APPLICATION FORM

I. PERSONNEL INFORMATION
Full Name: ______________________ ______________________ ______________________
Last First Middle

Preferred Name: ______________________________________ Gender: Male / Female

Citizenship: _____________________ Religion: ______________________

Permanent Address:

_____________________________________________________________________________

Correspondence Address: (if different from above address)

_____________________________________________________________________________

Contact No. & e-mail Address:

Home: ________________ Office: ________________ Mobile: _________________

E-mail Address: ___________________________________

Place & Date of Birth: ___________________________________

Martial Status

Married Single Divorced Number of Children(s): _____________________________

II. POSITION

Have you previously applied for a position in our Agency?

Yes No Person(s) seen: ________________ Date: _______________

Results of application: _______________________________

III. FAMILY RELATED DATA

Do you know anyone in Ogilvy & Mather?

Yes No Name of the Person(s): _____________________________

Who referred you to us? ________________________________________________

NAME OCCUPATION EMPLOYER

Father
Mother
Spouse
Child
Child
Child

Brother/Sister
Brother/Sister
Brother/Sister
Brother/Sister
Brother/Sister

IV. EDUCATIONAL BACKGROUND

High School or equivalent:

School Name: ________________________________________

Location: ____________________________________________

Period Attended (year): ______________ to _______________

Undergraduate/College/Diploma:

Institution Name: ________________________________________

Location: ____________________________________________

Period Attended (year): ______________ to _______________

Major: _______________________________ Degree Earned: ____________________________

Average Grade: _______________________________________

Graduate/Post Graduate:

Institute Name: ________________________________________

Location: ____________________________________________

Period Attended (year): ______________ to _______________

Major: ________________________________ Degree Earned: ____________________________

 Average Grade: _______________________________________
V. EMPLOYMENT RECORD

Current/Last Employer: _______________________ Nature of Business: ______________________

Position Title: ______________________________ Supervisor’s Name: ______________________

Address: __________________________________ Phone No.: _____________________________

Working Period: ____________________ to ______________________

Reason for leaving: _________________________________________________________________

_________________________________________________________________________________

Current Salary: _____________________________

Facilities or Benefits: ________________________________________________________________

__________________________________________________________________________________

May we contact your employer? Yes No

Please describe your position using an organization chart to show your position in current employment.

Previous Employer: _________________________ Nature of Business: ______________________

Position Title: ______________________________ Supervisor’s Name: ______________________

Address: __________________________________ Phone No.: _____________________________

Working Period: ____________________ to ______________________

Reason for leaving: _________________________________________________________________

Facilities or Benefits: ________________________________________________________________

__________________________________________________________________________________

May we contact your employer? Yes No

Please describe your position using an organization chart to show your position in previous employment.
 Previous Employer: _________________________ Nature of Business: ______________________

Position Title: ______________________________ Supervisor’s Name: ______________________

Address: __________________________________ Phone No.: _____________________________

Working Period: ____________________ to ______________________

Reason for leaving: _________________________________________________________________

_________________________________________________________________________________

Facilities or Benefits: ________________________________________________________________

__________________________________________________________________________________

May we contact your employer? Yes No

Please describe your position using an organization chart to show your position in previous employment.

If offered by our Agency:

Earliest Available Date: __________________

Expected Salary : __________________

VI. AFFILIATIONS (Educational, Social/Sport Community or Professional Organizations)

NAME OF ORGANIZATION POSITION DATE OF MEMBERSHIP

Affiliation 1
Affiliation 2
Affiliation 3
Affiliation 4

VII. CHARACTER REFERENCES

(please specify at least 2 for reference check)

Name Contact No. Relationship

VIII. OTHERS

Language Ability (Spoken/Written)

Native Language: _____________________________

Other Language:

1. ____________________________ Written: Excellent Good Fair

Spoken: Excellent Good Fair

2. ____________________________ Written: Excellent Good Fair

Spoken: Excellent Good Fair

Technical/Computer Skills:

______________________________________________________________________________________

Professional certificates, designations or significant achievements:

______________________________________________________________________________________

______________________________________________________________________________________

What are your career objectives?

______________________________________________________________________________________

______________________________________________________________________________________

Have you ever had any major mental or physical illness? Yes No

Have you ever undergone major surgery? Yes No

Are you currently under treatment for any serious illness? Yes No

Have you ever been arrested or convicted in a court of law? Yes No

Please provide further information if you answered ‘Yes’ for any questions above.

______________________________________________________________________________________

______________________________________________________________________________________

I hereby declare that, to the best of my knowledge, the information contained in this Application Fact Sheet
is true and accurate. I agree that as part of the procedures for processing my application, background or
reference checking may be made and may require supporting documents, such as University
certificate/transcript, evidence of current salary, etc. I understand that any falsification information in this
Application Fact Sheet will make sufficient cause for rejection or dismissal if employed.
___________________________ ____________________________
Signature of Applicant Date of Application