*You need to attend our orientation first before submitting this form*
Note: Please send the accomplished application form via email to:
                             komatsuphilippinescorporation@gmail.com
                                                                                                1.5” x 1.5”
Komatsu Philippines Corporation
                                                                                                  Photo
Lot 8-C, FPIP II-SEZ, Sta. Anastacia,
Sto. Tomas, Batangas, Philippines, 4234
PERSONAL INFORMATION FORM
Name:                                                                       Nickname:
           (Surname)        (First Name)          (Middle Name)
Permanent Address:
Current Address:
E-mail Address:
Telephone Numbers:
                                  (Home)                                             (Mobile Number)
Date of Birth:                             Age:                      Civil Status:
SSS No.:                          TIN:                               Pag-Ibig No.:
Height:                           Weight:                            Religion: _______________________
FAMILY BACKGROUND
Father’s Name:                                     Occupation:
Mother’s Name:                                            Occupation:
        Name of Siblings                 Date of Birth                 Occupation/Educational Level
(Please attach additional sheet if necessary)
EDUCATIONAL BACKGROUND
College
           (School/University)                      (Course/Major)                      (Year Graduated)
High School
            (School/University)                     (Course/Major)                      (Year Graduated)
SCHOLARSHIP GRANT/S RECEIVED:
Institution’s Name:
Date Received:                                           Received Until:
EXTRA CURRICULAR ACTIVITIES AND MEMBERSHIP IN CLUBS / ORGANIZATION
ON THE JOB TRAINING
Inclusive Dates            Name of Company               Position/Department             No. of Hours
SEMINARS ATTENDED
SKILLS
HOBBIES AND OTHER INTERESTS
CHARACTER REFERENCES
          Name                                      How Known                     Contact Number
                                                     IMPORTANT
   I certify that all information stated herein are true and correct to the best of my knowledge. I hereby give
 authority to KOMATSU to verify its validity. I understand that any false information may be sufficient grounds
                                          for termination of my employment.