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APPLICATION FORM

INSTRUCTIONS
Please attach a copy of the following to this form:

1. Resume
2. Birth Certificate

DATE AND TIME AVAILABLE FOR INTERVIEW: July 12, 2014 @3:00 pm

OTHER COMPANIES YOU HAVE APPLIED TO: None

SALARY EXPECTATION: 15,000

POSITION APPLYING FOR : Sales Associate

Surname : MIJARES
First Name : MAREDEL
Middle Name : BAUTISTA
Nickname : Dhel

Date of Birth : OCTOBER 14, 1983

Place of Birth : SAN AGUSTIN, ROMBLON
Religion : CATHOLIC
Email Address : maredel.mijares14@yahoo.com

Home Address : B-19 L-12&14 P-3 N. Matrixville I Subd., Camarin, Caloocan City
Landline No. : N/A
Cellphone No. : 0925-5046808

Age: 30 Sex: Female Height: 51 Weight: 48 kgs. Civil Status: Single

Name of Spouse : Arvin C. Aquino

Occupation of Spouse : Supervisor
Employer of Spouse : ADSIA Logistics, Inc. (Del Monte Phils.)

WORK SCHEDULE

What date are you available to begin work? As soon as possible.

Are you willing to work weekends and holidays (for store-based employees only)? Yes.
 Are you willing to comply with our No-Leave policy from November 15 to December 31? Yes

ADORA WORK BACKGROUND

Who referred you, if applicable: Jobstreet.

FAMILY BACKGROUND

Do you live in: ( ) Own House ( ) Rented ( X ) With Relatives ( ) Boarding House ( ) Others

Name of Father: Aguinaldo M. Mijares Age: 72 Occupation: Retired Teacher

Address: Bachawan, San Agustin Romblon

Name of Mother: Luzminda D. Bautista Age: 63 Occupation: (deceased)

Address: __________________________________________________________________________

Name of Living Brothers/ Sisters Age Profession Details of Present Employment

June Mijares 41 Teacher Aklan College Kalibo, Aklan
Minaly Marie Mijares 36 Teacher Bachawan Elementary School
Mary Jane Mijares 35 N/A N/A
Lunald Mijares 33 Oiler Safe Air Kalibo, Aklan
Al Nino Mijares 28 Supervisor S&R Shopping Center Taguig

Name of Living Children Sex Age Occupation (state if studying)

Marielle Vienne M. Aquino F 5 Preparatory-BGLMS
Angel Vienne M. Aquino F 3 N/A

Does your family own business? N/A If yes, state the nature of the business: N/A
Name: N/A Address: N/A
What are your other sources of income? N/A
Name/ Address of Banks or other credit institutions with which you have accounts/ loans:
N/A

Are you a credit card holder? NO. If yes, please specify:

Are you a guarantor/ sub guarantor of any credit card? If yes, please specify:

EDUCATION
 From To School Degree
Elementary 1991 1996 Ampid Elementary School Unit-1
High School 1996 2000 Dona Aurora High School (Roosevelt)
College 2002 2006 University of Mindanao Tagum Colleg B.S HRM
Vocational
Post Graduate National University B.S Pharmacy

Government examination taken: Bar N/A Board N/A Civil Service N/A
State nature of examination: N/A
Are you presently enrolled in any school? NO. If so, which school?
What course? Time schedule:

EMPLOYMENT

Start Date: January 2007

End Date: Januay 2012
Employer/Company: Dacema Trading
Position/Job Title: Sales Representative
Name of Supervisor: Michael Kevin Edgar B. Mangao
Contact Information of Supervisor: 0917-3686865
Starting Salary: 10,000
Last Salary: 13,600

Start Date:
End Date:
Employer/Company:
Position/Job Title:
Name of Supervisor:
Contact Information of Supervisor:
Starting Salary:
Last Salary:

REFERENCES

Give three references who know you well, who are not your relatives:

Full Name Employment Info Contact Number

Edgar M. Mangao Businessman 0918-5343736
Manilene Karla B. dela Rosa Philamlife 0919-9666308
Merlie Galit BDO-Quezon City 0929-5637308

ADORA SURVEY
I have always been a fast worker and reliable. I believe that my skills and expertise will allow me to do
the job well and to help your company grow.
RELATIVES IN ADORA RETAIL PHILIPPINES, INC.

Relatives presently connected with Adora Retail Philippines, Inc.

Full Name Position / Department Relationship

RELATIVES IN RETAIL / MANUFACTURING / FASHION

Relatives presently working in the Retail, Manufacturing, or Fashion Industry

Full Name Employer Relationship

I hereby authorize Adora Retail Philippines, Inc. to thoroughly investigate my background, references,
employment record, and other matters related to my suitability for employment. I authorize persons,
schools, my current employer (if applicable), and previous employers and organizations contacted by
Adora Retail Philippines, Inc. to provide any relevant information regarding my current and/or previous
employment and I release all persons, schools, employers of any and all claims for providing such
information. I understand that misrepresentation or omission of facts may result in rejection of this
application, or if hired, discipline up to and including dismissal. I understand that I may be required to
sign a confidentiality and/or non-complete agreement, should I become an employee of Adora Retail
Philippines, Inc. I understand that nothing contained in this application, or conveyed during any interview
which may be granted, is intended to create an employment contract. I understand that filling out this
form does not indicate that there is a position open and does not obligate Adora Retail Philippines, Inc. to
hire me.

July 09, 2014 Maredel Bautista Mijares

Date Signature over Printed Name