SCOTT PARK GROUP PHILS. INC.

21F SALCEDO TOWERS CONDOMINIUM

169 DELA COSTA ST.
1227 MAKATI CITY ATTACHED
TEL: (632) 846 6130 PHOTOGRAPH

PRIVATE & CONFIDENTIAL

APPLICATION FOR EMPLOYMENT FORM

INSTRUCTIONS
1. This form has been designed to provide us with the basic information for easy processing of your application for employment with us.
It also serves as our personal record should you be employed.
2. All relevant parts of this application form must be completed.
3. If space on this application is insufficient, please attach an addendum.
4. Scott Park Group Phils. Inc. reserves the right to terminate the employment of the applicant if any of the particulars supplied by the applicant
in this application form is found to be untrue after engagement.

Post Applied For: Date of Application:

I. PERSONAL PARTICULARS

Name (as in the I.D. / Passport, please underline surname):

(Title: Dr / Mr / Mrs / Miss / Mdm)

Citizenship: Nationality: Nationality:

Place of Birth: Date of Birth: Gender: Female / Male

Marital Status: Single / Married / Divorced /

Religion: Race:
Widowed
Address & Contact Number in Philippines

House / Block No: __________________________ Street Name: __________________________________________________

Unit No: __________________________________ Building Name: _______________________________ S ( )
Telephone No: _______________________ (Home) _______________________ (Office) _______________________ (Mobile)
E-mail Address: __________________________________________________________________________________________

Driving License:

Overseas Address & Contact Number (If you are not a Filipino or Philippine Resident)

Address: _______________________________________________________________________________________________
Telephone No: _______________________ (Home) _______________________ (Office) _______________________ (Mobile)

II. FAMILY PARTICULARS - GIVE DETAILS OF YOUR SPOUSE, CHILDREN, PARENTS & SIBLINGS. IF SPACE IS INSUFFICENT, PLEASE
PROVIDE THE INFORMATION ON A SEPARATE SHEET OF PAPER.

Name Relationship Nationality Date of Birth Occupation Company

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III. CONTACT PERSON / NEXT - OF - KIN: IN CASE OF EMERGENCY

Name: Relationship:

Address & Contact Number in Philippines

House / Block No: __________________________ Street Name: ____________________________________________________

Unit No: __________________________________ Building Name: ________________________________ S ( )
Telephone No: _______________________ (Home) ________________________ (Office) ________________________ (Mobile)

IV. EDUCATIONAL PROFILE – ATTACH PHOTOCOPIES OF ALL ACADEMIC CERTIFICATES (INCLUDING GCE ‘N’, ‘O’ & ‘A’ LEVELS)

From To Part-time / Full

Qualification Attained Institution / Country
(mm/yy) (mm/yy) Time

V. OTHER COURSES CURRENTLY PURSUING

Expected Date Of
From (mm/yy) Name of Course* Institution
Completion (mm/yy)

*PLEASE ATTACH RESULTS / CERTIFICATES OF ATTENDANCE OR PERFORMANCE IF AVAILABLE

VI. SCHOLARSHIPS / AWARDS

Year Of Award Description

VII. COMPUTER LITERACY & OTHER SKILLS PLEASE INDICATE THE SOFTWARE YOU ARE COMPETENT IN:

Shorthand: wpm Typing wpm

VIII. EMPLOYMENT HISTORY – START WITH YOUR LATEST OR PRESENT COMPANY

From To Monthly Allowances Bonus

Company / Country Position (if any) (Months) Reasons For Leaving
(mm/yy) (mm/yy) Basic Salary

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IX. LANUAGE PROFILE: PLEASE WRITE GOOD (G), FAIR (F) OR POOR (P)

Language Spoken Written Language Spoken Written

X. PROFESSIONAL MEMBERSHIPS

From To
(MM/YY) (MM/YY) Association/Club/Society/Company Position Held

XI. HOBBIES / INTERESTS / GAMES

XII. CHARACTER REFERENCES

Occupation & Name of the Period

Name Address Contact No.
Organization Known

XIII. ADDITIONAL INFORMATION

What Is Your Expected Monthly Salary?

How Soon Can You Join Us?

XIV. DECLARATION

1. Have you any objection to the reference being made to your present / previous employer? Yes / No

2. Have you been discharged or dismissed from the service of your previous employers? Yes / No

3. Have you been or are you suffering from any mental disorder or physical impairment? Yes / No

4. Have you been or are you suffering from any disease / illness / major medical condition in the last 6 months? Yes / No

5. Are you currently on any medication? Yes / No

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6. Have you taken any illicit drugs? Yes / No

7. Have you been convicted in a court of law in any country or detained under the provisions of any written law? Yes / No

8. Have you ever been declared a bankrupt? Yes / No

9. Do you have any share in any business undertaking other than that in a public – listed company? Yes / No

10. Are you holding a directorship or other appointment in any company? Yes / No

11. Do you have any relatives / friends working in Scott Park Group Phil. Inc. and / or its subsidiary? Yes / No

12. Have you applied for any employment in Scott Park Phils. Inc. and / or its subsidiary before? Yes / No

If your answer to any of the above is Yes, please give details in the space provided or on a separate sheet.

 I declare that all the information given herein is true and correct.
 I understand that a misrepresentation or omission of facts will be sufficient cause for cancellation of consideration for
employment or dismissal from the Company’s service if I have been employed.
 I understand that completing this application is not a promise of employment from the Group or its subsidiaries.
 I authorize Scott Park Group Phils. Inc. and / or its subsidiaries to confirm any of the statements above and also give the
Company the right to investigate my background at any time.
 I hereby declare that all information provided in this application and on the attached resume is true, complete and accurate.
 I understand that the submission of false information or misrepresentation in this application, may result in the immediate
termination of my employment should I be employed by the Company.

____________________ ____________________
Signature of Applicant Date

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