APPLICATION FORM-CLEANFUEL SOUTH AREA

CLEANFUEL APPLICATION FORM
Take Photo*
DateTime*
Desired Position?*
Preferred Branch/Station (Saan Cleanfuel gas station gusto mong ma-assign?
Why do you think we should NOT hire you? Bakit sa tingin mo HINDI ka namin dapat tanggapin?*
Name*

First Name Last Name
Birthdate*

MonthDay Year
Date
Age:*
Gender*

MaleFemaleLGBTQQ
Civil Status*
If Married, name of Spouse
No. of dependents(kids)
Parent's name and occupation
Religion*
Phone Number*

Area Code Phone Number
Email
example@example.com
Address*

Street Address

Subdivision/Barangay

City/Province State / Province

Postal / Zip Code
Are you renting?*

YESNo
If you're renting, How long and where?
GOVERNMENT MANDATORY IDs/ INFORMATION
SSS No.*
PAG-IBIG No.*
Philhealth No.*
TIN
EDUCATIONAL BACKGROUND
High School*
Year Graduated*
Vocational School
Vocational Course
How long did you take your vocational course? Gaano katagal mong kinuha ang iyong kursong bokasyonal
Year graduated
College*
Course*
Did you graduate?*

YESNO
Year graduated*
EMPLOYMENT HISTORY
Most Recent Company
Position
Skills/Competencies
Salary
Date Hired
Date Separated
Reason for leaving*
Let's Do Backgroud checking
Have you been involved in any criminal/administrative case?*

YESNO
If YES, please specify
Did you receive a disciplinary action during your employment??*

YESNO
If YES, please specify
Give at least two (2) people who can attest that you have a good character.(State the Name, Position and Contact Number *
Character referece
PERSON TO NOTIFY IN CASE OF EMERGENCY*
Kindly attach the following files. You may use your phone camera to take a photo of the required file. Please ensure that the photo/image is clear. -

Paki attach ang mga kinakailangang file, Maaring gamitin ang camera ng iyong phone upang ma picturan ang file na kailangan. Siguraduhin lamang na malinaw ang bawat photo.

1. House location sketch - sa pinaka nearest na land mark (use a separate sheet of paper, picturan using cellphone and i attach.

2. Birtcertificate

3. If married, marriage contract

4. SSS ID, TIN ID, PHILHEALTH ID/MDR, PAG-IBIG ID

5. Latest NBI

6. Diploma/TOR

7. Updated Resume
House Location Sketch*

Upload file
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Birth Certificate and Marriage Contract

Upload File

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SSS ID/ SSS NUMBER INFORMATION*

Upload file

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TIN ID

Upload File

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PHILHEALTH ID/ MDR*

Upload File

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PAG-IBIG ID/MDF*

Upload File

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NBI/POLICE CLEARANCE*

Upload File

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DIPLOMA/TOR

Upload File

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UPDATED biodata/RESUME*

Upload File

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I hereby certify that all answers given herein are true and correct. Further, I authorize the company to conduct investigation, to collect and process the data indicated herein. I understand that any false or misleading information given in my application or interview may result to termination of my employment.*

Agree
Your Signature Here (You may use your finger or s-pen )*
Should be Empty:

CLEANFUEL APPLICATION FORM