Republic of the Philippines Department of Labor and Employment SRS Form 1 November 2012 National Skills Registry System 1 x 1 Registration Form ID Photo INSTRUCTIONS: Accomplish this form using ball-point pen. Print in block letters and write legibly. Submit accomplished form to the Public (Optional) Employment Service Officer/ Manager in your City/Municipality of residence. 1. Personal Information (Leave one space after entering each name) Present Address: Birthdate: Height: (cm.) Civil Status Contact Information: Weight: (kg.) Landline: Place of Birth: Religion: Mobile: Age: Sex: Email Address: Languages spoken, read Employment Status: Preferred Occupation: Preferred work location: Disability : and written at work: Wage Employed Local: (Specify province) Others Visual Filipino Choice 1: _________________ Self Employed English Hearing Unemployed Spanish Finished Contract Choice 2: _________________ Overseas: (Specify country) Speech Resigned Japanese Physical Terminated/Laid off, local Chinese Choice 3: _________________ Passport No. Terminated/Laid off, abroad Others, specify French Choice 4: _________________ Arabic Expiry Date: Are you actively looking for work? Choice 5: _________________ YES NO (List according to importance) 2. EDUCATIONAL BACKGROUND Highest Level Year Last Course/Degree/Major Subject Name of School/University Completed Graduated Attended (Includes professional and non-professional driver’s licenses) 3. Professional License 3 A. ELIGIBILITY Use extra sheets if necessary Use extra sheets if necessary License Title: Expiry Date: Eligibility Title: Year Taken: Eligibility Title: Year License Title: Expiry Date: 4. Vocational/Technical Training and Relevant Experience (Include programs taken as part of college education, ex. OJT, Internship) Use extra sheets if necessary Period of Training/ Experience Name of Training Skills Acquired Certificate Received Issuing School/Agency (may be expressed in 5. Certificate of Competence (Certificates of competence issued and/or recognized by the Philippine government) Use sheets if necessary Issued By Certificate/s Rating Date Issued 6. WORK EXPERIENCE (Use extra sheets if necessary) Inclusive Date Name of Company/Firm Address Position Held From To
SRS Form 1 November 2012 Republic of the Philippines Department of Labor and Employment National Skills Registry System Registration Form 1 x 1 ID Photo (Optional) INSTRUCTIONS: Accomplish this form using ball-point pen. Print in block letters and write legibly. Submit accomplished form to the Public Employment Service Officer/ Manager in your City/Municipality of residence. 1. Personal Information (Leave one space after entering each name) Present Address: Birthdate: Place of Birth: Age: Sex: Height: (cm.) Weight: (kg.) Religion: Civil Status Contact Information: Landline: Mobile: Email Address: Employment Status: Wage Employed Self Employed Unemployed Finished Contract Resigned Terminated/Laid off, local Terminated/Laid off, abroad Are you actively looking for work? YES NO Preferred Occupation: Choice 1: _________________ Choice 2: _________________ Choice 3: _________________ Choice 4: _________________ Choice 5: _________________ Preferred work location: Local: (Specify province) Overseas: (Specify country) Passport No. Expiry Date: Disability : Visual Hearing Speech Physical Others, specify Languages spoken, read and written at work: Filipino English Spanish Japanese Chinese French Arabic Others 2. EDUCATIONAL BACKGROUND (List according to importance) Highest Level Completed Course/Degree/Major Subject Name of School/University Year Graduated Last Attended 3. Professional License (Includes professional and non-professional driver’s licenses) Use extra sheets if necessary 3 A. ELIGIBILITY Use extra sheets if necessary License Title: License Title: Expiry Date: Expiry Date: Eligibility Title: Eligibility Title: Year Taken: Year 4. Vocational/Technical Training and Relevant Experience (Include programs taken as part of college education, ex. OJT, Internship) Use extra sheets if necessary Name of Training Skills Acquired Period of Training/ Experience (may be expressed in Certificate Received Issuing School/Agency 5. Certificate of Competence (Certificates of competence issued and/or recognized by the Philippine government) Use sheets if necessary Certificate/s Rating Issued By Date Issued 6. WORK EXPERIENCE (Use extra sheets if necessary) Name of Company/Firm Address Inclusive Date From To Position Held