BALIK-MANGGAGAWA INFORMATION SHEET
Appointment Date: May 30, 2019 02:00 PM
Processing Site: Hong Kong
PERSONAL DATA
ETONG NOVIE MERIS
Last Name First Name Name Ext. (e.g. Jr.,III) Middle Name
P0151454B November 19, 1983 San Gabriel,La Union FEMALE SINGLE
Passport Birth Date Birth Place Sex Civil Status
IC-166 Betag La Trinidad BENGUET
Home Address in the Philippines
3412559780 121054536040
SSS Pag-IBIG RTN/MID
61320469 novyitong1083@[Link]
Telephone/Cellphone No. E-mail Address
Mother's Full Maiden Name:
Etong Catherine Punasen
Last Name First Name Middle Name
Name of Spouse (If married)
Last Name First Name Middle Name
CONTRACT PARTICULARS OF OFW
Leung Hei Man
Name of Company/Employer
3rd F Rear No,31-A Kia tak road kowloon city HONG KONG
Address of Employer Country
-/- 4210.00 HKD
Tel. No./Fax No./E-Mail Address Salary / Currency
DH 24 months
Position Contract Duration
January 29, 2018 February 01, 2018
Last Deployment Date Last Arrival Date
LEGAL BENEFICIARIES / QUALIFIED DEPENDENTS
Complete Name Sex Relationship of OFW to Dependent/s Date of Birth
Odri Etong FEMALE SISTER October 04, 1990
I hereby certify that the above statements are true and correct.
LEGAL BENEFICIARIES / QUALIFIED DEPENDENTS
Control Number: E3523506677
Worker's Signature Over Printed Name