CONTROL NO.
(mmddyyyy)
DATE APPLIED
MITSUBISHI MOTORS PHILIPPINES CORPORATION
2 x 2 PICTURE
APPLICATION FOR EMPLOYMENT
Directions: Please fill up all applicable boxes with the needed information. Put check mark (√) on tick boxes when provided. Write "NA" if the question is not applicable. Incomplete
information will lead to rejection of your application.
SURNAME GIVEN NAME MIDDLE NAME NICKNAME AGE DATE OF BIRTH (mmddyyyy)
HOME ADDRESS PHONE NO.
OWNED RENTED BOARDING HOUSE
OTHERS MOBILE NO.
PROVINCIAL ADDRESS PHONE NO.
SEX MALE NATIONALITY CITIZENSHIP RELIGION HEIGHT (cm) COLOR OF HAIR E-MAIL ADDRESS
FEMALE WEIGHT (kg)
PERSONAL RECORD
CIVIL STATUS SINGLE MARRIED WIDOW (ER) SEPARATED
SPOUSE NAME OF SPO SE AGE DATE OF BIRTH (mmddyyyy)
U
SPOUSE EMPLOYED? IF EMPLOYED, NAME AND ADDRESS OF COMPANY/BUSINESS
YES NO
MONTHLY EARNINGS EDUCATIONAL ATTAINMENT
DESCRIBE ANY SERIOUS ILLNESS, OPERATION, PHYSICAL DEFECT OR CHRONIC DISEASE OF YOUR SPOUSE, IF ANY
PARENTS FATHER'S NAME LIVING DECEASED AGE DATE OF BIRTH (mmddyyyy)
HOME ADDRESS HIS OCCUPATION/EMPLOYER
DESCRIBE ANY SERIOUS ILLNESS, OPERATION, PHYSICAL DEFECT OR DISEASE OF YOUR FATHER, IF ANY
MOTHER'S NAME LIVING DECEASED AGE DATE OF BIRTH (mmddyyyy)
HOME ADDRESS HER OCCUPATION/EMPLOYER
DESCRIBE ANY SERIOUS ILLNESS, OPERATION, PHYSICAL DEFECT OR DISEASE OF YOUR MOTHER, IF ANY
DEPENDENTS NAME RELATION AGE DATE OF BIRTH (mmddyyyy)
(Use extra sheet
when necessary)
DESCRIBE ANY SERIOUS ILLNESS, OPERATION, PHYSICAL DEFECT OR DISEASE OF YOUR DEPENDENTS, IF ANY
EDUCATIONAL RECORD
YEARS ATTENDED YEAR IF
UNDERGRADUATE
COURSE SCHOOL / LOCATION (yyyy-yyyy) GRADUATED INDICATE UNITS DEGREE/COURSE & AWARDS (IF ANY)
EARNED
ELEMENTARY SCHOOL
ADDRESS
HIGH SCHOOL SCHOOL
ADDRESS
COLLEGE SCHOOL
ADDRESS
VOCATIONAL SCHOOL
ADDRESS
OTHERS SCHOOL
ADDRESS
LANGUAGE/DIALECTS Speak Read Write SKILLS Yes No
Drive a vehicle? Vehicle type?
Computer Literate? Programs? Other Skills:
SKILLS Yes No
Drive a vehicle? Vehicle type?
Computer Literate? Programs? Other Skills:
SOCIAL SECURITY NO. TAX IDENTIFICATION NO. DRIVER'S LICENSE NO. (IF ANY) VALID UNTIL
PERSON TO NOTIFY IN CASE OF EMERGENCY RELATION
ADDRESS PHONE NO.
QFR-CHP-002/REV03/FEB2017
on is not applicable. Incomplete
ATE OF BIRTH (mmddyyyy)
ATE OF BIRTH (mmddyyyy)
ATE OF BIRTH (mmddyyyy)
ATE OF BIRTH (mmddyyyy)
DATE OF BIRTH (mmddyyyy)
RSE & AWARDS (IF ANY)
VALID UNTIL
QFR-CHP-002/REV03/FEB2017
PREVIOUSLY APPLIED WITH US? PAGE 2
YES NO IF YES, WHEN? DISPOSITION OF YOUR APPLICATION?
POSITION/S APPLIED FOR FIRST CHOICE SECOND CHOICE
WHY ARE YOU APPLYING FOR THE SAID POSITIONS?
WHAT DO YOU CONSIDER TO BE YOUR STRONG POINTS?
WHAT DO YOU CONSIDER TO BE YOUR WEAK POINTS?
IF ACCEPTED WHEN COULD YOU BEGIN? MINIMUM SALARY EXPECTED
EMPLOYMENT COMPANY / LOCATION POSITION LAST SALARY YEARS REASON FOR
HISTORY FROM - TO CHANGE
Latest position listed
COMPANY
first (include military
service) ADDRESS
Use extra sheet when COMPANY
necessary
ADDRESS
COMPANY
ADDRESS
COMPANY
ADDRESS
DURATION REASONS
PERIODS OF
UNEMPLOYMENT
DESCRIBE ANY SERIOUS ILLNESS, OPERATION, PHYSICAL DEFECT OR CHRONIC DISEASE YOU HAD
PROFESSIONAL/CIVIC/RELIGIOUS ORGANIZATIONS AND YOUR POSITION PROFESSIONAL LICENSE LICENSE NO.
1
2
HAVE YOU BEEN SENTENCED IN A YES CRIMINAL IF YES, NATURE OF OFFENSE AND DISPOSITION DATE / PLACE
COURT OR HAVE ANY
PENDING CRIMINAL CASE/S? NO
HAVE YOU WORKED UNDER ANY OTHER YES IF YES, STATE NAME AND DATE USED
NAME THAN THAT STATED ABOVE? NO
HOW DID YOU KNOW THE JOB VACANCY?
HIRING AGENCY ADVERTISEMENT PERSON
DO YOU HAVE RELATIVES (PARENTS, SIBLINGS, CHILDREN, SPOUSE BY CONSANGUINITY OR AFFINITY) WHO ARE CURRENTLY EMPLOYED HERE IN MITSUBISHI
MOTORS PHILIPPINES CORPORATION?
YES NO IF YES, PLEASE STATE NAME AND RELATION
NAME RELATION
CHARACTER REFERENCES : People who have known you for two years. (Other than relatives and former employees of MMPC) Name
Occupation Address Phone No.
1. I, (“Data Subject”), having been apprised of the following, do hereby agree and consent that Mitsubishi Motors Philippines Corporation (“MMPC”)
may collect, use, disclose, and/or process my personal information/data set out in this form and/or otherwise supplied by me, and/or those which is/are already in possession of MMPC, for one or more of the purposes
stated herein and/or indicated in the Terms and Conditions of any/all of such agreements, waivers, and/or supplements thereof (if any), entered into by me with MMPC, and for any and all legitimate and legally
mandated purposes incidental thereto (collectively as “Purposes”).
2. I acknowledge that MMPC may, at its sole discretion, disclose the personal information/data referred herein to any/all of MMPC’s subsidiary/ies, affiliate/s, third party service provider/s, agent/s, assign/s, dealer/s,
supplier/s and/or lawyer/s or law firm/s, whether situated inside/outside of the Philippines, for one or more of the Purposes, as such subsidiary/ies, affiliate/s, third party service provider/s, agent/s, assign/s, dealer/s,
supplier/s and/or lawyer/s or law firm/s process my personal information/data for MMPC.
3. I hereby represent and warrant that I have the legal authority to (i) provide any/all of the personal information/data referred herein; (ii) consent to its collection, use, disclosure, and/or processing; and (iii) agree to the
Terms and Conditions herein stated or in any/or all of the agreements, waivers, and/or supplements thereof, entered into by me with MMPC.
4. I have read and understood all of the foregoing and hereby affirm my consent thereto, with due regard to my rights under Republic Act No. 10173 or the Data Privacy Act of 2012, and relevant laws, rules and
regulations.
Before being employed, I understand that a Medical and Physical Examination must be passed and I authorize the examining Physician to furnish MITSUBISHI MOTORS PHILIPPINES CORPORATION with the result
of such examination.
I authorize investigation of any statement made on this application and understand that misrepresentation is cause of voiding this application or termination of my employment if I am employed.
I am willing to abide by the Company Rules and Regulations and other memoranda that may be issued
DATE SIGNATURE OVER PRINTED NAME OF APPLICANT
REASON FOR
CHANGE
RE IN MITSUBISHI
r more of the purposes
ate and legally
s, assign/s, dealer/s,
s, assign/s, dealer/s,
ng; and (iii) agree to the
laws, rules and
ORATION with the result
