Personal Information Job Title : Head Office Section Head

*First name Middle name *Last name Ext. name *Present Address *Date of Birth (mm/dd/yyyy) * Place of Birth *Gender Male Female * Age *Civil Status Single Married Divorce Nationality

Contact Details

* Contact Number * Email Address

Highest Educational Attainment

* Primary * Inclusive date from * Inclusive date to * Secondary *Inclusive date from * Inclusive date to Tertiary Course Inclusive date from Inclusive date to

* Upload CV Required size is less than 2mb and file upload (PDF) only.

Enter captcha here: Can't read the image? Click here to refresh

Consent/Authorization

I hereby consent to the conduct by Northpoint, through any of its employees, of collecting, processing, use, retention, sharing and disclosure of my personal information or data, whether classified as personal, sensitive, or privileged, as may be necessary or incidental, in the evaluation/processing of my employment application or as may be warranted as an employee, if hired. I am authorizing Northpoint to conduct background check/investigation on my residence, skills, integrity, employment, school, credit standing and character reference verification and that I am willing to undergo a pre-employment physical/medical examination. As to my character references, I guarantee and certify that I have informed them that their personal/contact details will be submitted to Northpoint for purposes of my employment application, of which they are agreeable. I waive my right to confidentiality of information regarding any and all matters that I have voluntary disclosed or indicated in any written form, including submitted documents; and I further authorize Northpoint to check the authenticity of the documents that I have submitted or will submit, and to conduct verification concerning the same, as well as to validate the truthfulness of whatever data that I indicated/disclosed. I hereby certify that all information given in this form are true/correct and I fully understand that any false statements will be sufficient cause for my non-hiring or for my separation/termination, as applicable, This consent shall be valid as long as my employment application or employment relationship, if eventually hired, is subsisting and/or is within the prescribed data retention and preservation period, or as may be determined by Northpoint to be necessary; I have executed this Consent/Authorization voluntarily, without any duress, force, intimidation or coercion and in compliance with the Data Privacy Act and other related laws and issuances; I have read and understood the contents of this document, and I am aware of the consequences signing this document, and I likewise render Northpoint and its officers or employees, free and harmless, against any complaint, claim or suit, which may arise due to the execution and implementation of this Consent/Authorization.

I agree