TECHNOSERVE CONSTRUCTION COMPANY, INC.

An affiliate of
12th Floor, Bank of Makati Building, Ayala Avenue Extension, 1209 Makati City, Philippines
Telephone No.: (632) 889-9440 Website: www.tcci-jgc.ph

APPLICATION FOR EMPLOYMENT Date (MM/DD/YY)

PERSONAL INFORMATION
Name as per Passport First Name Middle Name Last Name
Passport
Date of Birth
Civil Status Expiry Date Religion
(MM/DD/YY)
(MM/DD/YY)
Permanent Address
Contact Details Home Mobile E-mail Address
Current Address
Highest Educational Attainment Finished (Please
Year
indicate specific degree/course for
Graduated
College/Vocational/Technical)
Have you had your educational certificates authenticated by the
Yes No If yes, when?
DFA?
CURRENT SITUATION
Position Applied For
Total Years of Experience Domestic Overseas Total Years of Experience in Oil & Gas/Infrastructure
Earliest Availability Date Notice Period Required
Do you have any Visa Ban (e.g., valid Visa in passport)? If
so, please give details.
Have you ever been repatriated from any previous
assignment due to Visa and/or Medical issue/s? If so, please
give details.
Have you ever been declined Visa application? If so, please
give details.
Are you able to obtain an NOC (No Objection Certificate)?
Not
(May apply to those who have worked in GCC countries Yes No
applicable
previously)
LAST/CURRENT EMPLOYMENT DETAILS
Currently Employed Yes No Position
Current/Last Salary Package Employer
Standard Working Hrs. Per Week Last/Current Project
Other Allowances, if any Location
Overtime Claim Yes No Overtime Rate
Leave Rotation Paid Leave Yes No
Expected Salary
HEALTH INFORMATION*
Please tick where applicable
1. Do You Have a History of:
No Yes If Yes, please specify
a. Hypertension or Heart Problems
b. Lung Problems (Tuberculosis, Lung Scar, etc.)
c. Eye Problems (Color Blindness, etc.)
d. Communicable / Infectious Diseases
2. Have you had any major Medical Treatment or
Operation in the last 2 years?
3. Have you had any other health issue/s?
* Note: Some medical issues may prevent Staff from being assigned to certain countries in keeping with work regulations of those countries
 COMMENTS, IF ANY

I hereby certify that the information hereunder is correct to the best of my knowledge and understand that falsification of this
information is grounds for refusal to hire or, if hired, dismissal.

If you submit this form electronically please tick the check

box as an alternative to signing the form.
Name in Full