Pharma Nutria N.A., Inc. S.V. More Pharma Corporation Pnsv Asia Corporation

PHARMA NUTRIA N.A., INC. S.V. MORE PHARMA CORPORATION PNSV ASIA CORPORATION

S.V. More Group Corporate Center

#16 Scout Tuason cor. Roces Ave., Quezon City, Metro Manila, Philippines

Telephone Nos.: 373-6240 * 373-6242 * 373-6591

Fax Nos.: 371-1428 * 375-1721 * 371-1649

PERSONNEL INFORMATION SHEET

I.  PERSONAL CIRCUMSTANCES:

Position Applied for: ______

Full Name: Nickname:

______

Home Address: Contact No.

______

Provincial Address: Contact No.

______

Date of Birth: Place of Birth: Citizenship: Age: Sex:

______

Religion: Height: Weight: SSS No. Pag-ibig No.:

______

In Case of Emergency Notify: (Relationship) Tin No.: Philhealth No.:

______Address and Contact No.: ______

II.  FAMILY:

Status: Marriage Date: Number of Children:

______

- Single Name and Ages of Children: Name and Ages of Children:

______- Married ______

______

Name of Other Dependents: Relationship:

______

______

______

Name of Spouse: Age: Nationality:

______

Education of Spouse: School Where Graduated:

______

Is your spouse employed? Employed as: Monthly Salary:

______

List down father, mother, brothers and sisters:

Name: Age: Occupation: Employer:

______

______

______

______

III.  EDUCATION:

Schools Attended: Principal Field of Attended Graduated Honors/Awards

Study/Degree Earned: From To Yes No Received:

______

______

______

______

Designate scholastic standing as top College co-curricular activities participated in:

1/3, middle, lower 1/3: ______

High School: College: ______

______Professional license(s) held: Describe any additional education you have received:

______

______

Have you ever traveled abroad? (Yes/No) Are you presently devoting any time to special study? (Describe fully)

______

Where: When: ______

______State special skills or machines you can operate:

______

______

______

Languages/Dialects: Indicate proficiency in each:

Speak Write Read

______

______

______

______

IV.  HOME CIRCUMSTANCES AND FINANCES:

State with whom you live and whether you stay in own home, in boarding house, or renting:

______

Do you contribute to the keep up of any dependents other than your immediate family?”

______

Do you have any dependents who are chronically ill? Do you own any investment in real estate?

______

Do you save money regularly? Do you own bonds?

______

Do you own a car? Make: Model: Year:

______

Do you have a savings account? Do you own stocks?

______

V.  MEDICAL HISTORY:

1.  Previous Illness/es:

Year Findings / Diagnosis Status / Remarks

______

______

2.  Last Medical Check-Up:

When Where Findings / Diagnosis

______

3.  History of Hospitalization/s and/or operation/s:

When Where Findings / Diagnosis

______

______

4.  State any ailment, illness or physical condition presently bothering you:

______

5.  State medicine/s you are currently taking:

______

6.  Indicate illness/es you consider yourself more prone or vulnerable to:

______

VI.  ORGANIZATION & ACTIVITIES:

Do you belong to and participate in (Identify):

Business organization/s: Social Club/s: Religious Organization/s: ______

______

______

List hobbies in order of preferences:

______

VII.  EMPLOYMENT HISTORY:

From: To: Company Name and Address Last Position Salary

Mo. Yr. Mo. Yr.

______

______

______

______

______

VIII.  JOB-RELATED AWARDS AND ACHIEVEMENTS:

Nature of Citation: Company: Year:

______

______

______

IX.  DETAILS OF EMPLOYMENT EXPERIENCE:

Following the form below, describe your work in each of the last three companies in which you have been employed. Start with the last or present company. Be complete. Be especially careful to give all details of work experiences during your employment. Please use additional sheets if necessary.

1.) Firm: Immediate Supervisor:

______

Reason for leaving:

______

______

Give job titles and description of duties, responsibilities and accomplishments:

______

______

______

2.) Firm: Immediate Supervisor:

______

Reason for leaving:

______

______

Give job titles and description of duties, responsibilities and accomplishments:

______

______

______

3.) Firm: Immediate Supervisor:

______

Reason for leaving:

______

______

Give job titles and description of duties, responsibilities and accomplishments:

______

______

______

X.  PREFERENCES AND RELATED MATTERS ABOUT THE COMPANY:

What salary do you desire? Names of employees of this company with whom you

______are acquainted?
What date could you begin work if employed by ______

this company? ______

Have you ever applied work with this Company Names of any relatives/in-laws in this Company’s

before? (Yes/No)______employ?

Who referred you to this Company? ______

______

Why are you applying for a position in this Company? If employed by the Company, do you have marked ______preferences for a particular area? (Yes/No)

______If yes, area preferred and reasons:

______

______

______Second preference:

______

______

XI.  GOALS:

At the present cost of living, what income would you need in order to live the way you would like to live?

______

______

______

What plans do you have for the future?

______

______

______

XII.  REFERENCES:

Please list three references other than relatives or former employers. Mark with an asterisk those you do not wish us to contact at this time.

Name: Position Company/Company Address Contact No.

______

______

______

May we contact your present employer May we contact your previous employers? (Yes/No) At this time? (Yes/No) ______If yes, which ones?______

I hereby certify that all information contained herein is true and correct to the best of my knowledge.

______

Signature over Printed Name

______

Date