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    Owwa Info Sheet

    Uploaded by

    Jhon Manuel Velos
    This form collects personal and employment information from overseas Filipino workers (OFWs) for the Overseas Workers Welfare Administration (OWWA). The form requests the OFW's name, address, contact details, passport and seaman's book information, civil status, education level, name and address of employer, vessel name, position, salary, contract duration, name of manning agency, departure date, names and details of legal beneficiaries, and names and details of parents. The completed form is to be submitted to OWWA.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Owwa Info Sheet

    Uploaded by

    Jhon Manuel Velos
    211 views1 page
    This form collects personal and employment information from overseas Filipino workers (OFWs) for the Overseas Workers Welfare Administration (OWWA). The form requests the OFW's name, address, contact details, passport and seaman's book information, civil status, education level, name and address of employer, vessel name, position, salary, contract duration, name of manning agency, departure date, names and details of legal beneficiaries, and names and details of parents. The completed form is to be submitted to OWWA.

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    DOCX, PDF, TXT or read online from Scribd

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    This form collects personal and employment information from overseas Filipino workers (OFWs) for the Overseas Workers Welfare Administration (OWWA). The form requests the OFW's name, address, contact details, passport and seaman's book information, civil status, education level, name and address of employer, vessel name, position, salary, contract duration, name of manning agency, departure date, names and details of legal beneficiaries, and names and details of parents. The completed form is to be submitted to OWWA.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    211 views1 page

    Owwa Info Sheet

    Uploaded by

    Jhon Manuel Velos
    This form collects personal and employment information from overseas Filipino workers (OFWs) for the Overseas Workers Welfare Administration (OWWA). The form requests the OFW's name, address, contact details, passport and seaman's book information, civil status, education level, name and address of employer, vessel name, position, salary, contract duration, name of manning agency, departure date, names and details of legal beneficiaries, and names and details of parents. The completed form is to be submitted to OWWA.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    THIS FORM IS NOT FOR SALE FM-MPC-OIS-D01

    REPUBLIC OF THE PHILIPPINES


    DEPARTMENT OF LABOR AND EMPLOYMENT
    OVERSEAS WORKERS WELFARE ADMINISTRATION

    Please fill-out this form legibly


    FOR OWWA USE ONLY:

    OFW INFORMATION SHEET LAST PAYMENT OF OWWA CONTRIBUTION


    OR Number: _________________________________
    OR Date: ____________________________________
    Validity: ____________________________________
    Verified by: _________________________________
    RFP No.: ____________________________________
    Date: ________________
    PERSONAL DATA

    TUMANDA JOSEPH PESQUERA


    Last Name First Name Name Ext. (e.g. Jr., III) Middle Name
    Block 10 Lot 14 Phase 1 Solar Homes Subd. Dasmariñas City, Cavite
    Philippine Address:
    House No. Lot No. Block No. Phase No. Street Subdivision

    Barangay Municipality/City Province Zipcode


    09274179271 tumanda_joseph@yahoo.com 09 January 1972
    Contact No: E-mail Address: Birthdate :
    EC4670905 C0671849 2018061902431
    Passport No.: Seaman’s Book No. SRC No.

    Civil Status: Highest Educational Attainment: Course:

    CONTRACT PARTICULARS

    KS PROPERTIES, LIMITED
    Name of Company/Employer:
    Company Address: PMB 569 1323 SE 17 ST. FT.LAUDERDALE FL 33316
    SILVER SHALIS
    Vessels Name : Email Address :
    Position : CHIEF MATE GEORGE TOWN, CAYMAN ISLANDS
    Registry :
    Basic Salary : USD 3,900.00 Fax No. :
    Contract Duration : 12 MONTHS
    Telephone No. :
    Name of Agency : EURASIAN MARITIME CORPORATION
    Date of Departure :

    LEGAL BENEFICIARIES / QUALIFIED DEPENDENTS

    Name Relationship Date of Birth Address Contract No. Email Address

    NAME OF PARENTS

    Name of Father
    Family Name First Name Middle Name Employment Status Birth Date (MM/DD/YYYY)
    TUMANDA JESUS SUMAMPOL 4/17/1924
    Name of Mother
    Family Name First Name Middle Name Employment Status Birth Date (MM/DD/YYYY)
    TUMANDA FELISA PESQUERA 2/22/1937

    JOSEPH P. TUMANDA BELINDA C. WONG


    Signature of Seafarer Authorized Agency Representative

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