Form TSCL 11.

00

CONFIDENTIAL
APPLICATION FOR EMPLOYEMENT

Employment Application
Applicant Information
Position(s) of interest:
Security Officer
How did you know of the position?
Internet
Personal Information
Surname/Last Name:
Segovia
Mr.
Miss
Mrs.
Ms.
First & Middle Name(s):
Hayden
Labitad
Previous Surname:
N/A
Date of Birth:
November 10, 1958
Mailing Address:
Prk. Maalikaya, Brgy.Canjusa, Pulupandan, Negros Occidental
Nationality:
Filipino
Residential Address:
Prk. Maalikaya, Brgy.Canjusa, Pulupandan, Negros Occidental
Home Telephone:

Mobile Telephone:
09102782015/09258086143
Email Address:
segoviahayden@yahoo.com
Name of Local Contact:
Harriet D. Segovia
Relationship:
Wife
Local Address:
Prk. Maalikaya, Brgy.Canjusa, Pulupandan, Negros Occidental
Local Phone Contact::
09322548024
Employment Experience (Please list most recent job first)
Dates
From
To

Please
attach one
full face
photo

Position Title
Employers Name and Address
Main Duties and Responsibilities
Reason for leaving

Phone:

Phone:

Phone:

(Please continue on a separate sheet if necessary)

FOR OFFICE USE ONLY
Check received:
Cover letter
Resume /Curriculum Vitae
Certificate
Certificates
Photograph
Date received:

Hiring Managers Notes:

Contact for Interview:

Hiring Decision:
Y

Y
N

Police Clearance

May we contact your previous employers?

Yes
No
If YES, please provide the name of the person to contact:

1. Person to Contact
P/S Insp. Rommel C. Ybanez
Telephone
09299535423
Company Name
Phil. National Police
Best Time to Call
Anytime
2. Person to Contact
Col. Daniel C. Alova (Retired)
Telephone:
09216797015
Company Name
Phil. Army
Best Time to Call
Anytime
Academic Achievement from Age 16
Name and Address of Institution
Dates
Subjects studied or passed with grades or certificates obtained (e.g.
GCE/CSE)
From
To
Schools

Misamis Oriental General Comprehensive High School Cagayan de

Oro City, Misamis Oriental

1971


1970

College/Universities

Other technical training / professional qualification gained or being studied

Additional Information
1. Hobbies, sports, extra-curricular activities:
Reading,Basketball, and Chess
2. Do you have a valid drivers license?
Yes
No
3. Do you have/or have access to a vehicle?
Yes
No
4. If successful, when are you available to begin employment?
Anytime
5. Will you require a work permit?
Yes
No
6. Have you ever been convicted of any crime in this or any jurisdiction?
Yes
No

If yes, please explain in full stating offence, date, sentence, and any
other information on a separate sheet of paper.
7. Do you have any medical disorders that may prevent you from fulfilling
the duties of your role?
Yes
No
If yes, please give details on a separate sheet of paper.
8. Do you agree to periodic Drug /Alcohol testing?
Yes
No
Declaration
I declare that all information in this application and the accompanying documentation are
correct and true; and authorize investigation of all statements contained herein. I release all
parties from all liability for damages that may result from furnishing said information.
Signed ____________________________________________
__________________________________

Date

The Security Centre Limited is an Equal Opportunity Employer

GUIDANCE NOTES
APPLICATION FOR EMPLOYEMENT

The Security Centre Limited requires a minimum of seven years employment

history therefore all questions must be answered in full.

In order for a work permit holder to be considered for a position, the applicant
must have completed a minimum of two years service in the Security Industry I
Police I Military I or Correctional Services within the last five years.

Periods of unemployment must be stated with explanation for absence in the

cover letter.

This application must be signed by your own hand thus releasing all parties from
all liability for damages that may result from furnishing information regarding your
application.

Due to the level of security clearance required in the security services industry,
the contents of your application, all accompanying documentation and information
from your references regarding your previous employment may be investigated.
Any falsified statements found therein shall be grounds for denial of interview or
immediate dismissal if offered employment after this six-month period.

Although completed application forms will be kept on file for a period of six months
and may then be destroyed, The Security Centre Limited will not be responsible for
the safekeeping or return of any documentation that is submitted with the
application.

If successful, the new employee will be required to provide a full medical report, 2
police clearance certificates, 4 photographs, 3 references, security license (if
deemed necessary for the position) and current passport.

The following must accompany this application

Cover letter

Curriculum Vitae or Resume

1 full face photograph

Copies of certificates of qualification

Current Police Clearance Certificate

When completed, please return this form and afore-mentioned documents to:
Human Resources
The Security Centre Limited
P.O. Box 10055
Grand Cayman KY1- 1011
Cayman Islands
Email: employment@security.ky