DELTAVIR OVERSEAS JOB PLACEMENT & GENERAL SERVICES, INC.

POEA LICENSE No. 089-LB-061520-R

1413 A. Mabini Street, Ermita, Manila

Tel. No. (632) 8531-5049 · Email: deltavirmla@yahoo.com

Online Applicant Form

Please complete all required information. Use N/A if not applicable. Family background fields are optional.

Account Manager / Handler

Agency use only. Enter the assigned account manager or handler if applicable.

Applicant Type *

Select the option that applies to you.

First TimerNo prior overseas work experienceEx-Abroad / With ExperienceHas overseas work experience

Personal Information

Applicant Photo *

JPG, JPEG or PNG.

Full Name*

Position Applied For*

Destination*

Complete Address*

Telephone Number*

Date Of Birth*

Age *

Auto-calculated from Date Of Birth.

Place Of Birth*

Nationality*

Civil Status *

Gender *

Height*

Weight*

Religion*

Pag-IBIG Number*

Family Background

Father's Name

Father's Date Of Birth

Mother's Name

Mother's Date Of Birth

Name Of Husband / Wife

Husband / Wife Date Of Birth

Family background information is optional. Leave blank or enter N/A if not applicable.

Emergency Contact

Contact Person In Case Of Emergency*

Emergency Contact Address*

Emergency Contact Number*

Relationship*

Passport

Passport Number*

Place Of Issue*

Date Of Issue*

Date Of Expiry*

NCMF Certificate (For Muslim Applicants Only)

Upload NCMF Certificate if applicable. This is required only for Muslim applicants when requested by the agency. Accepted files: PDF, JPG, JPEG, PNG, DOC, DOCX.

Educational Attainment

Educational Attainment *

Name Of School*

Course Taken*

Year Graduated*

Children Information

Number Of Children *

Language Skills

Language	Speaking *	Reading *	Writing *
English
Arabic
Pilipino
Other Language

Other Skills

Baby Sitting *

Children Care *

Tutoring *

Disabled Care *

Cleaning *

Washing *

Ironing *

Cooking *

Arabic Cooking *

Sewing *

Computer *

Driving *

Certification

I hereby certify that all information provided in this application is true, correct, and complete to the best of my knowledge and belief.I hereby certify that I am qualified for the position I am applying for. If my employer later finds that I am not qualified for the position or job I applied for, I understand that I may be required to return to the Philippines at my own expense.I hereby authorize Deltavir Overseas Job Placement & General Services, Inc. to review, process, and use my submitted information for recruitment, evaluation, employer review, documentation, and deployment-related purposes.

Signature

Signature Of Applicant*

Date Signed*