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Application Form

The document is an application form for Expedite Filipino Courier Service, requiring personal, emergency, employment, and reference information from applicants. It includes questions about medical conditions, work preferences, and willingness to work in shifts or as contractual. Additionally, it emphasizes the importance of consent for sharing personal information and includes a declaration of truthfulness from the applicant.

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Arjay
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7 views5 pages

Application Form

The document is an application form for Expedite Filipino Courier Service, requiring personal, emergency, employment, and reference information from applicants. It includes questions about medical conditions, work preferences, and willingness to work in shifts or as contractual. Additionally, it emphasizes the importance of consent for sharing personal information and includes a declaration of truthfulness from the applicant.

Uploaded by

Arjay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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EXPEDITE FILIPINO COURIER SERVICE

Please fill in all information. Please fill NA for not applicable:

Personal details:

Name:
Birthdate:
Gender:
Civil Status:
Current Address:
Other Address (if any):
Mobile Number:
SSS Number:
PhilHealth Number:
Pag-ibig:
TIN Number:
Educational Attainment:
School:

Emergency Information and Contact Person:

Name:
Relationship:
Contact Number:
Address:

Name:
Relationship:
Contact Number:
Address:

Blood type:
Do you have any medical insurance or is a dependent under someone else’s medical insurance?
Do you have any medical condition the company should be aware of?
Do you have first aider training?
Do you know how to give first aid in case an emergency arises?
Employment History and Questionnaire:

1. What year did you start your first job?


2. How many companies have you worked with for the last 10 years?
3. Kindly indicate the information of your last two employers (start from the most recent).

1. Name of the Company:


Address:
Employment date:
Nature of Employment: (Full time, Part-time, Self-employed, and Internship)
Position:
Reason for leaving:

2. Name of the Company:


Address:
Employment date:
Nature of Employment: (Full time, Part-time, Self-employed, and Internship)
Position:
Reason for leaving:

4. Have you been suspended from work?


5. Was it a minor or major offense?
6. Have you ever been terminated from work? If yes what was the reason?
7. Do you have a valid driver’s license?
8. How long have you been driving?
9. Have you worked with PWD before?

Work Reference:

Name of Reference:
Position:
Company:
Company Address:
Company Contact Number:
Email Address:

Note: Family members and friends are not valid as a work reference Teacher/ Social Service
worker/ Supervisor/ Manager/ Company HR are acceptable. Please ensure that you have
secured consent from your reference person before providing their information .
Character Reference:

Reference person:
Relationship:
Contact Number:
Email Address:

NOTE: Please make sure that your reference person is aware that you are writing his/her personal
contact details (as protection to the data privacy of your character reference)

Address Check:

Please make a sketch map of your address

1. Are you willing to work in shifts?


2. Are you willing to work as contractual? If we are not able to find an available position for you within
the company?
3. Do you have a work time preference? (First shift, second shift, or no preference)
4. Do you have any medical conditions that the company needs to be aware of?
5. If given a chance, which position would you wish to have or department and why?
6. Are you willing to go for overtime?
7. Are you willing to swap shifts with your colleague in case required?
This portion is only for the following group: PWD/ Veteran/ Solo-Parent/ Out of School Youth.
Mark N/A if not part of the following group.

1. Which group do you belong to?


2. Are you willing to work full-time or part-time?
3. Are you willing to work in shifts?
4. Do you have a work time preference?
5. Do you have any government-issued ID or document that can verify that you belong to the
minority group?

For all applicants: Please discuss here any concern you have that you think is relevant for the
company to know to further assist you during the hiring process.
I hereby declare that all information provided in this form is true to the best of my knowledge
and that any falsified or malicious information in this application will be sufficient grounds for
withdrawal of offer (if applicant) or dismissal (if employed) upon discovery. I also confirm that
all the personal information of the other individuals I provided in this form are provided with
their knowledge and consent and that I undertake to be responsible to them for my disclosure
of their information to Expedite Filipino Courier Service.
I affirm and consent to the disclosure and sharing of my personal information and sensitive
personal information, to Expedite Filipino Courier Service, its agents, and representatives for
the purpose.
I hereby release, discharge, and hold free and harm, Expedite Filipino Courier Service, its
representatives, and the disclosing individual and/ or entity, who holds and control my personal
information, with regard to any above-mentioned sharing, disclosure, and processing of my
personal information and sensitive personal information.
I am executing this form and providing my consent, willingly a voluntarily without compulsion
and intimidation from the company (Expedite Filipino Courier Service).

_________________________
Signature above printed name

Date signed:

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