FOR HRG USE ONLY
TEST RESULTS Date of Exam: _______________________
Overall Score (O): ____________________________________
Cognitive Ability (R&F): ________________________________
HR INTIAL INTERVIEW RESULT: _______________________
APPLICATION FOR EMPLOYMENT Interviewer/s: ________________________________________
PERSONAL
NAME (Last) (First) (Middle Name)
PRESENT ADDRESS (House No., Street, Barangay/Village/District,City,Province) PHONE NO.
MOBILE NO.
2"x2"
PROVINCIAL ADDRESS (House No.,Street, Barangay/Village/District,City/Province) PHONE NO. Picture
MOBILE NO.
OFFICE ADDRESS EMAIL ADDRESS
SEX AGE (Optional) DATE OF BIRTH (Optional) PLACE OF BIRTH HEIGHT WEIGHT CITIZENSHIP PHYSICAL LIMITATIONS
CIVIL STATUS NAME OF SPOUSE (Write N/A if not applicable) NO. OF CHILDREN [ ] RENT HOME [ ] OWN HOME
[ ] LIVING WITH RELATIVES [ ] BOARD
PERSON TO CONTACT IN CASE OF EMERGENCY RELATIONSHIP ADDRESS and PHONE NO. RELIGION (Optional)
ARE YOU RELATED TO ANY EMPLOYEE OF PNB OR ALLIED BANK WITHIN THE 2nd CIVIL DEGREE OF CONSANGUINITY OR AFFINITY?
[ ] YES [ ] NO. IF YES, PLS. INDICATE NAME AND RELATIONSHIP.
HAVE YOU TAKEN EXAMS IN PNB BEFORE? [ ] YES [ ] NO IF YES, WHEN?
HAVE YOU EVER BEEN EMPLOYED IN PNB BEFORE? [ ] YES [ ] NO. IF YES, WHEN AND WHERE?
HAVE YOU BEEN CHARGED WITH AND/OR CONVICTED OF ANY CRIMINAL/ADMINISTRATIVE OFFENSE? [ ] YES [ ] NO IF YES, PLEASE
EXPLAIN.
HAVE YOU HAD ANY CANCELLED CREDIT CARD WITH OUTSTANDING BALANCE OR ANY PAST DUE / OBLIGATION WITH ANY BANK, FINANCIAL
OR GOVERNMENT INSTITUTION (SSS, GSIS, PAG-IBIG)? [ ] YES [ ] NO IF YES, HOW MUCH?
DO YOU HAVE ANY EXISTING PAYMENT ARRANGEMENT OR SETTLEMENT WITH ANY BANK OR FINANCIAL INSTITUTION? [ ] YES [ ] NO
IF YES, PLEASE PROVIDE DETAILS.
HAVE YOU HAD ANY SERIOUS ILLNESS / DISEASE, HOSPITALIZATION OR ACCIDENT? [ ] YES [ ] NO
IF YES, PLEASE EXPLAIN.
AT PRESENT, DO YOU HAVE ANY HEALTH CONCERNS? IF YES, PLEASE PROVIDE DETAILS.
EDUCATION
DATES ATTENDED GRADUATED ACADEMIC
NAME AND LOCATION OF SCHOOL DEGREE RECEIVED
FROM TO YES NO AWARD/S
ELEMENTARY
HIGH SCHOOL
COLLEGE /
UNIVERSITY
MASTER'S
DEGREE
OTHERS
LIST OF EXTRA-CURRICULAR ACTIVITIES/AFFILIATIONS WITH OTHER GROUPS
LANGUAGES/DIALECTS SPOKEN
GOVERNMENT EXAMINATION/S PASSED
TYPE OF EXAMINATION DATE/PLACE TAKEN RATING OBTAINED
SEMINARS ATTENDED
HOBBIES AND INTERESTS
CAREER
POSITION/S PREFERRED SALARY DESIRED DATE AVAILABLE FOR EMPLOYMENT
WHAT TYPE OF WORK DO YOU PREFER?
ARE YOU WILLING TO BE ASSIGNED IN THE PROVINCE? [ ] YES [ ] NO. IF YES, WHERE?
ARE YOU ALLOWING US TO SHARE YOUR PERSONAL DATA WITH OUR SUBSIDIARIES? [ ] YES [ ] NO
HAVE YOU EVER BEEN DISCHARGED OR FORCED TO RESIGN FROM ANY POSITION? [ ] YES [ ] NO
IF YES, GIVE DETAILS.
WORK
Give information regarding present and former employment. Indicate by "X" mark, whether position was full-time or part-time.
ATTACH supporting papers or documents
NAME AND ADDRESS OF EMPLOYER DATES Full Part POSITION/NATURE OF WORK SALARY REASON FOR LEAVING
Present or last employer From: At Employment
To: At Leaving
Second Last From: At Employment
To: At Leaving
Third Last From: At Employment
To: At Leaving
Fourth Last From: At Employment
To: At Leaving
Fifth Last From: At Employment
To: At Leaving
FAMILY
NAME AGE COMPANY/POSITION CURRENT HOME ADDRESS
Father
Mother
Spouse
Brothers
Sisters
Children Name Date of Birth Name Date of Birth
REFERENCE
FRIEND/S EMPLOYED AT PHILIPPINE NATIONAL BANK:
NAME CONTACT NO. DIVISION OR BRANCH
RECOMMENDED BY: REFERRED TO:
NAME CONTACT NO.
LIST THREE PERSONAL REFERENCES (NOT RELATIVES)
YEARS
NAME OCCUPATION COMPLETE ADDRESS/CONTACT NUMBER
KNOWN
I CERTIFY THAT ALL ABOVE INFORMATION ARE TRUE AND CORRECT. LIKEWISE, I HEREBY AUTHORIZE PHILIPPINE NATIONAL
BANK OR ITS AUTHORIZED REPRESENTATIVE TO VERIFY ANY INFORMATION IN RELATION TO THIS APPLICATION.
I UNDERSTAND THAT ANY FALSE INFORMATION GIVEN IN THIS APPLICATION SHALL BE SUFFICIENT CAUSE FOR THE
TERMINATION OF MY EMPLOYMENT. FURTHER, THE BANK RESERVES THE RIGHT TO RETAIN YOUR DATA WHEREVER SITUATED, IN
ACCORDANCE WITH PNB'S RETENTION POLICY OR IF PNB IS REQUIRED TO DO SO BY APPLICABLE LAWS AND REGULATIONS.
SIGNATURE OVER PRINTED NAME DATE
Revised:11/19/2018
