APPLICATION FOR EMPLOYEMENT

VISUAL MIX, INC.

708 Cityland 10 Tower 2, H. V. dela Costa St
Makati City

Name:______________________________________________ Date Applied________________

Last Given Middle
Position Applied: __________________________________ Desired Salary: ______________

PERSONNAL DATA

Date of Birth: _______________ Age: _________________Place of Birth_____________________

Height:____________________ Weight:________________Complexion______________________
SEX ( )M ( ) F Civil Status ( ) Single ( ) Married ( )
Widower/Separated
Residence Cert. No. ______Date\Issued_______________Place Issued:______________________
SSS No.: ___________________ Date of Coverage__________TIN:__________________________
Valid Driving License( if any) ( ) Non-Professional ( ) Professional

Present Address: _________________________________________Tel.No____________________

Permanent Address: ______________________________________Tel. No.___________________

Name of nearest relative/neighbor who has telephone: ____________Tel. No.

__________________

Person to notify in case of

emergency:__________________________Relationship______________

Address: ________________________________________________Tel. No.___________________

INFORMATION REGARDING MEMBERS OF THE FAMILY

Relationship Name Age Occupation Office Address
Father
Mother
Brothers &
Sisters

Spouse Name:_______________________________________ Date of Marriage_______________

Spouse’s Occupation: ________________________________ No of Children: ________________
Name of Children Date of Birth Age
Application for Employment
Page 2

Who referred you to us? __________________________________. Do you have relative/friend

employed with Booksale ? ____/YES/_____/NO/ If yes pls specify name _________________

REFERENCES OTHER THAN RELATIVES AND/OR PREVIOUS EMPLOYERS

Name Occupation Address Tel No.

Hospitalization within the past five (5) years?( ) YES( ) NO

If yes, please specify:________________________________________________________________

EDUCATIONAL BACKGROUND

Inclusive Date
Name of School Location Fr. To Degree
Postgraduate/

College/

University

Vocational

Technical

Secondary
Primary

SPECIAL SKILLS:
( )Typing ( ) Stenography ( ) Computer Operations ( ) Others:
__________________

EMPLOYEMENT RECORD: List down first your most recent employment

Employment Period
From To Company Name Address Position Salary

Page 3 Application for Employment

Brief job function related to your most recent employment:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________

Have you ever been discharge or requested to resign from any position? ( ) yes ( ) no If YES pls explain
____________________________________________________________________________

Have you ever been arrested or convicted of nay crime? ( ) yes ( ) no If so, please tell the nature of the
case: _________________________________________________________________________

While under our employ, will you simultaneously be employed in any other company? ( ) yes ( ) no

Do you owe anything to a present or past employer? ( ) yes ( ) no If so, please give particulars:
_________________________________________________________________________

SKETCH OF PRESENT ADDRESS

STATEMENT:

I hereby certify that all the answers and statements in the Application for Employment are true and correct. Any
intentional misrepresentation made herein shall render my application null and void or shall mean immediate
dismissal from employment.

______________________
Signature of Applicant

______________________
Printed Name of Applicant