1.5” x 1.
5”
Photo
Komatsu H.R.D. Center (Philippines)
136 APMC Building, Amorsolo Street corner Gamboa Street
Legaspi Village, Makati City
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.
Please send the accomplished application form via fax to:
MS. YENG RAYRAY
Komatsu H.R.D. Center (Philippines)
Telefax Numbers: (63)-2-892-5499/893-5083
Or send it via e-mail at yeng_rayray@komatsu-hrd.com.ph