BALIK-MANGGAGAWA INFORMATION SHEET
Appointment Date: November 20, 2019 01:00 PM
Processing Site: Region 6 (Iloilo)
PERSONAL DATA
CALDEA GRACE BALUCAN
Last Name First Name Name Ext. (e.g. Jr.,III) Middle Name
p1377242a April 17, 1976 maigo lanao del norte FEMALE MARRIED
Passport Birth Date Birth Place Sex Civil Status
kalubihan bato Roxas City CAPIZ
Home Address in the Philippines
0914807771 121167642242
SSS Pag-IBIG RTN/MID
09069206167 caldeagrace@[Link]
Telephone/Cellphone No. E-mail Address
Mother's Full Maiden Name:
balucan anunciacion fuentebella
Last Name First Name Middle Name
Name of Spouse (If married)
caldea rodney magno
Last Name First Name Middle Name
CONTRACT PARTICULARS OF OFW
wadha ahmed kh al-sulaiti
Name of Company/Employer
bldg.2 zone 56, st. 632 ain khalid QATAR
Address of Employer Country
09069206167 / caldeagrace@[Link] 1500.00 QAR
Tel. No./Fax No./E-Mail Address Salary / Currency
hhw 24 months
Position Contract Duration
May 20, 2017 October 21, 2019
Last Deployment Date Last Arrival Date
LEGAL BENEFICIARIES / QUALIFIED DEPENDENTS
Complete Name Sex Relationship of OFW to Dependent/s Date of Birth
rodney caldea MALE SPOUSE November 05, 1978
I hereby certify that the above statements are true and correct.
Control Number: C4305349466
Worker's Signature Over Printed Name