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MORA, LUMARDA AND ASSOCIATES No. 2 Don J. Llorente St.,Certified Public Accountants Capitol Site, Cebu City, Philippines

Telefax : 255-4960Cell Nos.: 0905-2630557 (alex)

: 0917-6259527 (jun/oyang): 0927-5728150 (rheneir)

APPLICATION FOR EMPLOYMENT

Employee Number (for HR use only): _____________

If employed, this becomes a part of your permanent record.

Position Preferred: ________________ Desired Salary: ___________

Personal Information:

Complete name (including nickname): _____________________________________

Present address (including telephone/mobile phone number/s:__________________

____________________________________________________________________

Date of birth: __________ Place of birth: ___________ Age: ____ Sex: ______

Civil status: _____ Height/weight: _______ Citizenship: _____ Religion: ______

Family Background:

Father (name and occupation):___________________________________________

Mother (name and occupation): __________________________________________

Brothers/sisters (name and occupation): ___________________________________

____________________________________________________________________

Spouse/children (name and occupation): ___________________________________

____________________________________________________________________

Educational Background:

High School (name of school/year graduated/honors received)__________________

____________________________________________________________________

Attach 2 x 2 photo

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MORA, LUMARDA AND ASSOCIATESCertified Public Accountants

College (name of school/year graduated/honors received)______________________

____________________________________________________________________

Graduate Studies (name of school/year graduated/honors received)______________

____________________________________________________________________

Review School (name of school/ year attended)______________________________

____________________________________________________________________

Government Examinations Passed (include year taken/average): ___________

___________________________________________________________________

Extra Curricular Activities (include position/dates):______________________

___________________________________________________________________

General Information:

Would like to accept fieldwork? ____ overtime work? ____ out-of-town work? _____

Have you been accused of any misdemeanor or crime? If so, please state the nature.

____________________________________________________________________

Have you had any illnesses, hospitalization or accidents in the past 2 years? If yes,please explain.

____________________________________________________________________

Have you had any physical or mental condition which may limit your ability to

perform the job applied for or pose a potential risk to other employees?

____________________________________________________________________

Skills/hobbies:________________________________________________________

Computer Literacy:

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MORA, LUMARDA AND ASSOCIATESCertified Public Accountants

MS Word (high/medium/low): _________ MS Excel (high/medium/low): _______

Other MS application (please state) _______________________________________

Accounting and other applications/programs you have experience (please state)

____________________________________________________________________

Employment Record (state name of employer, position, inclusive dates, salary,reason for leaving, name and contact information of superiors working with):

____________________________________________________________

____________________________________________________________________

____________________________________________________________

____________________________________________________________________

____________________________________________________________

____________________________________________________________________

____________________________________________________________

____________________________________________________________________

References (state three references, including the companies they are connectedwith, position, address and contact information):

____________________________________________________________

____________________________________________________________________

___________________________________________________________

_

____________________________________________________________________

____________________________________________________________

In case of emergency, please notify: ____________________`Relationship:

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MORA, LUMARDA AND ASSOCIATESCertified Public Accountants

_______Address/contract information:

____________________________________________

* * *

I hereby certify that the above information is true, correct and complete. In the event of myemployment, I agree that should the information furnished above proved to be false,

incorrect or incomplete, our employer shall have the right and option to terminate my

employment at any time. I hereby authorize my employer or its duly authorized

representative to verify the given information. I also authorize and request each former

employer, firm or person stated above to answer any or all questions that may be asked,

and to give any or all information that may be sought in connection with this application.

Signature of Applicant Date

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