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Employee Information Sheet

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pgferrer.amtrak
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32 views3 pages

Employee Information Sheet

Uploaded by

pgferrer.amtrak
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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EMPLOYEE INFORMATION SHEET

Instructions: All question fields in this form must be completed. Please fill out the form legibly and completely and submit
along with the supporting documents and forms listed in the pre-employment requirements checklist.

For HR Use Only:

1. Personal Information:

First Name Middle Name Family Name Extension Name Preferred Name

Date of Birth Birth Place Gender Civil Status Nationality


(Month/Date/Year) (City/Municipality/Province) (Male/Female)

Current Address Postal


Code
Permanent Address Postal
Code
Mobile No. Home Phone No. Email Address

2. Government Identification Details:

TIN No. PHIC (PhilHealth) No.


SSS No. Driver’s License No.
HDMF (PAG-IBIG) No. Passport No.

3. Educational Background: College or University Education Only or highest educational attainment: if not degree holder.*

School Name
Date Started (mm/dd/yyyy) Degree
Date Ended (mm/dd/yyyy) Major
Honors/Achievements Completed (Y/N)
School Name
Date Started (mm/dd/yyyy) Degree
Date Ended (mm/dd/yyyy) Major
Honors/Achievements Completed (Y/N)

4. Work Experience: Account all time for the past ten (10) years. Include full and part-time work, self-
employment, government service.

Company Name
Address Industry
Position Title Basic Salary
Employment Status Allowances/Bonuses
Start Date (mm/dd/yyyy) Reason for Leaving
End Date (mm/dd/yyyy) Total Tenure
Company Name

Classified - Confidential
Address Industry
Position Title Basic Salary
Employment Status Allowances/Bonuses
Start Date (mm/dd/yyyy) Reason for Leaving
End Date (mm/dd/yyyy) Total Tenure
Company Name
Address Industry
Position Title Basic Salary
Employment Status Allowances/Bonuses
Start Date (mm/dd/yyyy) Reason for Leaving
End Date (mm/dd/yyyy) Total Tenure

5. Family Background:

Family
Members Surname First Name M.I. Birth Date Gender Nationality
Father
Mother
Spouse
Child
Child
Child
Child
Child
Child
Child

6. Emergency Contact Details:

Name Address
Relation Landline No. Mobile No.
Name Address
Relation Landline No. Mobile No.

7. Training and Development Needs: (Note: For HR ONLY)

IN HOUSE TRAINING
Nature/Title Conducted by Year Taken

Classified - Confidential
EXTERNAL TRAINING
Nature/Title Conducted by Year Taken

Declaration
I certify that all information is true and correct to the best of my knowledge and that any
misrepresentation, falsification or willful omission herein shall be enough reasons for
dismissal from or refusal of employment by this company. I authorize this company to
investigate the accuracy and completeness of the information obtained herein. I agree to
submit myself to physical examination as a pre-requisite to consideration for employment
and such other future examinations which may be required of me.

Signature over printed Date


name Signed

Classified - Confidential

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