Republic of the Philippines

NSRP Form 1
Department of Labor and Employment
September
NATIONAL SKILLS REGISTRATION PROGRAM
2020
JOBSEEKER REGISTRATION FORM
INSTRUCTIONS: Please fill out the form legibly in block letters using a ballpoint pen. Check appropriate boxes. Please
do not leave any items unanswered. Indicate “NA” if not applicable. You may use extra sheet if needed. Submit
accomplished form to the Public Employment Service Office (PESO) Manager or Officer in your city/municipality.
I.PERSONAL INFORMATION

SURNAME FIRST NAME MIDDLE NAME SUFFIX (Ex: Sr., Jr., III, etc.)
DATE OF BIRTH (mm/dd/yyyy)
SEX Male Female PRESENT ADDRESS
RELIGION House No./ Street Village
CIVIL Single Barangay
STATUS Married Municipality/City
Widowed Province
TIN HEIGHT (FT.)
DISABILITY Visual Speech Mental CONTACT
NUMBER/S
Hearing Physical Others Please specify: ________
E-MAIL
EMPLOYMENT STATUS / TYPE :
Employed Unemployed
How long have you been looking for work? (months) ________
Wage employed
Self-employed (Please specify)
New Entrant/Fresh Graduate Terminated/Laid off (local)
Fisherman/Fisherfolk
Vendor/Retailer Finished Contract Terminated/Laid off (abroad)
Home-based worker specify country: ___________
Transport Resigned
Domestic Worker Others, please specify:
Freelancer Retired __________________
Artisan/Craft Worker
Others (Please specify): _______________ Terminated/Laid off due to calamity
Are you an OFW? Yes No Are you a former OFW? Yes No
Specify country ________________ Latest country of deployment ______________
Month and year of return to Philippines ___________
Are you a 4Ps beneficiary? Yes No If yes, please provide Household ID No. _____________________
II. JOB PREFERENCE
PREFERRED OCCUPATION PREFERRED WORK LOCATION
Part-time Full-time Local (specify cities/municipalities): Overseas, (specify countries):

1. 1. 1.
2. 2. 2.

3. 3. 3.

III. LANGUAGE / DIALECT PROFICIENCY (check if applicable)

LANGUAGE/DIALECT READ WRITE SPEAK UNDERSTAND
English
Filipino
Mandarin
Others:__________

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IV. EDUCATIONAL BACKGROUND
Currently in school? Yes No
IF UNDERGRADUATE
YEAR
LEVEL COURSE LEVEL YEAR LAST
GRADUATED REACHED ATTENDED

Elementary
Secondary Secondary Senior High Strand:
(Non-K12) (K-12)

Tertiary
Graduate Studies/
Post-graduate
V. TECHNICAL/VOCATIONAL AND OTHER TRAINING (Include courses takens as part of college education)
HOURS CERTIFICATES
TRAINING
TRAINING/VOCATIONAL COURSE OF SKILLS ACQUIRED RECEIVED
INSTITUTION
TRAINING (NC I, NC II, NC II, NC IV, etc.)

1.
2.
3
VI. ELIGIBILITY/ PROFESSIONAL LICENSE
ELIGIBILITY DATE
PROFESSIONAL LICENSE (PRC) VALID UNTIL
(Civil Service) TAKEN
1. 1.
2. 2.
VII. WORK EXPERIENCE (Limit to 10 year period, start with the most recent employment)
ADDRESS NUMBER STATUS
COMPANY NAME POSITION (Permanent, Contractual, Part-
(City/Municipality) OF MONTHS time, Probationary)

VIII. OTHER SKILLS ACQUIRED WITHOUT CERTIFICATE

AUTO MECHANIC ELECTRICIAN PHOTOGRAPHY
BEAUTICIAN EMBROIDERY PLUMBING
CARPENTRY WORK GARDENING SEWING DRESSES
COMPUTER LITERATE MASONRY STENOGRAPHY
DOMESTIC CHORES PAINTER/ARTIST TAILORING
DRIVER PAINTING JOBS OTHERS:_______________

CERTIFICATION/AUTHORIZATION
This is to certify that all data/information that I have provided in this form are true to the best of my knowledge. This is also to
authorize DOLE to include my profile in the PESO Employment Information System and use my personal information for employment
facilitation. I am also aware that DOLE is not obliged to seek employment on my behalf.

_______________________________ ________________________
Signature of Applicant Date
FOR USE OF PESO ONLY. PLEASE DO NOT WRITE BELOW THIS DOTTED LINE.
Referred to: Assessed by:
SPES DILEEP
GIP TESDA Training
TUPAD _________________________________ ___________
JobStart Signature over Printed Name of Assessor Date
Others, specify:_______________

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