Insert Picture

Name of Applicant:

POSITION APPLIED FOR:

OBJECTIVE:

WORK EXPERIENCE: (current job 1st)

Position:
Date Employed (from - to):
Company Details:
Name:
Address:
Contact#:
Email Address:
Website:
Contact Person/position:
Duties & Responsibilities:
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Position:
Date Employed (from - to):
Company Details:
Name:
Address:
Contact#:
Email Address:
Website:
Contact Person/position:
Duties & Responsibilities:






Position:
Date Employed (from - to):
Company Details:
Name:
Address:
Contact#:
Email Address:
Website:
Contact Person/position:
Duties & Responsibilities:






……please add if you need to write some more

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SKILLS and CAPABILITIES:
(Include machines/tools/software used or operated in work experiences)
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TRAININGS / SEMINARS:
Topic: Date:
Training Centre: Address:

Topic: Date:
Training Centre: Address:
……please add if you need to write some more

PERSONAL DETAILS:
Permanent Address:
Current Address:
Contact Details: (please include country code)
Telephone#: Mobile#:
Free Communication:
Email Address: Skype ID:
IMO: BOTIM:
Other Details:
Age: Date of Birth:
Gender: Civil Status:
Height: Weight:
Nationality: Religion:
BIR TIN:
Passport No.: Expiry Date:
SSS No.: Date of Membership (from-to):
Professional Driver’s License (DL):
DL#: DL#:
Restrictions: Restrictions:
Expiry Date: Expiry Date:
Country of Issue: Country of Issue:

Contact In Case of Emergency:

Name:
Contact#: Email address:

EDUCATIONAL INFORMATION:
Vocational: Course: Date Graduated:
School: Address:

College: Course: Date Graduated:

School: Address:

High School: Date Graduated:

Elementary: Date Graduated:

REFERENCES: (3 WORK references, not relatives)

Name & Position:

Company & Address:
Contact#:
Email Address:

Name & Position:

Company & Address:
Contact#:

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Email Address:

Name & Position:

Company & Address:
Contact#:
Email Address:

OTHER INFORMATION:

1) Medical condition requiring ongoing or long term medication or Treatment? Yes / No

2) Criminal convictions or pending cases – civil or administrative or criminal? Yes / No
3) Refused Visa or deported from any country: Yes / No
4) Relative living in New Zealand? Yes / No

If you answered YES to any of the above, please provide details:

I declare to the best of my knowledge all information provided are true and correct. I authorise Eagle
Recruitment NZ to contact the aforementioned referees to obtain information about me in the form of
personal and employment related references.

Name/Signature of Applicant

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