PETRON CORPORATION

Petron MegaPlaza, 358 Sen. Gil Puyat Ave., Makati City, Phillippines
P.O. Box 2228 MCPO 0708, Makati City 1200

APPLICATION FOR EMPLOYMENT

EM 042 (REV 01/99)
PHOTO

PLEASE PRINT LEGIBLY

NAME (LAST/FIRST/MIDDLE) NICKNAME

CURRENT ADDRESS RESIDENCE TEL NO SSS NO

PERMANENT ADDRESS OFFICE TEL NO TAX IDENTIFICATION NO

AGE DATE OF BIRTH PLACE OF BIRTH CITIZENSHIP SEX HEIGHT WEIGHT

MARITAL STATUS SPOUSE (LAST/FIRST/MIDDLE) NO OF CHILDREN NO OF OTHER DEPENDENTS

OCCUPATION OF SPOUSE/PARENT COMPANY ADDRESS/TEL NO

IN CASE OF EMERGENCY NOTIFY (NAME/RELATION/ADDRESS/TEL NO)

LANGUAGES/DIALECTS SPOKEN LANGUAGES/DIALECTS WRITTEN LANGUAGES/DIALECTS READ

POSITION APPLIED FOR (INDICATE 1ST/2ND CHOICE) MONTHLY SALARY DESIRED DATE AVAILABLE FOR WORK

1ST 2ND
RELATIVES CURRENTLY/PREVIOUSLY EMPLOYED IN PETRON, LOCATION RELATIONSHIP
OTHER OIL COMPANIES, CONTRACTORS/SUPPLIERS OF PETRON

HAVE YOU EVER APPLIED WITH YES IF YES, INDICATE WHEN & WHERE MAY WE INQUIRE FROM YES WILLING TO ACCEPT YES
OR BEEN EMPLOYED BY PETRON PREVIOUS AND/OR PROVINCIAL
CORPORATION? NO CURRENT EMPLOYER? NO ASSIGNMENT? NO
TYPE OF NAME AND LOCATION NO OF YEAR DEGREE OR CLASS STANDING
SCHOOL OF SCHOOL YEARS GRADUATED MAJOR TOP 10% UPPER 20 % MIDDLE 40 % LOWER 20 %

ELEMENTARY

HIGH SCHOOL

COLLEGE

GRADUATE

SPECIAL COURSES
ACADEMIC HONORS AND AWARDS RECEIVED

GOVERNMENT EXAMS TAKEN PLACE AND DATE TAKEN LICENSE NO RATING/GRADE

HOBBIES/OUTSIDE INTERESTS

OTHER SPECIAL ABILITIES

 PLEASE PRINT LEGIBLY

WORK EXPERIENCE (EMPLOYMENT WITHIN A 5-YEAR PERIOD UP TO PRESENT POSITION AFTER LEAVING SCHOOL)
PERIOD EMPLOYED ADDRESS MONTHLY IMMEDIATE
POSITION COMPANY REASON FOR LEAVING
FROM TO AND TELEPHONE NO SALARY SUPERIOR

CHARACTER REFERENCES (EXCLUDE RELATIVES OR FORMER EMPLOYERS)

NAME ADDRESS YEARS KNOWN OCCUPATION

CERTIFICATION

I ALSO HEREBY GRANT PETRON CORPORATION OR ITS DESIGNATED REPRESENTATIVE THE RIGHT/AUTHORITY
TO CONDUCT BACKGROUND CHECKING, INTERVIEWS OR VERIFICATION REGARDING ANY MATTER STATED IN
THE APPLICATION FOR EMPLOYMENT WITH ANY THIRD PARTY SUCH AS BUT NOT LIMITED TO PREVIOUS
EMPLOYERS, CIVIC OR SOCIAL CLUBS, SCHOOLS/UNIVERSITIES, NEIGHBORHOOD, ETC. ANY INFORMATION
OBTAINED BY PETRON CORPORATION OR ITS DESIGNATED REPRESENTATIVE SHALL BE TREATED WITH.
CONFIDENTIALITY.

APPLICANT AGREES THAT ANY UNTRUTHFUL STATEMENT OR MISREPRESENTATION IN THE APPLICATION FOR
EMPLOYMENT MAY RESULT IN NON-ACCEPTANCE OR TERMINATION OF EMPLOYMENT.
APPLICANT'S NAME SIGNATURE DATE SIGNED

FOR HRMD USE ONLY

PROCESSED BY DATE PROCESSED REMARKS

REVIEWED BY DATE REVIEWED