BACKGROUND INVESTIGATION AUTHORIZATION FORM

I authorize 24-7 Intouch Ph Inc. and/or its authorized representative, to conduct a background investigation as part of
the application process.

I authorize and consent, without reservation to the retrieval of information that may include but not limited to
employment, matters of conduct, behavior, ability, reputation, credit standing, education, family, financial, and criminal
history.

By my signature below, I hereby declare that all information provided in this form are true to the best of my knowledge
and that any falsified or malicious information in this application will be sufficient grounds for resentment of offer or dismissal
upon discovery.

Signature over printed name

MARCH 3, 2024
Date Signed

Wave #: 23

Employee ID #

Account: CONSERVICE

Start Date: MARCH 6, 2024

PERSONAL DATA
FIRST NAME MIDDLE NAME LAST NAME SUFFIX
MONDY OLIVER CARIASO TUBIERA N/A

PRESENT ADDRESS
2ND GATE 21ST ST., MAWAQUE, MABALACAT CITY, PAMPANGA

PERMANENT ADDRESS
TUBIERA ST., BRGY. ABAR 1ST, SAN JOSE CITY, NUEVA ECIJA

APPLYING FOR THE POSITION OF CITIZENSHIP GENDER

CSR (/) Male
FILIPINO
( ) Female

CIVIL STATUS DATE OF BIRTH (MM/DD/YYYY) MOBILE NUMBER HOME PHONE NUMBER
(/) Single
( ) Married MAY 11, 2004 09557257668 09557257668
( ) Separated
( ) Widow/er
( ) Annuled/Divorced

EMAIL ADDRESS SSS NUMBER PAG-IBIG NUMBER PHILHEALTH NUMBER

[email protected] 0247787775 212526192122

HIGHEST EDUCATIONAL ATTAINMENT

( ) Masteral/Doctoral Degree ( ) Associate/2-Year Degree (/) High School Graduate
( ) Bachelor’s Degree ( ) Certificate/Diploma Course ( ) Some College
Please specify year level

Please indicate your employment details within the last 5 years. Do not leave any space blank. Fields with * are critical to complete
the background investigation.

NAME OF ORGANIZATION* CONTACT NUMBER

SUTHERLAND GLOBAL SERVICES

ADDRESS*
CLARKPORT, ANGELES CITY, PAMPANGA

EMPLOYMENT DATES From (MM/DD/YYYY) To (MM/DD/YYYY)

DECEMBER 15, 2022 FEBRUARY 20, 2024

POSITION (Upon hiring) POSITION (Upon leaving)

TECHNICAL SUPPORT REPRESENTATIVE TIER 2/TSR

NATURE OF EMPLOYMENT
(/) Full-Time ( ) Part-time ( ) Self-employed ( ) Internship

IMMEDIATE SUPERVISOR* CONTACT NUMBER*

JOHN DOMINIC CRISTOBAL 09616165294

REASON FOR LEAVING

CAREER GROWTH

NAME OF ORGANIZATION* CONTACT NUMBER

ALORICA CLARK

ADDRESS*
PHILEXCEL BUSINESS PARK, CLARKPORT, PAMPANGA

EMPLOYMENT DATES From (MM/DD/YYYY) To (MM/DD/YYYY)

MARCH 15, 2022 DECEMBER 7, 2022
POSITION (Upon hiring) POSITION (Upon leaving)
CSR/TSR CSR/TSR

NATURE OF EMPLOYMENT
(/) Full-Time ( ) Part-time ( ) Self-employed ( ) Internship

IMMEDIATE SUPERVISOR* CONTACT NUMBER*

JOY DELA PEÑA ABSALON 09535506251

REASON FOR LEAVING

CAREER GROWTH

NAME OF ORGANIZATION* CONTACT NUMBER

ADDRESS*

EMPLOYMENT DATES From (MM/DD/YYYY) To (MM/DD/YYYY)

POSITION (Upon hiring) POSITION (Upon leaving)

NATURE OF EMPLOYMENT
( ) Full-Time ( ) Part-time ( ) Self-employed ( ) Internship

IMMEDIATE SUPERVISOR* CONTACT NUMBER*

REASON FOR LEAVING

NAME OF ORGANIZATION* CONTACT NUMBER

ADDRESS*

EMPLOYMENT DATES From (MM/DD/YYYY) To (MM/DD/YYYY)

POSITION (Upon hiring) POSITION (Upon leaving)

NATURE OF EMPLOYMENT
( ) Full-Time ( ) Part-time ( ) Self-employed ( ) Internship

IMMEDIATE SUPERVISOR* CONTACT NUMBER*

REASON FOR LEAVING

NAME OF ORGANIZATION* CONTACT NUMBER

ADDRESS*

EMPLOYMENT DATES From (MM/DD/YYYY) To (MM/DD/YYYY)

POSITION (Upon hiring) POSITION (Upon leaving)

NATURE OF EMPLOYMENT
( ) Full-Time ( ) Part-time ( ) Self-employed ( ) Internship

IMMEDIATE SUPERVISOR* CONTACT NUMBER*

REASON FOR LEAVING

NAME OF ORGANIZATION* CONTACT NUMBER

ADDRESS*

EMPLOYMENT DATES From (MM/DD/YYYY) To (MM/DD/YYYY)

POSITION (Upon hiring) POSITION (Upon leaving)

NATURE OF EMPLOYMENT
( ) Full-Time ( ) Part-time ( ) Self-employed ( ) Internship

IMMEDIATE SUPERVISOR* CONTACT NUMBER*

REASON FOR LEAVING

NAME OF ORGANIZATION* CONTACT NUMBER

ADDRESS*

EMPLOYMENT DATES From (MM/DD/YYYY) To (MM/DD/YYYY)

POSITION (Upon hiring) POSITION (Upon leaving)

NATURE OF EMPLOYMENT
( ) Full-Time ( ) Part-time ( ) Self-employed ( ) Internship

IMMEDIATE SUPERVISOR* CONTACT NUMBER*

REASON FOR LEAVING

PROFESSIONAL CHARACTER REFERENCE

Please provide five (5) professional character references and their details.
For fresh graduates, please provide us details of five (5) character references who have known you
personally. Note: Relatives are NOT valid references.

NAME OF REFERENCE RELATIONSHIP

PATRICIA ALYANAN COLLEAGUE

COMPANY NAME AND OCCUPATION CONTACT DETAILS

ALORICA 09657381807

NAME OF REFERENCE RELATIONSHIP

ZADIESHAR G. SANCHEZ FRIEND

COMPANY NAME AND OCCUPATION CONTACT DETAILS

PHILIPPINE CARABAO CENTER 09272359396

PROFESSIONAL CHARACTER REFERENCE 3

NAME OF REFERENCE RELATIONSHIP

JONALLYN DELA CRUZ COLLEAGUE

COMPANY NAME AND OCCUPATION CONTACT DETAILS

SUTHERLAND 09271900608

PROFESSIONAL CHARACTER REFERENCE 4

NAME OF REFERENCE RELATIONSHIP

ERITHES AGUILAR FRIEND

COMPANY NAME AND OCCUPATION CONTACT DETAILS

ALORICA 09656394030

NAME OF REFERENCE RELATIONSHIP

RUBEN MARIN III FRIEND

COMPANY NAME AND OCCUPATION CONTACT DETAILS

09168733615
 AUTHORIZATION FOR EDUCATION CHECK

To the Registrar's Office

To whom it may concern:

This is to authorize confirmation and verification of 24-7 Intouch Ph Inc., through their official representative, on
my education records based on my stated information below:
NAME OF INSTITUTION (COLLEGE/POST GRADUATE STUDIES)

ADDRESS/BRANCH

CONTACT DETAILS NAME IN SCHOOL RECORDS

DEGREE/COURSE GRADUATION DATES (IF APPLICABLE - FOR COLLEGE GRAD ONLY)

STUDENT ID INCLUSIVE SCHOOL YEAR/S

NAME OF INSTITUTION (HIGH SCHOOL) SAN JOSE CITY NATIONAL HIGH SCHOOL

ADDRESS/BRANCH SJCNHS, SAN JOSE CITY, NUEVA ECIJA

CONTACT DETAILS NAME IN SCHOOL RECORDS

GRADUATION DATES (IF APPLICABLE - FOR HS GRAD ONLY)

STUDENT ID INCLUSIVE SCHOOL YEAR/S 2019-2021

Kindly extend assistance upon request of the information needed to complete the educational background
check.

Thank you.

Signature over printed name

MARCH 3, 2024
Date Signed