FOR PERSONNEL DEPARTMENT USE ONLY

DATE OF EXAMINATION: PLACE:

I.Q. TEST: PROFICIENCY:

PERSONALITY TEST:

SPEED TEST: WEIGHTED AVERAGE:

GIVEN BY:

BIOGRAPHICAL DATA SHEET

INSTRUCTIONS: 1x1
1.) Please fill up the data sheet in your own handwriting.
2.) Attach xerox copy of transcript of record/student copy of grades. PHOTO

POSITION APPLIED FOR: DATE AVAILABLE FOR EMPLOYMENT:

NAME: NICKNAME: BIRTHDAY:

CIVIL STATUS: NATIONALITY:

Last First Middle
PRESENT ADDRESS: TEL. NO. AGE: SEX: BIRTHPLACE:

PERMANENT ADDRESS: TEL. NO. HEIGHT: WEIGHT: RELIGION:

RELATIONSHIP NAME AGE OCCUPATION EMPLOYER

FATHER
MOTHER
SPOUSE
L

CHILDREN
A

BROTHERS
N
O

SISTERS
S
R
E

DEPENDENTS
P

TYPE INCLUSIVE DATE NAME OF SCHOOL & ITS ADDRESS DEGREE/MAJOR HONOR

ELEMENTARY
E D U C A T I O N

HIGH SCHOOL
COLLEGE
OTHERS

OTHER ACADEMIC OR PROFESSIONAL AWARDS:

NAME TENURE POSITION

ORGANIZATION

INDICATE ALL TRAININGS/SEMINARS ATTENTED, SPECIAL STUDIES TAKEN, SCHOLARSHIP ENJOYED

T R A I N I N G

NAME TENURE POSITION

EXAMINATION PLACE DATE RATING

G O V ' T E X A M S

Revision no. 0 / Effectivity: 15 February 2014

Primewater Infrastructure Corp.
Original issue: 15 February 2014
 PRESENT and PAST EMPLOYMENT (In chronological order)
STATUS OF
EMPLOYER'S NAME DATE POSITION REASONS FOR LEAVING
EMPLOYMENT
NAME FROM AT START AT START

ADDRESS TO UPON LEAVING UPON LEAVING

T
N
E
M NAME FROM AT START AT START

ADDRESS TO UPON LEAVING UPON LEAVING

Y
O

NAME FROM AT START AT START

L
P

ADDRESS TO UPON LEAVING UPON LEAVING

M
E

NAME FROM UPON LEAVING AT START

ADDRESS TO UPON LEAVING UPON LEAVING

(USE ADDITIONAL SHEET IF NECESSARY)

WHICH JOB DID YOU ENJOY MOST and WHY?

IS THERE ANYTHING YOU PARTICULARLY DISLIKED IN ANY OF THE JOBS? WHY?

TAX IDENTIFICATION NUMBER: S.S.S NUMBER P.R.C. REGISTRATION NUMBER:

DIALECTS and FOREIGN LANGUAGES SPOKEN:

O T H E R I N F O R M A T I O N

HOBBIES and OUTSIDE INTERESTS:

HAVE YOU ANY PHYSICAL DISABILITY or PREVIOUS ILLNESS? IF YES, EXPLAIN

HAVE YOU EVER BEEN INVOLVE IN ANY ADMINISYRATIVE OR IF YES, WHEN? WHO REFFERED YOU TO US?
CRIIMINAL CASES?
HAVE YOU APPLIED IN THIS COMPANY BEFORE? IF YES, WHEN? CAN YOU DRIVE?

PENDING APPLICATION WITH OTHER COMPANY? DO YOU HAVE A VALID DRIVERS LICENSE?

ARE YOU RELATED TO ANY OFFICER OR EMPLOYEE OF THIS COMPANY?

IF SO, TO WHOM and TO WHAT DEGREE?
FURTHER INFORMATION WHICH MAY BE HELPFUL IN CONSIDERING YOUR QUALIFICATION and INTEREST.

GIVE THE NAMES OF PERSONS NOT RELATED TO YOU, AT LEAST THREE (3)

NAME OCCUPATION ADDRESS AND TELEPHONE NO.

R EF E R E N C E

I certify that the statements made by me in answer to the foregoing questions are true and correct to the best of my knowledge and

belief. I understand that this application does not constitute an offer of employment by the company. Any false information given by me

maybe considered material mispresentation and will be a ground for the company to terminate my sevices in case I am employed.

Witness my signature this ____ day of ______________20__, in the city of ________________.

Applicant's Signature

Revision no. 0 / Effectivity: 15 February 2014

Primewater Infrastructure Corp.
Original issue: 15 February 2014
 FOR PERSONNEL DEPARTMENT USE ONLY
DATE OF EXAMINATION: PLACE:

I.Q. TEST: PROFICIENCY:

PERSONALITY TEST:

SPEED TEST: WEIGHTED AVERAGE:

GIVEN BY:

BIOGRAPHICAL DATA SHEET

INSTRUCTIONS: 1x1
1.) Please fill up the data sheet in your own handwriting.
2.) Attach xerox copy of transcript of record/student copy of grades. PHOTO

POSITION APPLIED FOR: DATE AVAILABLE FOR EMPLOYMENT:

NAME: NICKNAME: BIRTHDAY:

CIVIL STATUS: NATIONALITY:

Last First Middle
PRESENT ADDRESS: TEL. NO. AGE: SEX: BIRTHPLACE:

PERMANENT ADDRESS: TEL. NO. HEIGHT: WEIGHT: RELIGION:

RELATIONSHIP NAME AGE OCCUPATION EMPLOYER

FATHER
MOTHER
SPOUSE
L

CHILDREN
A

BROTHERS
N
O

SISTERS
S
R
E

DEPENDENTS
P

TYPE INCLUSIVE DATE NAME OF SCHOOL & ITS ADDRESS DEGREE/MAJOR HONOR

ELEMENTARY
E D U C A T I O N

HIGH SCHOOL
COLLEGE
OTHERS

OTHER ACADEMIC OR PROFESSIONAL AWARDS:

NAME TENURE POSITION

ORGANIZATION

INDICATE ALL TRAININGS/SEMINARS ATTENTED, SPECIAL STUDIES TAKEN, SCHOLARSHIP ENJOYED

T R A I N I N G

NAME TENURE POSITION

Revision no. 0 / Effectivity: 15 February 2014

Primewater Infrastructure Corp.
Original issue: 15 February 2014
 T R A I N I N

EXAMINATION PLACE DATE RATING

G O V ' T E X A M S

Revision no. 0 / Effectivity: 15 February 2014

Primewater Infrastructure Corp.
Original issue: 15 February 2014
 PRESENT and PAST EMPLOYMENT (In chronological order)
EMPLOYER'S NAME DATE POSITION STATUS OF REASONS FOR LEAVING
EMPLOYMENT
NAME FROM AT START AT START

ADDRESS TO UPON LEAVING UPON LEAVING

T
N

NAME FROM AT START AT START

E
M

ADDRESS TO UPON LEAVING UPON LEAVING

Y
O

NAME FROM AT START AT START

L
P

ADDRESS TO UPON LEAVING UPON LEAVING

M
E

NAME FROM UPON LEAVING AT START

ADDRESS TO UPON LEAVING UPON LEAVING

(USE ADDITIONAL SHEET IF NECESSARY)

WHICH JOB DID YOU ENJOY MOST and WHY?

IS THERE ANYTHING YOU PARTICULARLY DISLIKED IN ANY OF THE JOBS? WHY?

TAX IDENTIFICATION NUMBER: S.S.S NUMBER P.R.C. REGISTRATION NUMBER:

DIALECTS and FOREIGN LANGUAGES SPOKEN:

O T H E R I N F O R M A T I O N

HOBBIES and OUTSIDE INTERESTS:

HAVE YOU ANY PHYSICAL DISABILITY or PREVIOUS ILLNESS? IF YES, EXPLAIN

HAVE YOU EVER BEEN INVOLVE IN ANY ADMINISYRATIVE OR IF YES, WHEN? WHO REFFERED YOU TO US?
CRIIMINAL CASES?
HAVE YOU APPLIED IN THIS COMPANY BEFORE? IF YES, WHEN? CAN YOU DRIVE?

PENDING APPLICATION WITH OTHER COMPANY? DO YOU HAVE A VALID DRIVERS LICENSE?

ARE YOU RELATED TO ANY OFFICER OR EMPLOYEE OF THIS COMPANY?

IF SO, TO WHOM and TO WHAT DEGREE?
FURTHER INFORMATION WHICH MAY BE HELPFUL IN CONSIDERING YOUR QUALIFICATION and INTEREST.

GIVE THE NAMES OF PERSONS NOT RELATED TO YOU, AT LEAST THREE (3)

NAME OCCUPATION ADDRESS AND TELEPHONE NO.

R EF E R E N C E

Revision no. 0 / Effectivity: 15 February 2014

Primewater Infrastructure Corp.
Original issue: 15 February 2014
 I certify that the statements made by me in answer to the foregoing questions are true and correct to the best of my knowledge and

belief. I understand that this application does not constitute an offer of employment by the company. Any false information given by me

maybe considered material mispresentation and will be a ground for the company to terminate my sevices in case I am employed.

Witness my signature this ____ day of ______________20__, in the city of ________________.

Applicant's Signature

Revision no. 0 / Effectivity: 15 February 2014

Primewater Infrastructure Corp.
Original issue: 15 February 2014