Republic of the Philippines

NSRP Form 1
Department of Labor and Employment
September
NATIONAL SKILLS REGISTRATION
2020
PROGRAM JOBSEEKER REGISTRATION
FORM
INSTRUCTIONS: Please fill out the form legibly in block letters using a ballpoint pen. 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 (PESO) Manager or Officer in your city/municipality.
I.PERSONAL INFORMATION
ESTRELLADO MA. DESLIE DEQUE

SURNAME FIRST NAME MIDDLE NAME SUFFIX (Ex: Sr., Jr., III, etc.)
DATE OF BIRTH (mm/dd/yyyy) JULY 19, 1988
SEX Male Female PRESENT ADDRESS
RELIGION House No./ Street Village UPPER MABINI ST.
CIVIL Single Barangay BRGY. 1
STATUS Married Municipality/City BAIS CITY
Widowed Province NEGROS ORIENTAL
TIN HEIGHT (FT.) 5’2”
DISABILITY CONTACT 09469479913
Visual Speech Mental
NUMBER/S 09676948638
Hearing Physical Others Please specify: NA E-MAIL desliedeque19@yah
oo.com
EMPLOYMENT STATUS / TYPE
Employed Unemployed
How long have you been looking for work? (months) NA
Wage employed
Self-employed (Please specify)
New Entrant/Fresh Graduate Terminated/Laid off (local)
Fisherman/Fisherfolk
Vendor/Retailer Finished Contract Terminated/Laid off (abroad)
Home-based worker specify country: NA
Transport Resigned
Domestic Worker Others, please specify:
Freelancer Retired NA
Artisan/Craft Worker
Others (Please specify): Terminated/Laid off due to calamity
Are you an OFW? Yes No Are you a former OFW? Yes No
Specify country NA Latest country of deployment NA
Month and year of return to Philippines NA
Are you a 4Ps beneficiary? Yes No If yes, please provide Household ID No. NA
II. JOB PREFERENCE
PREFERRED OCCUPATION PREFERRED WORK LOCATION
Part-time Full-time Local (specify cities/municipalities): Overseas, (specify countries):

1. GOVERNMENT EMPLOYEE 1. BAIS CITY 1.

2. 2. 2.
3. 3. 3.

III. LANGUAGE / DIALECT PROFICIENCY (check if applicable)

LANGUAGE/DIALECT READ WRITE SPEAK UNDERSTAND
English
Filipino
Mandarin

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 Others:

IV. EDUCATIONAL BACKGROUND

Currently in school? Yes No
IF UNDERGRADUATE
YEAR
LEVEL COURSE LEVEL YEAR LAST
GRADUATED REACHED ATTENDED
2001
Elementary
Secondary Secondary Senior High Strand: 2005
(Non-K12) (K-12)

BACHELOR OF SCIENCE IN BUSINESS 2009

Tertiary ADMINISTRATION
Graduate Studies/
Post-graduate
V. TECHNICAL/VOCATIONAL AND OTHER TRAINING (Include courses takens as part of college education)
HOURS CERTIFICATES
TRAINING
TRAINING/VOCATIONAL COURSE OF SKILLS ACQUIRED RECEIVED
INSTITUTION
TRAINING (NC I, NC II, NC II, NC IV, etc.)

1. EVENTS MANAGEMENT SERVICES 108 HOURS ABELLANA TECHNICAL NC III

AND VOCATIONAL
CENTER, INC.
2.
3
VI. ELIGIBILITY/ PROFESSIONAL LICENSE
ELIGIBILITY DATE
PROFESSIONAL LICENSE (PRC) VALID UNTIL
(Civil Service) TAKEN
1. CAREER SERVICE 03/26/23 1.
PROFESSIONAL ELIGIBILITY
EXAM
2. 2.
VII. WORK EXPERIENCE (Limit to 10 year period, start with the most recent employment)
ADDRESS NUMBER STATUS
COMPANY NAME POSITION (Permanent, Contractual, Part-
(City/Municipality) OF MONTHS time, Probationary)
CRO-MAGNON CORP. BACOLOD CITY ACCOUNT SALES 6 YEARS PERMANENT
EXECUTIVE
PERSONAL SIATON, NEG. OR BUSINESS 8 MONTHS PERMANENT
COLLECTION DIRECT DEVELOPMENT
SELLING INC. OFFICER
SPI Global DUMAGUETE CITY CUSTOMER SERVICE 3 YEARS PERMANENT
REPRESENTATIVE
VIII. OTHER SKILLS ACQUIRED WITHOUT CERTIFICATE
AUTO MECHANIC ELECTRICIAN 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
authorize DOLE to include my profile in the PESO Employment Information System and use my personal information for
employment facilitation. I am also aware that DOLE is not obliged to seek employment on my behalf.

MA. DESLIE D. ESTRELLADO AUGUST 5, 2024

Signature of Applicant Date
FOR USE OF PESO ONLY. PLEASE DO NOT WRITE BELOW THIS DOTTED

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 LINE.
Referred to: Assessed by:
SPES DILEEP
GIP TESDA
Training TUPAD
JobStart Signature over Printed Name of Assessor Date
Others, specify:

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