Personal Information Sheet

Date Accomplished:_______________

Applicant Information

Full Name: Nickname:

LAST FIRST MIDDLE

Present
Address:
Street Address Apartment/Unit #

City State ZIP Code

Permanent
Address:
Street Address Apartment/Unit #

___________________________________________________________________________________
City State ZIP Code

Place of Birth: ______________________________ Languages Spoken : ________________________________

Nationality: ______________________________ Civil Status : ______________________________________

Phone: Email:

SSS No: __________________________________ Philhealth No: ____________________________________

TIN No: __________________________________ Pagibig No: ____________________________________

Position Applied for: _________________________________ Source of Application: _________________________

Spouse: Place of Birth:_______________

LAST FIRST MIDDLE

Date of Birth: _______________ Company: _____________________ Occupation: _________________________

Details of Living Children:

Name Age Date of Birth Place of Birth Nationality

1.
2.
3.
4.
5.

1
 Place of
Father: Birth:_______________
LAST FIRST MIDDLE

Date of Birth: _______________ Company: _____________________ Occupation: _________________________

Place of
Mother: Birth:_______________
LAST FIRST MIDDLE

Date of Birth: _______________ Company: _____________________ Occupation: _________________________

Details of Living Siblings:

Name Age Date of Birth Place of Birth Nationality

1.
2.
3.
4.
5.

Does your family own any sort of business? If so, please give full details: ________________________________
__________________________________________________________________________________________

Do you live in:  Own  Rented  With  Boarding  Others

Home Home Relatives House

Education

High School: Address:

From: To:

College: Address:

YES NO
From: To: Did you graduate? Degree:

Other: Address:

YES NO
From: To: Did you graduate? Degree:

Previous Employment Scholastic Honors, Scholarships ___________________________________________________

Thesis Made (if any)_______________________________________________________________________________

Extracurricular Activities (indicate position held)_________________________________________________________

2
 Employment History

Company: Phone:
Address: Supervisor: ___________________

Job Title: Starting Salary: Ending Salary:

Responsibilities:

From: To: Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference?

Company: Phone:
Address: Supervisor: ___________________

Job Title: Starting Salary: Ending Salary:

Responsibilities:

From: To: Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference?

Company: Phone:
Address: Supervisor: ___________________

Job Title: Starting Salary: Ending Salary:

Responsibilities:

From: To: Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference?

From which company did you enjoy your job most and why? _______________________________________________

_______________________________________________________________________________________________

Was there anything you particularly disliked about any of the jobs? Why? _____________________________________

_______________________________________________________________________________________________

State briefly why you are qualified for the position you are applying for? _____________________________________

_______________________________________________________________________________________________

3
Do you have any present or past medical history, which will present special consideration as to job assignments? If so,
indicate the condition _____________________________________________________________________________

_______________________________________________________________________________________________

Have you had any illness, hospitalization or accidents in the past 3 years? If yes, when? _________________________

_______________________________________________________________________________________________

Types and Grades of Government/Licensure Examination Taken: ___________________________________________

Organizations (Civic/Professional) that you presently belong to: ____________________________________________

Hobbies, personal interest, including socio-civic activities: _________________________________________________

Skills  Driving  Computer Operation (please specify type of program/language) ______________

Have you ever been a party to any case before

any court or administrative body? Yes, State the case, its status and your participation
No

Have you ever been involved in any work-

related case in your current/past employer? Yes, State the case, its status and your participation
No

Have you ever applied with Nestle Business Services - AOA / Nestle Philippines, Inc. before?

No Yes, when? ___________

Do you have relatives and/or friends who have worked with us at one time or another or are presently in our employ? If
so, state name(s)

Name Relationship Name Relationship

Do you have relatives working with competitor companies (other companies producing similar products as or business
partners of Nestle Philippines, Inc)?

Name Relationship Name Relationship

Are you amenable to work on night shift and shifting schedule?

Yes No, Why? __________________________________

Are you willing to work in Meycauayan, Bulacan?

Yes No, Why? __________________________________

4
Are you willing to be assigned anywhere the company operates?

Yes No, Why? __________________________________

Do you have pending applications in other companies? If yes, please list the names of the companies below:

_______________________________________________________________________________________________

How soon could you start work? ___________________ Minimum salary you expect (gross)? ____________________

Character References
Please list three professional references.

Full Name: ______________________________________ Contact Information: _______________________________

Position: ________________________________________ Company: ______________________________________

Relationship: ____________________________________

Full Name: ______________________________________ Contact Information: _______________________________

Position: ________________________________________ Company: ______________________________________

Relationship: ____________________________________

Full Name: ______________________________________ Contact Information: _______________________________

Position: ________________________________________ Company: ______________________________________

Relationship: ____________________________________

Disclaimer and Signature

I fully understand that my personal information will only be used for the purpose of my application and will be
kept by the company in full confidence.

I hereby certify that all the information supplied by me on this application form/personal information sheet are
true and correct. I authorize Nestle Business Services AOA, Inc., and/or its authorized agencies to conduct
reference checks and other relevant validation for my application. Should untruths be discovered during my
employment in any position in this company, I fully agree that the same is a just cause for my termination.

Applicant’s Full Name:

Applicant's Signature:
Date: