Revised as of October 2018

Required Attachments: Name of Sales Group:

□ Updated Resume ____________________________

□ Copy of two (2) valid government-issued IDs Position Title:

1" x 1" recent
colored photo
□ Original copy of valid NBI Clearance (N/A for international agents) ____________________________

SALES INFORMATION SHEET (SIS) FOR INDIVIDUAL

A. PERSONAL INFORMATION

Last Name First Name Middle Name Date of Birth Age Nationality

Present Residential Address Marital Status

Unit No. and Street

□ Single
City/Province/State □ Married
□ Separated
Country & Postal Code

Contact Numbers E-mail Address Sex

Mobile No. □ Male

□ Female
Landline No.

Passport Details Proof of Identification Residency Status

Passport No. Tax Identification No. (TIN) □ Permanent

□ Non-permanent
Date of Expiration Social Security System No. (SSS)

B. EDUCATIONAL BACKGROUND

Highest Educational Attainment Inclusive Years

Name of School Address

C. EMPLOYMENT BACKGROUND

Name of Company Position Inclusive Years Address

I hereby confirm that all information provided in this Sales Information Sheet (SIS) are true and correct. I hereby authorize Century Integrated Sales, Inc. (CISI) to verify and validate the accuracy and
completeness of the information stated above. Any and all mirespresentations herein contained as well as any violation of the company policies shall be considered as valid ground for the cancellation of my
engagement as sales agent in the company.

Signature over printed name Date Signed