ANNEX A

EMPLOYEE REFERRAL FORM REFERRER INFORMATION

Name of Referrer

Division/Department Name

FOR THE REFERRER: BASIC INFORMATION ON REFERRED CANDIDATE Please attach a copy of the referred candidates resume and job application form.

Name of Referred Candidate

Recommended Position/Department

Relationship with Referred Candidate:

(e.g. personal friend, ex-colleague, etc)

Number of Years Known

What is your assessment on the suitability of the candidate for working in HPB and in the job you have recommended him/her for?

FOR HR USE 1. 2. Form received on: _______________________ Position/Department that candidate is considered for:__________________________ Yes No

3. Is the Referred candidate hired? 4. Divisional Status: I / II-IV *

5. Date of Assumption of Duty: ________________

6. Date of completion of 6-month service: ________________ 7. Referred candidate receives at least C perf grade with no adverse report Yes No

8. Quantum of referral fee : $500 / $250* 9. Date of payment of referral fee: ________________

_________________________ Name and Designation

______________________ Signature