reverse order every employment you have had. Use additional sheets if necessary.

Inclusive Dates (MM-DD-YY)

From

Page 1 of 2

To

Position (Write in Full)

Status of
Employment

Employer / Location

Monthly
Salary

Reason for Leaving

QF-RECR-35/Rev. 00/07.20.15
CIVIL SERVICE ELIGIBILITY / PROFESSIONAL EXAMINATION/S PASSED
Please attach authenticated copy of CSC eligibility/Board/Bar rating.
Name of Examination

Rating / Grade

Date of Examination (MM-DD-YY)

Place / Conferment

RELEVANT TRAINING PROGRAMS ATTENDED

Please attach certificate of relevant trainings. Use additional sheets if necessary.

Inclusive Dates (MM-DD-YY)

From

Full Title of Seminar/ Course

To

Organized/Sponsored by

Number
of Hours

HR Remarks (do not fill this up)

FAMILY BACKGROUND

Use additional sheets if necessary.

Name of Parents

Age

Address

Occupation/Employer

Name of Brothers and Sisters

Age

Occupation/Employer

Civil Status

Name of Dependents

Age

Relationship

Date of Birth

Father
Mother

ADDITIONAL INFORMATION

1. Have you taken the DTI pre2. Have your ever been convicted of any crime or
employment test at the Head Office or violation of any law, ordinance or regulation by any
any Branch Office before?
court or tribunal (excluding minor traffic violations)?
YES

NO

If yes, provide details: ___________

______________________________

YES

3. Have you ever been a

candidate in a national or
local election?

NO

YES

If yes, provide details: ______________________

_________________________________________

NO

If yes, provide details:

__________________

REFERENCES
List three persons, not related to you, who are familiar with your character and qualifications
Full Name

Address

I certify that the information on this record is true, that I have withheld
nothing from the company. Any false information contained herein may serve
as grounds for cancellation of my application or dismissal in case I am
employed. This likewise serves as an authorization to conduct investigation on
my personal background.

Contact Details (Cellphone/Email)

Signature over Printed Name

Date Signed

The Department of Trade and Industry is committed to a policy of equal employment opportunity pursuant to
Approved DTI Revised Merit Selection Plan, 2002. We welcome all applications regardless of gender, age, sexual
orientation, disability, ethnicity and religion. Personal data will be treated in strict confidence and used for
recruitment purposes only.

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