CONFIDENTIAL

EMPLOYMENT APPLICATION FORM

Recent
Photo of
Applicant

Trisilco Folec Pte Ltd

82 Genting Lane Media Centre Annexe #A03-02 Singapore 349567
Post applied for:

TELECOM ENGINEER

Salary Expected: SGD 4,000.00

1. PERSONAL DETAILS
Full Name (aliases if any): * Mr / Mrs / Miss: ALLAN TIMTIMAN AZUCENA___________________
(Please give full name and underline surname; use capital letters)
Chinese characters if applicable: ______________________________________________________
Date of Birth: OCT 21, 1983

Age: 28

Place of Birth: SAN PEDRO, LAGUNA

Address: 1387 CORREGIDOR ST. GUADALUPE NUEVO MAKATI CITY PHILIPPINES

Marital Status: * Single / Married / Divorced / Widowed * NRIC / Passport No: XX1352894
Tel No: Office: ______________ Home: _______________ * Pg / HP: ________________________
Citizenship: FILIPINO

Race/Dialect: TAGALOG

Religion: CATHOLIC

2. FAMILY DETAILS
Fathers Name: RAMON ARCILLA AZUCENA SR.
Living: * Yes / No Occupation: DECEACED
Mothers Name: ERLINDA TIMTIMAN AZUCENA
Living: * Yes / No Occupation: HOUSE WIFE
Spouses Name: ___________________________________________________________________
Occupation: ______________________________ Employer: ________________________________
* NRIC / Passport No: _______________________________ Date of Marriage: ________________
Nationality: ____________________________ Race/Dialect: __________________ Age: ________
Name

Relationship

Age

Occupation/Employer or School/Standard

ANGELICA TYRESSE AZUCENA

DAUGTHER

4__

_______________________________________

ALANNAH BRIELLE AZUCENA

DAUGTHER

2__

_______________________________________

LERY JOY MANIBOG

LIVE-IN PARTNER

27_

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3. EDUCATIONAL DETAILS

Interview
Notes

This page must be completed and supported with copies of relevant documents. ORIGINALS to be
brought when called for interview.
3.1. Schools Attended (primary and secondary)
Name of school (Language Stream)

From

PITOGO ELEMENTARY SCHOOL

1990

To

Highest Standard Reached

1996

GRADUATE

FORT BONIFACIO HIGH SCHOOL

1996

_______________________________

_______ ________

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_______ ________

__________________________

3.2. School Certificate/Govt Chinese Medium

Equivalent/GCE O Level

2000

GRADUATE

Higher School Certificate/GCE A Level/

Equivalent

Year Taken ______ No. of Attempts ____

Year Taken ______ No. of Attempts ____

Subjects

Subjects

Grade

Grade

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3.3.University or Technical College or other Course/Training completed.

Name of school

UNIVERSITY OF MAKATI

From

2000

To

Qualification obtained.
Degrees/Diplomas (State class
of Honours degree)

2004 ___

B.S COMP. TECH/GRADUATE

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Detailed results year by year (including subjects currently studied)

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* Please delete accordingly.

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3.4. Other Educational Information

Interview
Notes

Courses Undertaking Currently

Started

Date
Expected
Completion

Qualification Sought

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3.5. Membership of professional bodies (state type)

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4. LANGUAGES & DIALECTS PROFICIENCY

Written & Spoken

Spoken Only

TAGALOG AND ENGLISH

TAGALOG AND ENGLISH

______________________________________

_______________________________________

______________________________________

_______________________________________

______________________________________

_______________________________________

5. NATIONAL SERVICE
Are you liable for national service? * Yes / Completed / Exempted * Full Time / Part Time
Date of Registration: _________________________ Date of Call-Up: _________________________
Date of Release: ____________________________ Last Rank Held: _________________________
Last Appointment Held: _______________________ Present Reservist Unit: ___________________
6. ACTIVITIES
Details of membership of associations, societies and other sporting activities (during your student days
and at present).
Club/Society

Positions Held

______________________________________

_______________________________________

______________________________________

_______________________________________

Sporting Activities
BASKETBALL

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______________________________________
_______________________________________
Details of hobbies, recreation, interests not covered above.

* Please delete accordingly.

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7. PAST & PRESENT EMPLOYMENT

(including part-time employment temporary work, and vocational training)
Please start with present job and work back to first.
From 2004 to 2008 Employer: INTEX TELECOM SYSTEM
Your position/duties: TELECOM ENGINEER:

DSL MODEM INSTALLATION,NOKIA ULTRASITE

COMMISIONING AND INTEGRATION, NOKIA D500 IPDSLAM INSTALLATION, COMMISSIONING

AND INTEGRATION, NOKIA FLEXI BTS COMMISSIONING ANG INTEGRATION CERAGON MW
RADIO INSTALLATION, COMMISSIONING AND TESTING, and NSN HIX MSAN 3530, 3520
COMMISSIONING AND TESTING.
Salary (* Basic / Gross): Start: Php 10,000

Last Drawn: Php17,000

Other remuneration/benefits __________________________________________________________

__________________________________________________________________________________
________________________________________________________________________________
Reason(s) for leaving: WORK ABROAD
__________________________________________________________________________________
________________________________________________________________________________
From: JULY 2008 To: NOV 2008 Employer: NOKIA SIEMENS NETWORK (KSA)
Your position/duties: SUPERVISOR/COMMISSIONING ENGINEER NSN HIX 3530,3520 MSAN HiX
INSTALLATION, COMMISSIONING, TESTING AND TROUBLESHOOTING. FIBER OPTIC CABLE
TRANSMISSION END TO END TESING.
_________________________________________________________________________________
Salary (* Basic / Gross): Start: $ 6,100.00 Last Drawn: $ 6,100.00
Other remuneration/benefits __________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
_______________________________________________________________________________
Reason(s) for leaving: END OF CONTRACT
__________________________________________________________________________________
________________________________________________________________________________

* Please delete accordingly.

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Notes

From: MAY 2009 To: PRESENT Employer: TRISILCO-FOLEC PHILS. INC

Your position/duties: SUPERVISOR / SUPERVISION OF IN BUILDING SOLUTION ANTENNA AND
CABLESINSTALLATION, INSTALLATION, COMMISSIONING AND INTEGRATION OF 2G/3G BTS,
MODEM, MW AND REPEATER INSTALLATION, BTS ALARM SIMULATION.
_________________________________________________________________________________
Salary (* Basic / Gross): Start: Php 15,000 Last Drawn: Php 18,000
Other remuneration/benefits __________________________________________________________
_________________________________________________________________________________
Reason(s) for leaving: LOOKING FOR JOB ABROAD
________________________________________________________________________________

From ____________ To ____________ Employer _______________________________________

Your position/duties _________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
_______________________________________________________________________________
Salary (* Basic / Gross): Start ________________________ Last Drawn ______________________
Other remuneration/benefits __________________________________________________________
_________________________________________________________________________________
Reason(s) for leaving _______________________________________________________________
_________________________________________________________________________________
From ____________ To ____________ Employer _______________________________________
Your position/duties _________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
_______________________________________________________________________________
Salary (* Basic / Gross): Start ________________________ Last Drawn ______________________
Other remuneration/benefits __________________________________________________________
_________________________________________________________________________________
Reason(s) for leaving _______________________________________________________________
_________________________________________________________________________________
Notes: Use separate sheet if insufficient space.

* Please delete accordingly.

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Interview
Notes

8. CURRENT POSITION IN ORGANISATION

Interview
Notes

If presently in employment, draw in the given space below, an organizational chart of the department
you are working in, indicating with a tick ( ) the position currently held by you.

No. of staff members in Department:

No. under your supervision:

9. FURTHER INFORMATION
9.1. If you were offered employment with us, when could you start work? JULY 19, 2012
9.2. Do you wish to be considered for other departments/positions of equivalent level within the Group? If
so, please state your preference. ____________________________________________________
9.3. Do you hold a driving licence?
* Yes /
No
9.4. Do you own a car?
* Yes / No
9.5. Are you a member of the CPF or EPF?
* Yes /
No
9.6. Have you been or are you suffering from any physical disability?
* Yes /
No
9.7. Have you ever been dismissed or suspended by any previous employer?
* Yes /
No
9.8. Have you ever been convicted on a criminal charge?
* Yes /
No
9.9. Have you ever applied for any post in Keppel Group?
* Yes /
No
9.10. Have you any relatives working with Keppel Group?
* Yes /
No
If yes, state:
Name
Designation
Relationship
_________________________

____________________________

___________________

_________________________

____________________________

___________________

_________________________

____________________________

___________________

9.11. Add anything else which you think may assist you in your application.

10. REFEREES
Referees should not be members of your family or someone related to you and should preferably be
persons in responsible positions, including at least one who is competent to speak about your
academic/working background.
Name
1.

Address/Tel No.

Occupation/Employer

No. of Years
Known

______________________________________________________________________________
____________________________________________________________________________

* Please delete accordingly.

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2.

______________________________________________________________________________
____________________________________________________________________________

I authorise investigation of all information provided by me in this application form. I understand that a
misrepresentation or omission of facts called for herein will be sufficient cause for cancellation of consideration
for employment or dismissal from the companys service if I have been employed. I understand that
employment is subject to a medical examination in which my health must be found to be satisfactory.
__________
_____________________________
Date

Signature of Applicant

* Please delete accordingly.

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