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NSRP
Form 1 |
Republic of the Philippines |
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Department of Labor
and Employment |
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PESO EMPLOYMENT
INFORMATION SYSTEM |
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REGISTRATION
FORM |
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INSTRUCTIONS: Please
fill out the form
legibly with ball pen. Print in block letters. Check appropriate boxes. Please do
not leave any
items unanswered. Indicate N/A if not applicable.
You may use extra sheet if needed.
Submit accomplished form to the Public Employment Service Office Manager or Officer in your
city/municipality. |
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I.PERSONAL INFORMATION |
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Dela CruzJuanPonce-- |
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SURNAME |
FIRST
NAME |
MIDDLE
NAME |
SUFFIX
(Ex: Sr., Jr., III, etc.) |
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DATE
OF BIRTH (mm/dd/yyyy) |
12/12/2028 |
PLACE
OF BIRTH |
Ilocos Norte |
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SEX |
Male |
PRESENT ADDRESS |
Gen. Santos City |
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RELIGION |
Roman Catholic |
House
No./ Street Village |
1 |
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CIVIL
STATUS |
Single |
Barangay |
Dadiangas North |
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TIN |
123-213-4324 |
Municipality/City |
General Santos |
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GSIS/SSS
ID NO. |
123-432-54-64 |
Province |
South Cotabato |
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PAG-IBIG
NO. |
1432-543-43-34 |
HEIGHT |
173cm |
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PHILHEALTH
NO. |
234-234-53-43 |
EMAIL ADDRESS |
email@gmail.com |
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LANDLINE NUMBER |
+396-4356-433 |
CELLPHONE NUMBER |
+63927-554-6434 |
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DISABILITY |
N/A |
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EMPLOYMENT Status/
type |
Employed |
Self Employed |
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Are you
actively looking for work? |
Yes |
How long
have you been looking for work? 6 |
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Willing
to work immediately? |
Yes |
Household ID No.: |
923492221 |
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Yes |
Household ID No. |
32894325 |
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II. JOB
PREFERENCE |
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PREFERRED
OCCUPATION |
PREFERRED
WORK LOCATION |
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1. Web Developer |
Local, specific cities/ municipalities |
Overseas, specify countries: |
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2. IT Specialist |
1 |
GSC |
1 |
Papua New Ginuea |
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3. Computer Programmer |
2 |
Marbel |
2 |
Singapore |
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4. IT Technician |
3 |
Tacurong |
3 |
New Zealand |
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Expected
Salary (Range) |
P 234,000.00 |
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Passport
No. |
0432436543 |
Expiry
date |
12/12/2028 |
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III. LANGUAGE / DIALECT PROFICIENCY |
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(check if applicable) |
READ |
WRITE |
SPEAK |
UNDERSTAND |
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English |
/ |
/ |
/ |
/ |
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Filipino |
/ |
/ |
/ |
/ |
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Others: |
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