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APPLICATION FOR EMPLOYMENT

Lelie Corporation
#4 Dama de Noche Street,
United Parañaque Subdivision IV,
Parañaque City
PLEASE FILL UP THE GRAY AREAS
Position Desired: Date of Application:
1 Area Business Development Manager
2 Expected Salary: 18,000/monthly

MEJIA GENE AOANAN GENE

(Last Name) (First Name) (Middle Name) (Maiden Name-If Married) Nickname
Present Address: Minien West, Sta. Barbara, Pangasinan
Provincial Address: Minien West, Sta. Barbara, Pangasinan
Phone No. : n/a Mobile No.: 9223645200 Email Address: gene_28mejia@yahoo.com
Date of Birth / Age Place of Birth: Height / Weight Religion: Citizenship:
1/28/1979 39 Sta. Barbara, Pangasinan 5'10 160lbs Roman Catholic Filipino
Sex: Civil Status: Married x Legally Separated Tax Exemption:
Male x Female: Single Single Parent Widow Divorced S HF M M1 M2 M3 M4
SSS No.: PHILHEALTH No.: PAG-IBIG No.: TIN:
218624126 919781762
Parents Name Date of Birth Occupation
Father: Alfredo M. Mejia Sr Deceased
Mother: Erlinda A. Mejia 24-Sep-58 Gov't Employee
Permanent Address Minien West, Sta. Barbara, Pangasinan
Brothers/Sisters Date of Birth Occupation
Alfredo A. Mejia Jr. 22-Aug-80 OFW
Deney A. Mejia 5-May-82 None
Name of Spouse (If Married): Date of Birth Occupation
Marie Joy C. Mejia 13-Mar-79 Public Teacher
Address: Minien West, Sta. Barbara, Pangasinan
Children/Dependent Date of Birth Relation
Geneiah Marie C. Mejia 14-Apr-15 Daughter

Address: Minien West, Sta. Barbara, Pangasinan

Person to be notified in case of emergency:
Name Marie Joy c. Mejia Tel. No.: n/a Relation: Wife
Address: Minien West, Sta. Barbara, Pangasinan

EDUCATION HISTORY
Honos/Awards Inclusive Date
Name of School/ Address
Received
Elementary: Minien - Tebag Elementary School
none

High School: Daniel Maramba National High School

none 1992 - 1996

College: Urdaneta city University formerly City Colleges of Urdaneta

none 1996 - 2006
Course: Bachelor of Science in Accountancy
Special Course: Accounting
Others: (specify)
Professional Licenses
Date Issued Place: Rate/Grade
Gov’t Examination taken
none none none none

SEMINARS/TRAINING ATTENDED
(Attach additional sheet, if necessary)
NATURE INCLUSIVE DATES CONDUCTED BY:
Systematic Managerial Analysis Jollibee Foods Corporation - Red Ribbon Bakeshop, Inc
Feedback Management System Jollibee Foods Corporation - Red Ribbon Bakeshop, Inc
Managing People Case Analysis Jollibee Foods Corporation - Red Ribbon Bakeshop, Inc

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EMPLOYMENT RECORD
(Give in chronological order beginning with the most recent position)
Present or Last Job Second Last Third Last Fourth Last
Position(s) held Restaurant Manager - Trainee Administrative Assistant Accounting Clerk Sales Supervisor
Company Name Red Ribbon Bakeshop, Inc. Saviour Medevices, Inc. Jollimagic Group of Companies
Trusteeship Plans Inc.
Company Address Mangaldan, Pangasinan Dagupan City Dagupan City Urdaneta City
Immediate Superior Mark Anthony Lopez Sedronico Bernales
Telephone No. 9338584960
Dates of Employment Februay 2011 - May 2018
Salary 18,000/monthly 8,000/monthly commission basis
Reason for Leaving
promotion issue Salary reliever only salary - commission basis only
OCCUPATIONAL QUALIFICATIONS/SKILLS:

Carpentry x Accounting Driving

Electrical Keypunching Machine Operation
Stock Control Stenography Programming
Warehouse x Typing Others, Specify

REFFERENCES: (Excluding Relatives)

NAME BUSINESS/PROFESSION ADDRESS TEL. NO
Mr. Jayson Paras Assistant Manager Red Ribbon Bakeshop, Inc - City Mall Dagupan City 09195642035
Ms. Angelica Arlantico Assistant Manager Red Ribbon Bakeshop, Inc - Mangaldan, Pangasinan 09156293128
Mr. Ferdinand Marquez Businessman Manaoag, Pangasinan 09491243322
Relative and/or friends who are in our Company:
NAME DIVISION/DEPARTMENT RELATIONSHIP
none
none
none
OTHER INFORMATION
Dialects/Language Spoken: Panagasinan, Ilokano, Tagalog, English
Will you accept provincial assignment? Yes ( x ) No ( ) If so, where and when?
How soon can you start working? 2 weeks
Date of last illness: none Nature: Blood Type:
Date of last physical/medical examination: none none Findings:
How did you apply with our company? Walk-in ( x ) Ads ( ) Referred ( ) School ( ) Others: _____jobstreet__
Have you ever been convicted of any crime? Yes ( ) No ( x ). If yes, give details of the case.

I hereby certify the foregoing statements are correct and complete. I understand that if my employment with this company,
any false statement or dishonest answers found shall constitute sufficient for dismissal, I further agree to submit myself
to physical medical examination and that I may be separated or dismissed from the Company should the finding justify.

Gene A. Mejia
Applicant Signature

Note: Please answer your essay in a word document (make it lengthy)

1. What are the good and worst things you have been heard about the company
2. What are your maajor strengths and weaknesses?
3. Why did you choose your field of specialization/college degree as a profession?
4. Why so you think LESLIE CORPORATION should hire you?

THIS PORTION IS FOR HR USE ONLY

EMPLOYEE MASTER FILE
Applicant Code: Employee No.: Date Hired:
Division: Section/Dept.: Location:
Employee Type: Employment Status: Region:
Payroll Type: Level No.:

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 Applicant referral

APPLICANT REFERRAL SLIP

Name:

Position:

Address:

Contact Number:

Name:

Position:

Address:

Contact Number:

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