Mercury Drug Corporation

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MERCURY DRUG CORPORATION
Website Job Application Form

Please complete as much of the information below as possible.

Position Applied For
Job Position:
Other Position:

Personal Information
Name:
Complete Address:
Email Address:
Telephone Number:
Mobile Number:
Birthdate:	(mm/dd/yyyy)
Gender:
Height:	cms.
Weight:	kgs.
Civil Status:
If Married, Name of Spouse:
Spouse's Occupation:
Spouse's Employer:

Educational Attainment
Highest Education:
If undergraduate, specify year:
Course:
Major:
School/University Address:
School Contact Number:

Work Experience (Start with latest employment)
Employer (1):
Employer's Address (1):
Contact Number (1):

Employer (2):
Employer's Address (2):
Contact Number (2):

Employer (3):
Employer's Address (3):
Contact Number (3):

Reference (If any)
Referror's Full Name:
Company:
Relationship with Referror:

For Inquiries/Follow-Up: call 911-5071
Metro Manila - Marise Reodique (local 205)
Visayas and Mindanao - Ma. Carolina Jurado (local 269) or Merlie So-Caamic (local 208)
or Email at info@mercurydrug.com

To FAX your application form, use this no., 911-6673

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