BD Jlife" Employment Application Form
2x2
PHOTO
Position Applied For: _______ _ ___________
Last Name Given Name Middle Name M.I. Nickname
Gender Place of Birth Citizenship Religion
Civil Status Height (ft' in") Weight (lbs J Language/Dialects Spoken
S.S.S. No. T.I.N. Philhealth No. I-IDMF No. (Pag-lbig No)
Current Address Zip Code
Own( ) Rent( ) Email Address Contact Numbers (Landline & Mobile)
Board ( ) Others(
Provincial Address Zip Code Telephone Number
PERSON TO NOTIFY IN CASE OF EMERGENCY
Name (Last Name, First Name Middle Name) Relationship Contact Numbers
Address Occupation Company /Address & Contact Nos.
Y 1:Al�S A I I 1:NLJl:U HONORS/
NAME OF SCHOOL/ADDRESS (mm/yyyy) COURSE/MAJOR
From To RECOGNITIONS
ELEMENTARY
HIGH SCHOOL
COLLEGE
POST GRADUATE
OTHERS (Vocational or Computer Courses)
MOBILITY PREFERENCE
□ YES □ NO
Are you willing to be assigned outside of Metro Manila?
If yes. please indicate specilic location preferences
Within outskirts of Manila:
Province/s:
Please indicate your preterred availability for possible regional assignment.
Remarks/Comments:
DATE OF
NAME BI RTH ADDRESS OCCUPATION COMPANY
(Last Name, First Name Middle Name) (mm/dd/yyyy)
Father
Mother (Complete Maiden Name)
Brother/s
Sister/s
Spouse
Son/s
Daughterls
YES NO
Do your parents. spouse and/or children, or their companies (if'any).
have any loan or has availed of any credit I ine facility in BOO or in □ □
One Network Bank (ONB)7
I. Do you have any existing :
YES NO
□ □
a. Loan
BDO/ONB
Please specify
□ □
(Home/Auto/Personal etc.)
□ □
sss
Pag-lbig
□ □
b. Credit Card
□ □
BOO/AMEX/Diners/JCB
Others Please specify
2. Do you have any cancelled
card/s due to delinquency9 □ □ Please speci (y Outstanding Balance
3. Are you a co-maker of any
current BDO /ONB loan? □ □ Please specify Loan Amount
ame of Company Addres Date (mm/dd/yyyy) Position and Primary Responsibility
PRESENT/LAST JOB
Name: From: Position:
Address: To: Primary Responsibility:
Reason For Resignation:
SECOND LAST
Name: From: Position:
Address: To: Primary Responsibility:
Reason For Resignation:
THIRD LAST
Name: From: Position:
Address: To: Primary Responsibility:
Reason For Resignation:
Have you taken any Anti-Money Laundering Training/Seminar? Please specify details below:
Title Held At Date Held
I.
2.
3.
4,
5.
Have you been employed in an insurance/ pre-need company before? UYesorUNo. Ifyes, please indicate:
Name ofCompany Date of Employment
Do you have an existing Iicense to sell insurance? □ Yes or □ No
When are you available for employment?
When necessary, are you willing to work on holidays? on weekends?
□ □
YES NO
Do you wear eyeglasses/contact lenses?
Have you had any vision/ hearing problems ? □ □
( Please specify )
Relatives (by Consanguinir y ar Affinity) employed with BDO Life or BDO Unibank Inc. and Subsidiaries (BDO Insurance,
BDO Capital, BDO Private Bank, BDO Leasing and Finance Inc .. One Network Bank)
Name Relationship Years Known
I.
2.
3.
Friends employed with BDO Life or BDO Unibank Inc. and Subsidiaries (BDO Insurance, BDO Capital. BDO Private Bank.
BDO Leasing and Finance Inc., One Network Bank)
Name Relationship Year Known
I.
2.
3.
Three (3) character references (Relatives)
Name Address Occupation Relationship Tel. No.
I.
2.
3.
Three (3) character references (Present & former employer)
Name Company Position Relationship Tel. No.
I.
2.
3.
Have you been involved in any administrative / civil / criminal case 1
If yes, indicate the ff:
Nature of Charge Date Filed Status/Decision/Outcome
THREE SPECIMEN SIGNATURES
Full Signature Initial / Short Signature
I I
2 2
3 3
I hereby certify that the above information are complete. true, correct. and accurate and I authorize BOO Life or
its authorized representative to investigate the veracity and truth of the foregoing information as I provided. and am aware
and recognize that I will be hired on that basis and that any misinformation or omis ion of pertinent facts herein will or may
constitute ground for discontinuance of my employment with the said company.
If employed, I promise and undertake to abide by the rules and regulations of this company.
Date Applicant's Signature
REFERENCE CHECK DETAILS
NAME: ------------- POSITION APPL YING FOR: ____
CONTACT NO.: ________
PRESENT/LAST EMPLOYMENT
COMPANY NAME
POSITION
DATE OF EMPLOYMENT (FROM/TO)
NAME OF LAST IMMEDIATE SUPERVISOR:
POSITION:
CONTACT DETAILS
NAME OF HR PERSONNEL / AGENCY
CONTACT DETAILS
SECOND LAST EMPLOYMENT
COMPANY NAME
POSITION
DATE OF EMPLOYMENT (FROM/TO)
NAME OF LAST IMMEDIATE SUPERVISOR:
POSITION:
CONTACT DETAILS
NAME OF HR PERSONNEL/ AGENCY
CONTACT DETAILS
THIRD LAST EMPLOYMENT
COMPANY NAME
POSITION
DATE OF EMPLOYMENT (FROM/TO)
NAME OF LAST IMMEDIATE SUPERVISOR:
POSITION:
CONTACT DETAILS
NAME OF HR PERSONNEL/ AGENCY
CONTACT DETAILS
NOTE: This is a mandatory requirement. Kindly fill-up COMPLETELY to avoid any delays on the processing of your application.
