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<div style="width:95%;min-width:390px;float: left;background:#fff;border:1px solid white;padding:20px;border:1px solid white;border-left:1px solid white;border-right:1px dashed lightgray;border-bottom:1px solid white"> <h3 align='center' style='font-size:24px;font-weight:normal;height:28px;padding-left:5px;'>APPLICATION FORM</h3> <form action='' method='post'> <table style='width:100%;border:1px solid gray'> <tr style='background:white'> <td style='100%;border:none'> <table> <tr style='background:white'> <td colspan='2' style='border:none;font-size:12px;font-weight:bold'>POSITION APPLIED FOR:</td> </tr> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px'>1:</td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='appliedOne' style='width:300px;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> </tr> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px'>2:</td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='appliedTwo' style='width:300px;border:none;border-bottom:1px solid gray;font-size:12px;background:white'> </td> </tr> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px'>3:</td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='appliedThree' style='width:300px;border:none;border-bottom:1px solid gray;font-size:12px;background:white'> </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;font-size:20xp;font-weight:bold;border:3px solid black;background:lightgray'> PERSONAL DATA</td> </tr> <tr style='background:white;border:1px solid gray'> <td style='100%;border:none'> <table> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px'>LAST NAME: </td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='LastName' style='width:300px;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td style='border:none;font-size:12px;font-weight:normal;height:27px'>FIRST NAME: </td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='FirstName' style='width:300px;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td style='border:none;font-size:12px;font-weight:normal;height:27px'>MIDDLE NAME: </td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='MiddleName' style='width:200px;border:none;border-bottom:1px solid gray;font-size:12px;background:white'> </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:80px'>NICK NAME: </td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='NickName' style='width:150px;border:none;border-bottom:1px solid gray;font-size:12px;background:white' placeholder='Reguired Field' required> </td> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:120px'>RESIDENCE TEL.NO: </td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='ResTel' style='width:150px;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td style='border:none;font-size:12px;font-weight:normal;height:27px'>CELLPHONE: </td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='MobileNo' style='width:150px;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td style='border:none;font-size:12px;font-weight:normal;height:27px'>EMAIL ADDRESS: </td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='EmailAdd' style='width:200px;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired' placeholder='Reguired'> </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table style='width:100%'> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:160px'>CURRENT ADDRESS: </td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='CurrentAddress' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> </tr> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:160px'>PERMANENT ADDRESS: </td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='PermanentAddress' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> </tr> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:160px'>PROVINCIAL ADDRESS: </td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='ProvencialAddress' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table style='width:100%'> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:260px'>ARE YOU LIVING WITH: </td> <td style='border:none;font-size:12px;font-weight:bold '> <table style='width:100%'> <tr style='background:white'> <td style='width:33.2%;border:none;'><input type='checkbox' name='Own' Value='Own' checked> OWN </td> <td style='width:33.2%;border:none;'><input type='checkbox' name='Parents' Value='Parents' unchecked> PARENTS</td> <td style='width:33.2%;border:none;'><input type='checkbox' name='Boarding' Value='Boarding' unchecked> BOARDING HOUSE</td> </tr> <tr style='background:white'> <td style='width:33.2%;border:none;'><input type='checkbox' name='Rented' Value='Rented' unchecked> RENTED HOUSE </td> <td style='width:33.2%;border:none;'><input type='checkbox' name='Relative' Value='Relative' unchecked> RELATIVE</td> <td style='width:33.2%;border:none;'><input type='checkbox' name='Others' Value='Others' unchecked> OTHERS</td> </tr> </table> </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table style='width:100%'> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:110px'>DATE OF BIRTH: </td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='DateOfBirth' style='width:80%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:110px'>PLACE OF BIRTH: </td> <td style='border:none;font-size:12px;font-weight:bold '> <input type='text' name='PlaceOfBirth' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table style='width:80%'> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:40px'>AGE: </td> <td style='border:none;font-size:12px;font-weight:bold;width:80px '> <input type='text' name='Age' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td style='text-align:right;border:none;font-size:12px;font-weight:normal;height:27px;width:60px'>GENDER: </td> <td style='border:none;font-size:12px;font-weight:bold;width:100px '> <input type='text' name='Gender' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td style='text-align:right;border:none;font-size:12px;font-weight:normal;height:27px;width:80px'>CIVIL STATUS: </td> <td style='border:none;font-size:12px;font-weight:bold;width:120px '> <input type='text' name='CivilStatus' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td style='text-align:right;border:none;font-size:12px;font-weight:normal;height:27px;width:100px'>DATE MARRIED: </td> <td style='border:none;font-size:12px;font-weight:bold;width:150px '> <input type='text' name='DateMarried' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table style='width:80%'> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:40px'>NATIONALITY: </td> <td style='border:none;font-size:12px;font-weight:bold;width:80px '> <input type='text' name='Nationality' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td style='text-align:right;border:none;font-size:12px;font-weight:normal;height:27px;width:60px'>HEIGHT: </td> <td style='border:none;font-size:12px;font-weight:bold;width:100px '> <input type='text' name='Height' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td style='text-align:right;border:none;font-size:12px;font-weight:normal;height:27px;width:80px'>WEIGHT: </td> <td style='border:none;font-size:12px;font-weight:bold;width:80px '> <input type='text' name='Weight' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td style='text-align:right;border:none;font-size:12px;font-weight:normal;height:27px;width:100px'>RELIGION: </td> <td style='border:none;font-size:12px;font-weight:bold;width:200px '> <input type='text' name='Religion' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table style='width:80%'> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:40px'>COMLEXION: </td> <td style='border:none;font-size:12px;font-weight:bold;width:80px '> <input type='text' name='Complexion' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td style='text-align:right;border:none;font-size:12px;font-weight:normal;height:27px;width:100px'>EYE COLOR: </td> <td style='border:none;font-size:12px;font-weight:bold;width:100px '> <input type='text' name='EyeColor' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td style='text-align:right;border:none;font-size:12px;font-weight:normal;height:27px;width:80px'>HAIR COLOR: </td> <td style='border:none;font-size:12px;font-weight:bold;width:80px '> <input type='text' name='HairColor' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td style='text-align:right;border:none;font-size:12px;font-weight:normal;height:27px;width:100px'>BLOOD TYPE: </td> <td style='border:none;font-size:12px;font-weight:bold;width:200px '> <input type='text' name='BloodType' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table style='width:90%'> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:100px'>NAME OF SPOUSE: </td> <td style='border:none;font-size:12px;font-weight:bold;width:450px '> <input type='text' name='Spouse' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td style='text-align:right;border:none;font-size:12px;font-weight:normal;height:27px;width:100px'>DATE OF BIRTH: </td> <td style='border:none;font-size:12px;font-weight:bold;width:200px '> <input type='text' name='SpouseBirth' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table style='width:90%'> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:80px'>ADDRESS: </td> <td style='border:none;font-size:12px;font-weight:bold;width:450px '> <input type='text' name='SpouseAddress' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td style='text-align:right;border:none;font-size:12px;font-weight:normal;height:27px;width:100px'>OCCUPATION: </td> <td style='border:none;font-size:12px;font-weight:bold;width:100px '> <input type='text' name='SpouseOccupation' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table style='width:80%'> <tr style='background:white'> <td style='border:none;font-size:12px;font-weight:normal;height:27px;width:120px'>SPOUSE EMPLOYER: </td> <td style='border:none;font-size:12px;font-weight:bold;width:400px '> <input type='text' name='SpouseEmployer' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td style='text-align:right;border:none;font-size:12px;font-weight:normal;height:27px;width:100px'>TELEPHONE NO: </td> <td style='border:none;font-size:12px;font-weight:bold;width:100px '> <input type='text' name='SpouseTelephon' style='width:100%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table style='width:100%'> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:35%'>CHILDREN: </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:35%'>DATE OF BIRTH: </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:30%'>RELATIONSHIP: </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='childAA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='childAB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='childAC' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='childBA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='childBB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='childBC' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='childCA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='childCB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='childCC' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> </table><BR> </td> </tr> <tr style='background:white'> <td style='100%;font-size:20xp;font-weight:bold;border:3px solid black;background:lightgray'> EDUCATIONAL BACKGROUND</td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table style='width:100%'> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:30%'>NAME OF SCHOOL: </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:35%'>COURSE/DEGREE OBTAINED: </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:10%'>YEAR GRAUDATED: </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:30%'>REMARKS: </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:30%'> <input type='text' name='educationalAA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='educationalAB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:10%'> <input type='text' name='educationalAC' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:30%'> <input type='text' name='educationalAD' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:30%'> <input type='text' name='educationalBA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='educationalBB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:10%'> <input type='text' name='educationalBC' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:30%'> <input type='text' name='educationalCD' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' required placeholder='Reguired'> </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:30%'> <input type='text' name='educationalCA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='educationalCB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:10%'> <input type='text' name='educationalCC' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:30%'> <input type='text' name='educationalCD' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:30%'> <input type='text' name='educationalDA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='educationalDB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:10%'> <input type='text' name='educationalDC' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:30%'> <input type='text' name='educationalDD' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> </table><BR> </td> </tr> <tr style='background:white'> <td style='100%;font-size:20xp;font-weight:bold;border:3px solid black;background:lightgray'> EMPLOYMENT RECORD</td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table style='width:100%'> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:20%'>NAME OF COMPANY: </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:20%'>NATURE OF BUSINESS: </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:16%'>LAST POSITION HELD: </td> <td align='center' colspan='2' style='border:none;font-size:12px;font-weight:normal;height:27px;width:7%'>INCLUSIVE DATES: </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:7%'>LAST SALARY: </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:40%'>REASON FOR LEAVING: </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:20%'> <input type='text' name='employerRecordAA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:20%'> <input type='text' name='employerRecordAB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:16%'> <input type='text' name='employerRecordAC' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' id='datepicker' name='employerRecordADA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' id='datepickerPOS' name='employerRecordADB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' name='employerRecordAE' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:33%'> <input type='text' name='employerRecordAF' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:20%'> <input type='text' name='employerRecordBA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:20%'> <input type='text' name='employerRecordBB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:16%'> <input type='text' name='employerRecordBC' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' id='datepickerB' name='employerRecordBDA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' id='datepickerPOSB' name='employerRecordBDB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' name='employerRecordBE' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:33%'> <input type='text' name='employerRecordBF' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:20%'> <input type='text' name='employerRecordCA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:20%'> <input type='text' name='employerRecordCB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:16%'> <input type='text' name='employerRecordCC' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' id='datepickerC' name='employerRecordCDA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' id='datepickerPOSC' name='employerRecordCDB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' name='employerRecordCE' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:33%'> <input type='text' name='employerRecordCF' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:20%'> <input type='text' name='employerRecordDA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:20%'> <input type='text' name='employerRecordDB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:16%'> <input type='text' name='employerRecordDC' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' id='datepickerD' name='employerRecordDDA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' id='datepickerPOSD' name='employerRecordDDB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' name='employerRecordDE' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:33%'> <input type='text' name='employerRecordDF' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:20%'> <input type='text' name='employerRecordEA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:20%'> <input type='text' name='employerRecordEB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:16%'> <input type='text' name='employerRecordEC' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' id='datepickerE' name='employerRecordEDA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' id='datepickerPOSE' name='employerRecordEDB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' name='employerRecordEE' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:33%'> <input type='text' name='employerRecordEF' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:20%'> <input type='text' name='employerRecordFA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:20%'> <input type='text' name='employerRecordFB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:16%'> <input type='text' name='employerRecordFC' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' id='datepickerF' name='employerRecordFDA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white'> </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' id='datepickerPOSF' name='employerRecordFDB' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:7%'> <input type='text' name='employerRecordFE' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:33%'> <input type='text' name='employerRecordFF' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;font-size:20xp;font-weight:bold;border:3px solid black;background:lightgray'> GOVERNMENT EXAM TAKEN</td> </tr> <tr style='background:white'> <td style='100%;border:none'> <table style='width:100%'> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:35%'>TITLE: </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:35%'>YEAR TAKEN: </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:27px;width:30%'>REMARKS / RESULTS: </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='GovExamAA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='GovExamAA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='GovExamAA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='GovExamBA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='GovExamBA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='GovExamBA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> <tr style='background:white'> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='GovExamCA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='GovExamCA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> <td align='center' style='border:none;font-size:12px;font-weight:normal;height:25px;width:35%'> <input type='text' name='GovExamCA' style='width:95%;border:none;border-bottom:1px solid gray;font-size:12px;background:white' > </td> </tr> </table> </td> </tr> <tr style='background:white'> <td style='100%;font-size:20xp;font-weight:bold;border:3px solid black;background:lightgray'> KNOWLEDGE OF LANGUAGE / DIALECTS</td> </tr> <tr style='background:white'> <td style='100%;border:none;border-bottom:1px solid lightgray'> <table style='width:60%'> <tr style='background:white'> <td style='width:20%;border:none;'><input type='checkbox' name='Own' Value='Own' checked> FILIPINO </td> <td style='width:20%;border:none;'><input type='checkbox' name='Parents' Value='Englist' unchecked> ENGLISH</td> <td style='width:20%;border:none;'><input type='checkbox' name='Boarding' Value='Chinese' unchecked> CHINESE</td> <td style='width:20%;border:none;'><input type='checkbox' name='Boarding' Value='Others' unchecked> OTHERS</td> </tr> </table> </td> </tr> <tr style='background:white'> <td align='center' style='width:100%;height:200px;border:none'> <input type='submit' name='SubmitApplication' value='Submit' style='width:100px;height:40px;border-radius:5px;border:1px solid red;'><br><br> Reminder: Some fields are required before you can submit your application... </td> </tr> </table> </form> </div>
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