BASIC INFORMATION SHEET
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Name: ______________________________________________________ Nickname: ________________
(Surname Name) (First Name) (Middle Name)
City Address: _________________________________________________ Contact Numbers:
Provincial Address: _____________________________________________ Mobile: __________________
Sex: __________ Civil Status: ___________ Age: ___________ Landline: _________________
Birthdate: ________________ Birth Place: ____________________
Height: _______________ Weight: ________________ Religion: _____________________
SSS #: ______________________________ TIN #: _________________________________
Philhealth #: _________________________ Pag-ibig #: ______________________________
Father: _______________________________________ Age: __________ Occupation: ___________________
Employer: ____________________________________________________ Tel. No.: ______________________
Mother: ______________________________________ Age: __________ Occupation: ___________________
Employer: ____________________________________________________ Tel. No.: ______________________
Spouse: _______________________________________ Age: __________ Occupation: ___________________
Employer: ____________________________________________________ Tel. No.: ______________________
No. of Children: Boy(s): __________ Girl(s): __________
Brothers & Sisters (Siblings):
Name Age Occupation Company / Address
__________________________ ___________ _______________________ ______________________
__________________________ ___________ _______________________ ______________________
__________________________ ___________ _______________________ ______________________
__________________________ ___________ _______________________ ______________________
__________________________ ___________ _______________________ ______________________
Educational Attainment:
School Course Date
Elementary: ____________________________________ ____________________ ___________________
High School: ___________________________________ _____________________ __________________
College: ______________________________________ _____________________ __________________
Post Graduate: __________________________________ ______________________ _________________
Vocational: ____________________________________ ______________________ _________________
Trainings / Seminars Attended:
Course Conducted By Date
_______________________________________ ________________________ _____________________
_______________________________________ ________________________ _____________________
_______________________________________ ________________________ _____________________
_______________________________________ ________________________ _____________________
Government / Professional Exam Taken:
Date Description Ratings
__________________ _______________________________________________ ____________________
__________________ _______________________________________________ ____________________
__________________ _______________________________________________ ____________________
__________________ _______________________________________________ ____________________
Employment (start from the most recent)
Date Company Position / Salary Reason for leaving
____________ ______________________________ ___________________ _____________________
____________ ______________________________ ___________________ _____________________
____________ ______________________________ ___________________ _____________________
____________ ______________________________ ___________________ _____________________
____________ ______________________________ ___________________ _____________________
Language/s or Dialect/s: _________________________________________________________________
Knowledge of or Can Operate the following Software Programs:
Microsoft Office Word _________ SAP (F1/HRIS) ________
Microsoft Office Excel _________ Others (please specify) ________
Microsoft Office Powerpoint _________ ________
References:
Name Position Address of Employer Tel. nos.
________________________ _____________________ __________________________ ___________
________________________ _____________________ __________________________ ___________
________________________ _____________________ __________________________ ___________
________________________ _____________________ __________________________ ___________
_____________________________
Applicant’s Signature
I hereby attest that the information provided above is true.
Date: _________________________
Employee’s Signature: ______________________________
Copy furnished: employee’s 201 records
