Date of Application:

_________________
EMPLOYMENT APPLICATION FORM
Position Desired: *Subject to availability *Items marked with an asterisk is OPTIONAL
 Customer Service with Sales  Customer Service with Tech  E-mail Support  Customer Service

Location Desired: *Subject to availability

 Parañaque  Shaw  Silver City  Bohol  Davao  Alabang Would your chosen location pose any challenge?  YES  NO

Personal Information
Name

Last First Middle

Contact Number/s Present Address

Email Address Birthdate* (mm/dd/yyyy) Age* Gender Civil Status Employment Availability Date

TIN SSS Number Pag-IBIG MID Number Philhealth Number (PIN)

Have you ever applied here before?

 Yes  No If so, when? ______________ Desired Salary Range:
Person to contact in case of Emergency Relationship to you Contact Number/s

How did you learn about IBEX Global? Are you amenable to the following schedules? (PLEASE CHECK)

 Employee Referral Shifting  Holidays  Weekend

Name: __________________  Graveyard  Overtime  Split Days Off
Employee #: _____________
Account: ________________ Check all that apply.

 Current medical concerns

 Online  Jobstreet Facebook  IBEX Details:__________________________________
Website
 Others:__________________________
 Pending administrative or labor case with your previous
employer/s?
 Media  Print Ad : _______________________ Details:__________________________________

 Events (Job Fair) Please specify:_____________  Scheduled travel within the year
 Headhunter Please specify:_______________ Details: ___________________________________
 Promodizer Please specify:_______________
 Forced Resignation/Termination/AWOL Status
 Outdoor Ads  Hanston Center Island  Details: ___________________________________
Silver City Lamp Post  Signage
 Business or any dealing partnership  Details
Details: ___________________________________
 Applicant Referral Name:
______________________ If yes, would this hinder you to perform your job’s duties and
Contact Number/s: _______________ responsibilities including working on holidays, weekends, and
graveyard or shifting schedules?  YES  NO

Educational Background
Highest Educational
School / University From To Course
Attainment
Post Grad
College
High School

 Do you have any plans of going back to school or pursuing further education?
 YES. When? __________________________  NO
 Employment Background
(from most recent employer) PLEASE DECLARE ALL
1. Name of Company Last Position Held Date Joined Date Left

Immediate Supervisor Contact Number/s Last Salary Reason for Leaving

2. Name of Company Last Position Held Date Joined Date Left

Immediate Supervisor Contact Number/s Last Salary Reason for Leaving

3. Name of Company Last Position Held Date Joined Date Left

Immediate Supervisor Contact Number/s Last Salary Reason for Leaving

4. Name of Company Last Position Held Date Joined Date Left

Immediate Supervisor Contact Number/s Last Salary Reason for Leaving

(Kindly ask an extra sheet from the Recruitment Team if needed)

General Information
Are you currently employed?  Yes  No
Have you ever been employed with us before?  Yes  No
If yes, Period of Employment: From _______________ to _______________ Account: ___________________
Reason for Leaving: _________________________________________________________________________

Do you have any obligation to an employment/training bond with your current employer?  Yes  No
Name of Employer: __________________________________ Duration of Bond: ________________________

Have you ever been convicted of a criminal offense?  Yes  No

If yes, please provide details (e.g. nature of offense, etc.)____________________________________________
_________________________________________________________________________________________

Have you ever been confined to any hospital or institution for health illness?  Yes  No
If yes, please provide details (e.g. date of hospitalization, doctor’s diagnosis, etc.): ________________________
_________________________________________________________________________________________

Character References
Please do not include family members/ relatives

Name Title/ Employer of the Reference Contact Number/s

Applicant’s Statement
(please check if you are in agreement)

I certify that I am of legal age (18 years old and above) to be employed.

I certify that all information given herein are true and complete to the best of my knowledge.

I understand that any false information, omissions or misrepresentations of facts called for in this application will
disqualify my application or result in the termination of my employment.
I authorize IBEX Global Philippines to investigate all statements made on this application form and any discrepancy found that
is contrary to what has been declared during the said the investigation will result in immediate disqualification or result in the
termination of my employment.

I understand also that I am required to abide by all rules and regulations of IBEX Global Philippines once hired.

__________________________ ________________________
Signature over Printed Name Date