BALIK-MANGGAGAWA INFORMATION SHEET
Appointment Date: March 27, 2015 02:00 PM
Processing Site: POEA Field Office (SM Manila)
PERSONAL DATA
MORENO
MARY ANNE
Last Name
First Name
EB7227833
March 16, 1988
Passport
Birth Date
JAMORA
Name Ext. (e.g. Jr.,III)
Middle Name
PASAY CITY
FEMALE
SINGLE
Birth Place
Sex
Civil Status
247 DALANDAN ST. PH.8 GATCHALIAN SUBD. MANUYO DOS Las Pias METRO MANILA
Home Address in the Philippines
SSS
Pag-IBIG RTN/MID
+971504128491
[Link]@[Link]
Telephone/Cellphone No.
E-mail Address
Mother's Full Maiden Name:
JAMORA
MARGARET
CAMACHO
Last Name
First Name
Middle Name
First Name
Middle Name
Name of Spouse (If married)
Last Name
CONTRACT PARTICULARS OF OFW
ETIHAD AIRPORT SERVICES-GROUND (FORMERLY ABU DHABI AIRPORT SERVICES
Name of Company/Employer
UNITED ARAB EMIRATES
Address of Employer
Country
-/-
2040.00 AED
Tel. No./Fax No./E-Mail Address
Salary / Currency
SENIOR WAITER B
24 months
Position
Contract Duration
July 28, 2013
October 03, 2015
Last Deployment Date
Last Arrival Date
LEGAL BENEFICIARIES / QUALIFIED DEPENDENTS
Children (20 years old and below) - Registered Birth Certificate; Non-Member Spouse - Registered Marriage Certificate; Parents (60 years old and above) - Senior
Citizens Card and Registered Birth Certificate of Member (OFW)
Complete Name
MARGARET JAMORA MORENO
Sex
Relationship of OFW to Dependent/s
Date of Birth
FEMALE
MOTHER
September 03, 1959
I hereby certify that the above statements are true and correct and that the above-named dependents have not been declared by my spouse / brother/sister.
Control Number: M650185184
Worker's Signature Over Printed Name