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