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BPIMS Application Form

This document is an application for employment that collects personal information about the applicant including name, contact details, date of birth, civil status, education background, employment history, and a brief essay on how the applicant can contribute to the company. The applicant certifies that the information provided is accurate and consents to the company collecting and processing their personal data in accordance with data privacy laws. The applicant also agrees to maintain confidentiality of any information learned during the application process.

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131 views2 pages

BPIMS Application Form

This document is an application for employment that collects personal information about the applicant including name, contact details, date of birth, civil status, education background, employment history, and a brief essay on how the applicant can contribute to the company. The applicant certifies that the information provided is accurate and consents to the company collecting and processing their personal data in accordance with data privacy laws. The applicant also agrees to maintain confidentiality of any information learned during the application process.

Uploaded by

geraldacap
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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F-HR-03

Revision 00
January 18, 2021

APPLICATION FOR EMPLOYMENT

Position Applying For: (1) ___________________________ (2) ____________________________

Date available for work: ______________________ Minimum Desired Salary: ____________________

I. PERSONAL INFORMATION

________________________ ___________________________ ________________________


FAMILY NAME FIRST NAME MIDDLE NAME

_______________________________________ _______________ ______________ ___________


PRESENT COMPLETE ADDRESS CITY PROVINCE ZIP CODE

DATE OF BIRTH: ______________ AGE:_________ PLACE OF BIRTH: ____________________ SEX: ___________


CIVIL STATUS: ______________ RELIGION: _________________________ CITIZENSHIP: __________________________
E-MAIL ADDRESS: ________________________________________ HOME PHONE: __________________________
CELLPHONE: ___________________________________
SSS NO. _____________ PHILHEALTH NO. ______________ PAGIBIG NO.:_______________ TIN NO.: _______________

If applicable, SPOUSE PERSONAL INFORMATION:


________________________ ___________________________ ________________________
FAMILY NAME FIRST NAME MIDDLE NAME

DATE OF BIRTH: ______________ DATE OF MARRIAGE: _________________ CITIZENSHIP:___________________________


SPOUSE CURRENT EMPLOYER (COMPANY): _____________________________ POSITION: ____________________________
CONTACT NUMBER/S: ___________________________________________

II. EDUCATIONAL BACKGROUND


SCHOOL NAME DEGREE RECEIVED YEAR ATTENDED
I. P
ER
SON
AL I
NFO
III. FAMILY BACKGROUND RMA

FATHER’S NAME: MOTHER’S NAME:


OCCUPATION: OCCUPATION I.
CONTACT NUMBER/S: CONTACT NUMBER: PERS
ONA
NAME OF SIBLINGS COMPANY/ SCHOOL NAME POSITION/ YEAR/ COURSE
L
INFO
RMA
TION
I. P
ERS
O
Page 1 of 2
F-HR-03
Revision 00
January 18, 2021

III. EMPLOYMENT HISTORY


COMPANY NAME POSITION INCLUSIVE DATES REASON FOR LEAVING

IV. ESSAY (Kindly provide a brief description of how you can be an asset to the Company)

V. APPLICANT’S CERTIFICATION

By signing this form, I hereby acknowledge and certify:


1. That the Company (BPI MS Insurance Corporation) holds personal data about me and I hereby consent to the
processing and collecting by the Company or any of BPI MS Insurance Corporation’s affiliate companies of my
personal data in line with Republic Act 10173 or the Data Privacy Act of 2012 as well as for purposes related to
application for employment opportunities with the Company;
2. That the information I provided in this application form are true and correct and I fully understand that
misrepresentation of facts called for in this form is sufficient cause for my discontinuation of application
processing or summary separation from the Company’s service if employed;
3. That by virtue of Republic Act 10173 or the Data Privacy Act of 2012, I have the obligation to refrain from
divulging any confidential information I may acquire during the course of my employment application with the
Company, else, once proved, I may be held liable for any accountabilities that may arise from such
consequence of data leakage and;
4. That I fully understand that this is only an employment application and not a guarantee of employment.

_____________________________________
SIGNATURE OVER PRINTED NAME

_____________________________________
DATE SIGNED

Page 2 of 2

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