CLASS B

For Personnnel Administration Department Use Only

Preliminary Screening By: Given by:
Date of Exam: Proficiency:
Place of Exam: File Code:
Result: Applicant No:
Level: Expected Monthly Salary:

APPLICATION FOR EMPLOYMENT

Personal Information
Position Applied For
BOOKKEEPER
How do you hear about us? Date Available for Employment
LOAN OPERATIONS
LBP Website 2024-06-11
ASSISTANT
CUSTOMER ASSOCIATE

Last Name First Name Middle Name

EROCIDO JULIUS GENER FABILLAR

Nickname Civil Status Gender

YUS Married Male

Current Address
Street and House No. City/Province
OSMEÑA AVENUE GUIHULNGAN/NEGROS ORIENTAL

2nd address line Postal Code

OSMEÑA AVENUE 6214

Permanent Address
Street and House No. City/Province
OSMEÑA AVENUE GUIHULNGAN/NEGROS ORIENTAL

2nd address line Postal Code

OSMEÑA AVENUE 6214

Place of Birth Citizenship

If Dual Ctizenship
GUIHULNGAN Filipino

Religion Height (m) Weight (kg)

Pentecostal Church 1.6 83

Contact Information
Phone Number Mobile Phone Network Mobile Number Email Address
09366912343 TM 09203991126 JULIUSGENEREROCIDO@GMAIL.COM

Education

Elementary
Name of School and Address
Inclusive Year Honors and Awards
HINOGPAYAN ELEMENTARY SCHOOL - BALOGO, GUIHULNGAN, NEGROS
2001-2007 N/A
ORIENTAL

High School
Name of School and Address
Inclusive Year Honors and Awards
GUIHULNGAN NATIONAL HIGH SCHOOL - POBLACION - POBLANCION,
2007-2011 n/a
GUIHULNGAN, NEGROS ORIENTAL

College
Inclusive Year Honors and Awards Name of School and Address
2015-2020 n/a NEGROS ORIENTAL STATE UNIVERSITY - GUIHULNGAN, NEGROS ORIENTAL

Degree/Major Course
Bach. In Bus. Admin. (Management)

Graduate School
Inclusive Year Honors and Awards Name of School and Address
2023-2024 N/A ST. FRANCIS COLLEGE GUIHULNGAN, NEGROS ORIENTAL

Degree/Major Course
N/A

Government and Professional Examinations

Type
Civil Service Professional Eligibility

Date Place Rate

2024-03-03 DUMAGUETE CITY 81.56

Type
Professional License (PRC BOARD)
 CLASS B
License
Teacher

Date Place Rate

2024-03-17 DUMAGUETE CITY 77.60

Employment Record

Trainings
Seminar Date Taken
TESDA NC2 2024-04-11

Place Number of hours

GUIHULNGAN NEGROS ORIENAL 118

Family Background

Father
Last Name First name Middle Name
EROCIDO GENEROSO ALCONERA

Present Address Age

BALOGO, GUIHULNGAN NEGROS ORIENTAL 74

Occupation Employer Address

DESEASED N/A

Highest Educational Attainment / Course School

N/A N/A

School Address
N/A

Mother
Last Name First name Middle Name
EROCIDO FABILLAR GUIHULNGAN NEGROS ORIENTAL

Present Address Age

BALOGO GUIHULNGAN 64

Occupation Employer Address

FARMER N/A

Highest Educational Attainment / Course School

HIGH SCHOOL ST. FRANCIS SCHOOL

School Address
GUIHULNGAN NEGROS ORIENTAL

Spouse
Last Name First Name Middle Name
EROCIDO RANI RAFAELLA RICABLANCA

Present Address Age

OSMEÑA AVENUNE POBLACION GUIHULNGAN 30

Occupation Employer Address

CSR SMILES ON DEMAND

Children
Child #1

Last Name First Name Middle Name

EROCIDO HAIALEAH ALAZNE RICABLANCA

Present Address Age

N/A N/A

Occupation Employer Address

N/A N/A

Are you related to any former and / or current official or employee of LANBANK:

a.) Within the third degree of consanguinity(ie.mother/father,son/daughter,brother/sister,nephew/niece,uncle/aunt,grandparent,grandchild ) ?

if yes, give name/s of relative/s and relationship/s

No.

b.) Within the third degree of affinity (i.e. mother-in-law / father-in-law, son-in-law / daugther-in-law, brother-in-law / sister-in-law) ?
 CLASS B
if yes, give name/s of relative/s and relationship/s

No.

c.) Other relative/s not specified in items a and b? If yes, give name/s of relative/s and relationship/s.

No.

Have you ever been a respondent in any administrative case or accused of any criminal case ?

if yes, please provide specific details.

No.

Do you have any physical disability or previous sickness?

If yes, please provide the type of disability/ies and specific details.

No.

Are you a member of any indigenous group? if yes, please provide specific details.

No.

Extra-Curricular/Business or Community Involvement

Other Information
Special Technical Skills
COMPUTER LITERATE

Sports, Hobbies and Interest

BIBLE STUDY
 CLASS B

APPLICANT UNDERTAKING & WAIVER

I understand that this application form does not constitute an offer of employment by the Land Bank of the Philippines and that
any offer by the Personnel Administration Department following submission of this application wil be subject to verification of
my personal information and sensitive personal information, previous employment records,court records,community activities
or dealings and will be contingent upon my satisfactorily passing physical examination by the Bank. Any false information given
by me or concealament of relevant personal information or sensitive personal information may be considered as material
misrepresentation and will be a ground for the Bank to terminate my services in case I am employed, Furthermore, I hereby
hold the Bank free from any liability in any manner whatsoever for aggravation of any pre-existing medical condition whether
disclosed or not that may take place during my employment with the Bank.

I hereby knowingly, voluntarily and fully give my consent to the collection, recording, organization, storage, modification,
retrieval, use ,consolidation, and such other processing that may be made by the appropriate authorities of the Bank of my
personal information, sensitive personal information and/or privileged information, including but not limited to my personal and
family background, educational, employment and professional history, financial and personal credit status, court and
government records, medical findings and all other information that may be relevant to the determination of my physical,
mental and psychological fitness to be employed by, or remain employed in the Bank and to undertake a particular task or
activity inherent or necessary to the nature of the work or position I may be considered for selection and placement as well as
for future personnel movements.

Name and Signature Date

JULIUS GENER EROCIDO November 6, 2024