Pre-employment Requirements Upload Form

Pre-employment Requirements Upload Form
Kindly upload your pre-employment requirements, to allow us to proceed with your onboarding.

Please be reminded that your employment is contingent upon the satisfactory completion of all your pre-employment requirements, including medical exams, background, and reference checks as required by Jollibee/JWS.
Data Sheet
Name

PrefixFirst NameMiddle NameLast Name
Nickname:
Department
2x2 ID Picture (white background)

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Birthday

MonthDayYear
Date
Date Today

MonthDayYear
Date
Age (Automatically computes, no need to fill)
Civil Status
Number of Children
E-mail
example@example.com
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Provincial Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number
Format: (000) 000-0000.
Sex
Place of Birth
Person to notify in case of emergency

First NameLast Name
Relation
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number
Format: (000) 000-0000.

Family Background - Parents

Rows	LastName/GivenName/MiddleName	Birthday Month/ Day/Year	Age	Occupation	Civil Status	Address
Father
Mother

Family Background - Siblings (Write N/A if not applicable)

Rows	LastName/GivenName/MiddleName	Birthday Month/ Day/Year	Age	Occupation	Civil Status	Address
Brother/Sister 1
Brother/Sister 2
Brother/Sister 3
Brother/Sister 4

Educational Background

Rows	Years Attended (From-To)	Highest Educational Attainment or Course & Major	Honors/Awards	School/College
Grade School
High School
College
Post Graduate/Others

Clearance and Certificates
Were you able to secure an NBI Clearance?
Upload your NBI Clearance here

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In the absence of NBI Clearance, would you like to submit a barangay and police clearance while waiting for your NBI, so you can start with your onboarding?
Upload your Barangay Clearance and Police Clearance here

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Upload the NBI Receipt here

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When will your NBI Clearance be available?

MonthDayYear
Date
Upload your Cedula here

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- Are you a new graduate?
- Is your diploma available?
- Upload your Diploma here
  
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- Upload your Transcript of Records here
  
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- Upload your Certificate of Graduation here
  
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- Were you able to secure Certificate of employment from your previous employment (most recent)?
- Upload your Certificate of Employment here
  
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- Upload your clearance here
  
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- Upload your Birth Certificate here
  
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- Upload your Spouse's Birth Certificate here
  
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Medical Requirements
Medical Report Page with MEDICAL EXAMINATION RATING SYSTEM (should show if you are Fit to work, Class A, B, C, etc.)

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Physical Exam

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Chest X-Ray

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CBC

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Stool Test or Fecalysis

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Urine Test or Urinalysis

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Drug Test

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Hepa-A Test (anti Hav-Igm)

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Visual Acuity

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Dental Test (Oral prophylaxis)

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Pregnancy Test

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Government-mandated Requirements
SSS ID or any of the following: E1, E4, E6 Stub (we do not accept UMID)

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Do you have an outstanding SSS loan?
Upload SSS Loan Authority to Deduct

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When was your last employment?

MonthDayYear
Date
BIR ID or any of the following BIR FORM 1902, 1905, 2305:

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BIR Form 2316 (from most recent employer)

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Philhealth ID or Member's Data Record (MDR)

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Mayor's Permit/ Working Permit/ Mayor's Clearance

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Health Card/ Health Permit (Front)

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Health Card/ Health Permit (Back)

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Pag-IBIG ID or MDF

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Do you have an outstanding Pag-IBIG loan?
Upload Pag-IBIG loan Authority to Deduct

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- I hereby authorize investigation of all statements contained in this application. I understand that any misinterpretation, falsification or omission of the facts called for, is cause for refusal to hire or dismissal at any time during employment with the company. (Upload your signature)
  
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- Should be Empty:

Data Sheet