Technical Education and Skills Development Authority

Pangasiwaan sa Edukasyong Teknikal at Pagpapaunlad ng Kasanayan

NMIS FORM 01A

( For TPIS )

TRAINEE PROFILE FORM

In accomplishing this form, entries in

Italicized letters are optional while the
rest are mandatory or required
information.

ID PICTURE
(2x 2 size)

1. To be accomplished by TESDA
RIGHT THUMBMARK
1.1.

NMIS Manpower Code:

2. Manpower Profile
2.1.

BASCO

Name:

1.2. NMIS Entry Date:

Signature

ANGELINE
Last

2.2.

Mailing
Address:

Middle

JBLFMU-Molo, INC. M.H. Del

Pilar St.

MOLO

Number, Street

Female

District

ILOILO

REGION 6

5000

City/Municipality

Province

Region

Zip Code

2.4.
Civil
Stat
us

Male

Barangay

ILOILO CITY

2.3. Sex

ENDRINA

First

Contact
Number/s

Single
Married
Widow/er
Separated

P.O. Box No.

2.5. Employment Type

2.6. Employment Status

Employed
Self-employed
Unemployed
Undefined

Casual
Contractual
Job Order

Probationary
Regular
Permanent

Temporary

If Student

Trainee/OJT

3. Personal Information
3.1. Birthdate:

9 MAY 1980

3.7. Height:

3.2. Birth Place:

3.12. TIN No.:

3.8. Weight:

3.3. Citizenship:

3.9. Blood Type:

3.4. Religion:

3.10. SSS No.:

3.5. Ethnicity:
3.6. Disability:

3.11. GSIS No.:

3.13. Distinguishing Marks:

4. Educational Background
4.1.
School

4.2.
Educational
Level

4.3.

4.4.

4.5.

4.6.

School Year

Degree

Minor

Major

PHIL. WOMENS UNIV.

POST GRAD

2003

2008

MSBA

SAGRADO

TERTIARY

1998

2001

BS HRM

4.7
Units
Earned

4.8.
Honors
Received

HRM

5. WORKING EXPERIENCE ( For Trainers, mandatory field 5.5)

5.1.

5.2

5.3

5.4

Name of Company

Position

Inclusive Dates

Monthly
Salary

JBLFMU-MOLO
HOTEL DEL RIO

Faculty

NOV 2006

FO SUPERVISOR

2005

PRESENT
2006

20,000
7,500

5.5
Occupation Type
(Teaching; Non-Teaching;
Industrial Experience)

5.6
Status of
Appointment

TEACHING

FULL TIME

INDUSTRIAL EXPERIENCE

CASUAL

No. of Yrs.
Working
Exp.

1.50
1.00

ILOILO GRAND
SAGRADO

FO SUPERVISOR

FACULTY

2004
2002

7,500
10,000

2005
2004

INDUSTRIAL EXPERIENCE

CASUAL

TEACHING

FULL TIME

0.50
2.00

(For more information, indicate on a separate sheet)

6. Training/Seminars Attended
6.1

6.2

Title

Venue

6.3
Inclusive
Dates

6.4
*Certificate
Received

6.5
# of
Hours

(For more information, indicate on a separate sheet)

* Certificate Received
A
c
P

Certificate of Attendance
Certificate of Competencies
Certificate of Proficiency

6.6
Training
Base

Training Base
LLocal
F Foreign

SSkills Training Certificate

Training Certificate

6.7

6.8

6.9

Category

Conducted By

Proficiency

Category
TTrade Skills Upgrading Program
N Non-Trade Upgrading Program
M Training Management

Proficiency
BBeginner
I Intermediate
A Advanced

7. Licenses/Examinations Passed
7.1.
Title

7.2
Year Taken

7.3
Examination Venue

7.4
Rating

7.5
Remarks

7.6
Expiry Date

(For more information, indicate on a separate sheet)

8. Skills Specialization
8.1
Industry Sector

8.2
Trade Area

8.3
Occupation

To be filled up by
NMIS

8.4
Trade Level
To be filled up by
NMIS

8.5
Competency

8.6
Specialization Description

To be filled up by
NMIS

(For more information, indicate on a separate sheet)

9. Family Background
9.1.
Spouses Name:
9.2. Educational Attainment:

9.3
Occupation:
9.4 Ave. Monthly Income:

9.5.
Fathers Name:
9.6. Educational Attainment:

9.7.
Occupation:
9.8. Ave. Monthly Income:

9.9.
Mothers Name:
9.10. Educational Attainment:
9.13.
Name of Guardian:
9.14. Educational Attainment

9.11.
Occupation:
9.12. Ave. Monthly Income:
9.15.
Occupation:
9.16. Ave. Monthly Income:

9.17. Dependents

(For more information, indicate on a separate sheet)

9.18. Age

Dependents

Age