Transcription of REPUBLIC OF THE PHILIPPINES DEPARTMENT OF LABOR AND ...
1 REPUBLIC OF THE PHILIPPINES DEPARTMENT OF LABOR and employment overseas WORKERS WELFARE administration OFW INFORMATION SHEET PLEASE FILL-OUT THIS FORM LEGIBLY FOR OWWA USE ONLY LAST PAYMENT OF OWWA CONTRIBUTION OR NUMBER OR DATE VALIDITY DATE VERIFIED BY THIS FORM IS NOT FOR SALE DATE FILE _____ OFW PERSONAL DATA (LAST NAME) (FIRST NAME) (MIDDLENAME) (SUFFIX NAME) (SAMPLE JR. SR. III, JRA) PHILIPPINE PERMANENT ADDRESS (HOUSE NO.) (LOT NO. BLK NO. PHASE NO.) (STREET) (SUBDIVISION) (BARANGAY) (MUNICIPALITY/CITY) (PROVINCE) (ZIP CODE) PHIL.
2 MOBILE EMAIL/FACEBOOK_____ PASSPORT GENDER_____ RELIGION _____CIVIL STATUS _____ MM DD YYYY HIGHEST EDUCATIONAL ATTAINMENT_____ COURSE_____ CONTRACT PARTICULARS COMPANY NAME_____ REGISTRATION CERT. EMPLOYER NAME_____ EMPLOYER HK ID NO. _____ ADDRESS_____ EMPLOYER CONTACT NO. _____ JOBSITE / COUNTRY _____ OFW POSITION _____OFW MONTHLY SALARY / CURRENCY _____ OFW CONTRACT DURATION_____ EMPLOYER CONTACT NO. _____ JBOBSITE / COUNTRY _____ AGENCY NAME (if applicable)_____ LEGAL BENEFICIARIES/QUALIFIED DEPENDENTS FULL NAME RELATIONSHIP DATE OF BIRTH MM/DD/YYY COMPLETE ADDRESS CONTACT NO.
3 EMAIL ADDRESS _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ (SIGNATURE OF WORKER / OFW HK MOBILE NO.) OWWA Center, 7th Street corner Harrison, Pasay City 1300, PHILIPPINES , Telephone No. 8917601 to 24 Fax 80406-38 24/7 Operation Center Hotlines 5516641; 5511560. Website: or
