PRE-EMPLOYMENT APPLICATION FORM

Please fill out the fields legibly / printed. Use the back sheet if necessary. All information will be treated with utmost confidentiality.

PERSONAL INFORMATION: 12-octobre-2023

Date: __________________
Name of Candidate:
Prisca Satchoc Teutcho
_________________________________________________________________________
Last Name First Name Middle Name

Present Address:
Renting •
Levine place pasig Owned

Permanent Address:
Renting •
Levina place pasig Owned

Contact Numbers: (Landline & Mobile) Email Address: Birth Date: Sex: Civil Status:
09770268464 Priscasatchoc24 21-07-1993 Female Single
Passport No.| Expiration Date SSS Number: TIN No.: Position Applied:
AA408401/17-01-28 Customer care specialist B-F

CHARACTER REFERENCES: (Former Workmate / Immediate Superior)

Contact Numbers
Name Position Company Name & City Address (Must be active and contactable)

1.
Djoudene Sandra Manager Runer multiservice.INC +237697829030
2.
Ndihlock charles Supervisor City sport +237690975520
3.
Mbem Alex Sales represen Orange Cameroon +237693206347
4.

5.

CHARACTER REFERENCES: (School Professor/ Former Classmates / Social Contact)

Contact Numbers
Name Position Company Name & City Address (Must be active and contactable)

1.
Ndoungo Blandine Communication ISMA(douala) +237694444167
2.
Massoma vanessa Marketing ISMA(douala) +237699106540
3.
Bayeba winnie Sales ISMA(Douala) +237652160621

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 PRE-EMPLOYMENT APPLICATION FORM

EMPLOYMENT REFERENCES: (Make use of the Back Page for more Employment References)
Date of Employment Reason for Contact Numbers
Company Name/ AGENCY & City Position (Start – End Date) Leaving (Must be active and contactable)
Address (Location)
1.
Runer multiservice.INC Manager May 21/april 23 Travel 697829030
Contact Person:(Former Superiors) Mobile Number: (Must be active and contactable) If Under Agency Please Specify:

Djoudene sandra +237697829030

2.
City sport Supervisor March17/april19 New job 690975520
Contact Person:(Former Superiors) Mobile Number: (Must be active and contactable) If Under Agency Please Specify:

Ndihlock charles +237690975520

3.
Orange cameroon Sales represen July19/April21 New opportunity 693206347
Contact Person:(Former Superiors) Mobile Number: (Must be active and contactable) If Under Agency Please Specify:

Mbem Alex +237693206347

4.

Contact Person:(Former Superiors) Mobile Number: (Must be active and contactable) If Under Agency Please Specify:

5.

Contact Person:(Former Superiors) Mobile Number: (Must be active and contactable) If Under Agency Please Specify:

SCHOOL REFERENCES:
Name of School:
(Highest Educational Attainment)
ISMA
Location:
Bonamoussadi-douala
Course:
(Vocational | Degree) Business management
ID Number:
S.O No. (If Applicable)
Date Graduated (Graduate) /
School Year Attended
(Undergraduate) July 2019

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 PRE-EMPLOYMENT APPLICATION FORM

NOTICE OF CONSENT AND APPROVAL

I hereby provide my authorization for Info-vision Research Systems, Inc., on behalf of Tenerity Philippines Corp., to
conduct a background check on, and independently verify and inquire with you and/or your good office information about myself in connection
with my job application with Tenerity Philippines Corp. including, but not limited to, my education, previous employment, residence, health,
involvement in criminal, civil and administrative proceedings, licenses, certifications, status and standing in the community, lifestyle and other
personal attributes, circumstances and records, and such other checks and inquiries that are necessary in order to verify information provided
by me in my job application.

In this regard, kindly provide Info-vision Research Systems, Inc. the foregoing information and/ or character reference
they may request. I hereby freely and knowingly consent to you and/your good office disclosing said information to Info-vision Research
Systems, Inc. for the foregoing purpose. I understand, however, that my consent does not prevent the existence of other criteria for lawful
processing of personal data and does not waive any of my rights under the Data Privacy Act of 2012 and other applicable laws.

WITH MY FULL CONSENT AND AUTHORITY

Teutcho Satchoc prisca

___________________________________ 12-10-20
______________
Signature over Printed Name 23 Date
NOTICE OF CONSENT AND APPROVAL
School Verification
I authorize Tenerity Philippines Corp and any of its third-party background check services provider (particularly: Infovision Research
Systems, Inc.) to verify or validate any or all information I may provide, including any or all documents I may submit, in relation to my
application for employment with said company, and for as long as necessary for purposes of my employment.

In view of this, I authorize (name of company) and any of its third-party background check services provider (particularly: Infovision
Research Systems, Inc.) to verify or validate with the Registrar’s Office, or ant related or appropriate office, of
Isma university
_________________________________ (name of college/university), any or all information I have provided or will provide at a later date,
including any or all documents I have submitted or will submit at a later date, related to my educational history and background,

Student Number:
09770268464
Course Taken:
Business management
Last Year Attended:
July 2019

I am executing this NOTICE OF CONSENT AND APPROVAL, willingly and voluntarily, without compulsion and intimidation from
Tenerity Philippines Corp.

WITH MY FULL CONSENT AND AUTHORITY

12-10-2023
Signature over printed name Date

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