Application form for Philnits Examination Please fill up this page and send to Philnits via email, fax or mail Exam applied for ( ) FE (Fundamental IT Engineer's Exam ( ) IT Passport ( ) FE Exam AM Removal Exam ( ) AP (applied Engineer's) ( ) FE Exam PM Removal Exam First Name : Last or Surname : Middle or Mother's maiden name : Date of Birth month/day/year : Age : Sex : ( ) Male ( ) Female E-mail : If still studying, school enrolled : Please provide contact information for mailing of exam results Company Name : Work Phone / FAX : Office Address : Address (cont.) : City / Province : Zip/Postal Code : Country : Home Address : Home Phone : Address (cont.) : City / Province : Zip/Postal Code : Country : Preferred Examination Site (check one) Availability depends on number of examinees ( ) Metro Manila ( ) Baguio ( ) Bohol ( ) Cebu ( ) Davao ( ) Alangilan ( ) Nasugbu ( ) Malvar ( ) Dumaguete ( ) Naga ( ) Ozamis ( ) Tacloban Number of Employees in your company __________ A. Below 50 E. 300 - 499 B. 50 - 99 F. 500 - 999 C. 100 - 199 G. 1000 - 9999 D. 200 - 299 H. More than 10,000 Highest Educational Attainment _______ A. Ph.D. F. Vocational school (2 years) B. Masters G. Vocational school (1 year) C. 1-year Post-Baccalaureate H. Vocational school (less than 1 year but more than 6 months) D. University/College I. Vocational school (6 months or less) E. Vocational school (3 years) J. Other If still studying, degree being pursued _________ A. Ph.D F. Vocational school (2 years) B. Masters G. Vocational school (1 year) C. 1-year Post-Baccalaureate H. Vocational school (less than 1 year but more than 6 month D. University/College I. Vocational school (6 months or less) E. Vocational school (3 years) J. Others Employment Status ____________ A. Unemployed D. Regular B. Probationary E. Self Employed C. Contractual Company Type _________________ A. Computer mfg or sales company K. Manufacturing Industry B. Software-related company L. Distribution C. Information tech service co. M. Electric Power & Gas D. National government offices N. Advertising & Research E. Local government offices O. Service Industry F. Schools & research institutes P. Others G. Agriculture, Forestry, and Mining Industries H. Financial, Securities, and Insurance Industries I. Transportation, Telecomms, Warehousing, and Real Estate J. Construction Industry Natue of work ________________ A. Systems project and planning M. System Operationech B. System audit N. Accounting/Auditing C. Promotion & Utilization O. Training of Engineers D. Project Management P. Research & Development E. Systems Analysis and Design Q. Arts and Crafts F. Program Development R. Engineering G. Microcomputer applic system S. Media/Public Relations H. Systems Software T. Sales & Marketing I. Network technology support U. Manufacturing J. Database technology support V. Teaching K. Software Production technology W. Others L. Basic Software Tech Work experience ( ) Choose one A. No experience E. More than 5 years but below 10 years B. Below 1 year F. More than 10 yers but below 15 yrs C. More than 1 year but below 3 years D. More than 3 years but below 5 years G. 15 years or more Where did you receive your training in IT? ( ) Choose one A. In-company training G. Local software center B. School H. Various seminars C. Vocational School I. AOTS D. Distance learning J. CICC E. National Computer Institute K. Self Study & Others F. Vendor Company education ---------------------------------------------------------------- Manila office room 304 FMSG Bldg Balete Cor 3rd Street New Manila Quezon City 1112 632-2341573 Cebu office, WDC Bldg, Osmena Blvd, Cebu City Fax (032)2540577 Davao office DTI Region XI, 5th floor, Mintrade Bldg cor Monteverde St Davao City telefax (082)2279448