USERNAME:
PASSWORD:
 
   
 
BIRTHDATE
FIRST NAME
MIDDLE NAME
LAST NAME
Created by Quantum X, Inc.
APPLY ONLINE
For previous applicants, just kindly go to the applicant log-in section found at the left side of the website to update your record.
Step 1 of 6
Application Date: / / (MM/DD/YYYY)
Position Applying:
*
Required: Please enter Position Applying
please specify:
Years of Experience : years   months
Position 2nd Choice:
Years of Experience : years   months
Position 3rd Choice:
Years of Experience : years   months
Source:
Last Name:
*  
Required: Please enter your last name
(If you have extension name such as JR, III, please indicate here)
First Name:
*
Required: Please enter your first name
Middle Name:
*  (Kindly provide your complete middle name)
Required: Please enter your middle name and make it complete
If in case the system informs you that you already have an existing record, you may then proceed to the Applicant Log-in Section located at the lower left side of this website.
Ex-Taiwan: *
Required: Please indicate if your an ex-taiwan employee or not
City Address:
Tel [Office] : (Please indicate your area code)
Tel [Home] : (Please indicate your area code)
Cellphone :
  example: 09177340642 *
Required: Please Enter your Cellphone No. & must 11 digit
Email Address :
* (Put N/A if you don't have one)
Required: Please enter your email address
Error: Please enter valid email address
Provincial Address:
No./Bldg. :
Street/Barangay :
Municipality/City :
Province :
Zip Code :
Telephone :
Cellphone :
Birthdate :
/ / (MM/DD/YYYY) *
Required: Please enter your Birth Date
Birth Place :
Height:  Convert from ft. to cm. *
Required: Please enter your Height
Weight:  Convert from lbs. to kg. *
Required: Please enter your Weight
Gender : MF
Civil Status :
Religion :
Nationality :
Referred by : *
Required: Please enter who referred you
Passport :
For Taiwan Applicants only
Drinking  No   Occasionally   Moderately   Always
Smoking  No   Occasionally   Yes,   sticks a day    Heavy
  I am     right-handed    left-handed  
Tattoo  I     have no    have  
History of Surgery
Spouse's Age     Occupation 
Father's Age     Occupation 
Mother's Age     Occupation 
No of Children     Son's Age/s     Daughter's Age/s 
 
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Picture :
  Note: Your picture must have a maximum size of 35 KB
Summary of Qualification: