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NSRP Form 1

This document is a registration form for the Philippine Employment Service Office (PESO) Employment Information System. It collects personal and employment information from job seekers including name, address, contact details, education history, skills, work experience and job preferences. The form has sections for personal information, job preference, language proficiency, educational background, technical/vocational training, eligibility/licenses, work experience and other skills. It is signed by the applicant to authorize the Department of Labor and Employment to include their profile in the registry system.

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Ghie San Jose
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3K views2 pages

NSRP Form 1

This document is a registration form for the Philippine Employment Service Office (PESO) Employment Information System. It collects personal and employment information from job seekers including name, address, contact details, education history, skills, work experience and job preferences. The form has sections for personal information, job preference, language proficiency, educational background, technical/vocational training, eligibility/licenses, work experience and other skills. It is signed by the applicant to authorize the Department of Labor and Employment to include their profile in the registry system.

Uploaded by

Ghie San Jose
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
You are on page 1/ 2

NOTE: Indicate below your chosen job Vacancy/ Job Title:

1. Number and Job Title: ________________________

2. Number and Job Title: _______________________

Republic of the Philippines


NSRP FORM 1 Department of Labor and Employment
January 2017 PESO EMPLOYMENT INFORMATION SYSTEM 1x1 Photo
REGISTRATION FORM

INSTRUCTIONS: Please fill out the form legibly with ballpen. Print in block letters. Check appropriate boxes. Please do not
leave any items unanswered. Indicate “NA” if not applicable. You may use extra sheet if needed. Submit accomplished
form to the Public Employment Service Office Manager or Officer in your City / Municipality.
I. PERSONAL INFORMATION

SURNAME FIRST NAME MIDDLE NAME SUFFIX (Ex: Sr., Jr., III, etc.)
DATE OF BIRTH (mm/dd/yyyy) PLACE OF BIRTH NAGA CITY, CAM. SUR
SEX MALE FEMALE PRESENT ADDRESS
RELIGION House No. / Street
Village
CIVIL Single Separated Barangay
STATUS Married Live - in Municipality /City
Widowed Province
TIN HEIGHT
GSIS / SSS ID NO. EMAIL ADDRESS
PAG – IBIG NO. LANDLINE NUMBER
PHILHEALTH NO. CELLPHONE NUMBER
DISABILITY Visual Speech Others, specify:
Hearing Physical _____________
EMPLOYMENT
STATUS / TYPE Employed Unemployed Terminated / Laidoff (local)
Wage New Entrant / Fresh Terminated/ Laidoff (abroad)
Employed Graduate Specify country ________________
Self Finished Contract Others, specify ______________
Employed
Resigned
Retired

Are you actively looking for work Yes No How long have you been looking for work? _________
Willing to work immediately? Yes No If no, when?
Are you a 4Ps beneficiary? Yes No If yes, Household ID No. ___________
II. JOB PREFERENCE
PREFERRED OCCUPATION PREFERRED WORK LOCATION
1. Local, specify cities / municipalities: Overseas, specify countries:
2. 1. 1.
3. 2. 2.
4. 3. 3.
Expected Salary (Range) Passport No. Expiry date
III. LANGUAGE /DIALECT PROFICIENCY
(check if applicable) READ WRITE SPEAK UNDERSTAND
English
Filipino
Others: ______________

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IV. EDUCATIONAL BACKGROUND
If not graduate,
Awards
Year What Year last received
SCHOOL COURSE Graduated level? attended
Elementary
Secondary
Tertiary
Graduate Studies
V. TECHNICAL/VOCATIONAL AND OTHER TRAINING (Included courses takens as part of college education)
TRAINING / VOCATIONAL COURSE DURATION Training Institution Certificates Received
(mm/dd/yyyy to mm/dd/yyyy (NCI,NCII,NCIII,NC IV, etc.)
1.
2.
3.
VI. ELIGIBILITY / PROFESSIONAL LICENSE
ELIGIBILITY (Civil Service) Rating Date of examination PROFESSIONAL LICENSE (PRC) Valid Until
1. 1.
2. 2.
VII. WORK EXPERIENCE (Limit to 10 year period, start with the most recent employment)
Company Name Address Position Inclusive Dates Status
(City Municipality) (mm/yyyy to mm/yyyy) (Permanent, Contractual Part-
time, Probationary

VIII. OTHER SKILLS ACQUIRED WITHOUT FORMAL TRAINING


AUTO MECHANIC ELECTRICAL PHOTOGRAPHY
BEAUTICIAN EMBROIDERY PLUMBING
CARPENTRY WORK GARDENING SEWING DRESSES
COMPUTER LITERATE MASONRY STENOGRAPHY
DOMESTIC CHORES PAINTER/ARTIST TAILORING
DRIVER PAINTING JOBS OTHERS: __________________
CERTIFICATION / AUTHORIZATION
This is to certify that all data/ information that I have provided in this form are true to the best of my knowledge. This is also to authorized
the DOLE to include my profile in the PESO Employment Information System, which ia subsystem of the PhilJobNet. It is understood that my
name shall be made available to employers who have access to the Registry. I am also aware that DOLE is not obliged to seek employment on
my behalf.
____________________________ ___________________
Signature of Applicant Date

FOR USE OF PESO ONLY. PLEASE DO NOT WRITE BELOW THIS DOTTED LINE.
Eligible for public employment services? Assessed by:
SPES
GIP
TUPAD
JobStart ___________________________________ ___________
Others, specify: ________________ Signature over Printed Name of Assessor Date

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