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Balik-Manggagawa Info Sheet for OFW

Dennis Quintana is applying for re-employment assistance. He was previously employed as a Machine Operator in the United Arab Emirates from March 2018 to May 2018. He is married to Geraldine Quintana. His appointment for re-employment processing is on October 16, 2019 at the POEA Main Office in Ortigas.

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Jin Cuizon
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0% found this document useful (0 votes)
40 views2 pages

Balik-Manggagawa Info Sheet for OFW

Dennis Quintana is applying for re-employment assistance. He was previously employed as a Machine Operator in the United Arab Emirates from March 2018 to May 2018. He is married to Geraldine Quintana. His appointment for re-employment processing is on October 16, 2019 at the POEA Main Office in Ortigas.

Uploaded by

Jin Cuizon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

BALIK-MANGGAGAWA INFORMATION SHEET

Appointment Date: October 16, 2019 03:00 PM


Processing Site: POEA Main Office (Ortigas)

PERSONAL DATA
 

QUINTANA DENNIS REDOBANTE


Last Name First Name Name Ext. (e.g. Jr.,III) Middle Name
EC6089348 August 04, 1983 MacArthur, Leyte MALE MARRIED
Passport Birth Date Birth Place Sex Civil Status

Molave Addition Hills Mandaluyong METRO MANILA


Home Address in the Philippines

SSS Pag-IBIG RTN/MID

0565422762 dennisquintana1983@[Link]
Telephone/Cellphone No. E-mail Address
Mother's Full Maiden Name:
Redobante Rosalia Onas
Last Name First Name Middle Name

Name of Spouse (If married)


Quintana Geraldine Fidelson
Last Name First Name Middle Name
CONTRACT PARTICULARS OF OFW

AL REDWAN ANIMAL HUSBANDRY & FOOD INDUSTRY EST


Name of Company/Employer

- UNITED ARAB EMIRATES


Address of Employer Country

-/- 1800.00 AED


Tel. No./Fax No./E-Mail Address Salary / Currency

MACHINE OPERATOR 24 months


Position Contract Duration

March 17, 2018 May 06, 2018


Last Deployment Date Last Arrival Date

LEGAL BENEFICIARIES / QUALIFIED DEPENDENTS


 

Complete Name Sex Relationship of OFW to Dependent/s Date of Birth


Geraldine Fidelson Quintana FEMALE WIFE November 12, 1980
 
I hereby certify that the above statements are true and correct.

Control Number: Q5353735705


Worker's Signature Over Printed Name

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