OEC Application Form
Overseas Exit Clearance application form must be filled up accurately. Leave spaces as blank if not applicable.
You must be returning to the same employer to qualify for the Balik Manggagawa OEC.
Please check the fields shown in red: Please fill up everything accurately. Leave blank if not applicable.
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Personal Info Last Name First Name Middle Name
Date of Birth Contact Info Address
Birthplace
City Phone No. Email Personal Details Gender Civil Status
Province Mobile No.
Mother's Maiden Name Spouse's Name
Highest Education Attained Passport Number OWWA Beneficiary (Tatanggap ng Benepisyo) Beneficiary Name
Beneficiary Address Salary Allottee (Itinalaga na Padadalhan ng Sahod) Allottee Name Allottee Address Philhealth Dependents Name of Children/Parent Sex
Relationship Date of Birth
Latest Payment Information Date Location OWWA PhilHealth Principal / Employer / Company Details Name Address Phone No. Email Contract Details Position Job Site Fax No.
Country Specific Requirements:
Duration months Agency
Date Started Monthly Salary Currency
Philippine Peso
Latest Date of Arrival in the Philippines Scheduled Return Date to the Jobsite Delivery Information Address
(Please indicate Landmark and c/o Party or Known Person if necessary) City Province
MANILA METRO MANILA
Please check the following statements: I am returning to the same employer.
I have the supporting documents to show that I will be returning to the same employer. In the event that my OEC application is not processed due to any misrepresentation or lack of supporting documents, I will not hold Pilipinas Teleserv, Inc. liable for the non-issuance of my OEC.
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