Technical Education and Skills Development Authority
Pangasiwaan sa Edukasyong Teknikal at Pagpapaunlad ng Kasanayan
NMIS FORM 01A
( For TPIS )
TRAINEE PROFILE FORM
In accomplishing this form, entries in
Italicized letters are optional while the
rest are mandatory or required
information.
ID PICTURE
(2x 2 size)
1. To be accomplished by TESDA
RIGHT THUMBMARK
1.1.
NMIS Manpower Code:
2. Manpower Profile
2.1.
BASCO
Name:
1.2. NMIS Entry Date:
Signature
ANGELINE
Last
2.2.
Mailing
Address:
Middle
JBLFMU-Molo, INC. M.H. Del
Pilar St.
MOLO
Number, Street
Female
District
ILOILO
REGION 6
5000
City/Municipality
Province
Region
Zip Code
2.4.
Civil
Stat
us
Male
Barangay
ILOILO CITY
2.3. Sex
ENDRINA
First
Contact
Number/s
Single
Married
Widow/er
Separated
P.O. Box No.
2.5. Employment Type
2.6. Employment Status
Employed
Self-employed
Unemployed
Undefined
Casual
Contractual
Job Order
Probationary
Regular
Permanent
Temporary
If Student
Trainee/OJT
3. Personal Information
3.1. Birthdate:
9 MAY 1980
3.7. Height:
3.2. Birth Place:
3.12. TIN No.:
3.8. Weight:
3.3. Citizenship:
3.9. Blood Type:
3.4. Religion:
3.10. SSS No.:
3.5. Ethnicity:
3.6. Disability:
3.11. GSIS No.:
3.13. Distinguishing Marks:
4. Educational Background
4.1.
School
4.2.
Educational
Level
4.3.
4.4.
4.5.
4.6.
School Year
Degree
Minor
Major
PHIL. WOMENS UNIV.
POST GRAD
2003
2008
MSBA
SAGRADO
TERTIARY
1998
2001
BS HRM
4.7
Units
Earned
4.8.
Honors
Received
HRM
5. WORKING EXPERIENCE ( For Trainers, mandatory field 5.5)
5.1.
5.2
5.3
5.4
Name of Company
Position
Inclusive Dates
Monthly
Salary
JBLFMU-MOLO
HOTEL DEL RIO
Faculty
NOV 2006
FO SUPERVISOR
2005
PRESENT
2006
20,000
7,500
5.5
Occupation Type
(Teaching; Non-Teaching;
Industrial Experience)
5.6
Status of
Appointment
TEACHING
FULL TIME
INDUSTRIAL EXPERIENCE
CASUAL
No. of Yrs.
Working
Exp.
1.50
1.00
ILOILO GRAND
SAGRADO
FO SUPERVISOR
FACULTY
2004
2002
7,500
10,000
2005
2004
INDUSTRIAL EXPERIENCE
CASUAL
TEACHING
FULL TIME
0.50
2.00
(For more information, indicate on a separate sheet)
6. Training/Seminars Attended
6.1
6.2
Title
Venue
6.3
Inclusive
Dates
6.4
*Certificate
Received
6.5
# of
Hours
(For more information, indicate on a separate sheet)
* Certificate Received
A
c
P
Certificate of Attendance
Certificate of Competencies
Certificate of Proficiency
6.6
Training
Base
Training Base
LLocal
F Foreign
SSkills Training Certificate
Training Certificate
6.7
6.8
6.9
Category
Conducted By
Proficiency
Category
TTrade Skills Upgrading Program
N Non-Trade Upgrading Program
M Training Management
Proficiency
BBeginner
I Intermediate
A Advanced
7. Licenses/Examinations Passed
7.1.
Title
7.2
Year Taken
7.3
Examination Venue
7.4
Rating
7.5
Remarks
7.6
Expiry Date
(For more information, indicate on a separate sheet)
8. Skills Specialization
8.1
Industry Sector
8.2
Trade Area
8.3
Occupation
To be filled up by
NMIS
8.4
Trade Level
To be filled up by
NMIS
8.5
Competency
8.6
Specialization Description
To be filled up by
NMIS
(For more information, indicate on a separate sheet)
9. Family Background
9.1.
Spouses Name:
9.2. Educational Attainment:
9.3
Occupation:
9.4 Ave. Monthly Income:
9.5.
Fathers Name:
9.6. Educational Attainment:
9.7.
Occupation:
9.8. Ave. Monthly Income:
9.9.
Mothers Name:
9.10. Educational Attainment:
9.13.
Name of Guardian:
9.14. Educational Attainment
9.11.
Occupation:
9.12. Ave. Monthly Income:
9.15.
Occupation:
9.16. Ave. Monthly Income:
9.17. Dependents
(For more information, indicate on a separate sheet)
9.18. Age
Dependents
Age
