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Edwin Owwa2 PDF

The document is an OFW Information Sheet filled out by Edwin Andrada, providing his personal details like address, contact information, passport number, as well as contract particulars for his position as a Staff Nurse at the Ministry of Health in Oman. The form also lists his legal beneficiaries, including his wife Jonalyn and two children Dorothy and Rosendo, with their contact details. Andrada certified that the information provided on the form is true and correct.

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Edwin Andrada
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120 views1 page

Edwin Owwa2 PDF

The document is an OFW Information Sheet filled out by Edwin Andrada, providing his personal details like address, contact information, passport number, as well as contract particulars for his position as a Staff Nurse at the Ministry of Health in Oman. The form also lists his legal beneficiaries, including his wife Jonalyn and two children Dorothy and Rosendo, with their contact details. Andrada certified that the information provided on the form is true and correct.

Uploaded by

Edwin Andrada
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
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THIS FORM IS NOT FOR SALE FM-MPC-OIS-D01

REPUBLIC OF THE PHILIPPINES


DEPARTMENT OF LABOR AND EMPLOYMENT
OVERSEAS WORKERS WELFARE ADMINISTRATION

Please fill-out this form legibly. FOR OWWA USE ONLY:


LAST PAYMENT OF OWWA CONTRIBUTION

OFW INFORMATION SHEET OR Number: ______________________________

OR Date: _________________________________

Validity: _________________________________

16/08/2020
Date:______________________ Verified by: _______________________________

PERSONAL DATA
Andrada Edwin Montemayor
Last Name First Name Name Ext. (e.g. Jr., III) Middle Name

Philippine Address: #63


House No. Lot No. Block No. Phase No. Street Subdivision

Labit proper Urdaneta City Pangasinan 2428


Barangay Municipality/City Province Zipcode

+968 97296073
Contact No.: ______________________ edwin_andrada05@yahoo.com.ph
E-mail Address: ___________________________ P4327652B
Passport No.: ______________________

06 26 1974 Sex: Male


Birthdate: ___/____/____ Roman Catholic Civil Status: _______________________
___________________ Religion: __________________ Married

Highest Educational Attainment: College Graduate


________________________________ Bachelor of Science in Nursing
Course: _________________________________________

CONTRACT PARTICULARS

Ministry of Health (MOH) (Al Nahdha Hospital)


Name of Company/Employer: ___________________________________________________________________________________

Ruwi Muscat Oman


Address: ____________________________________________________________________________________________________

22503390
Tel No.: _______________________ Oman
Jobsite/Country:_______________________________________________________________

Staff Nurse
Position: _______________________ 1,121 RO
Monthly Salary/Currency: _____________________ 2 years
Contract Duration: __________________

Name of Agency (if applicable): __________________________________________________________________________________

LEGAL BENEFICIARIES/QUALIFIED DEPENDENTS

Name Relationship Date of Birth Address Contact No./E-mail Address

Jonalyn T. Andrada
__________________________ Wife
______________ 08/07/1978 ___________________________
_____________ Labit proper Urdaneta City +639774432279
____________________

Dorothy T. Andrada
__________________________ Daugther 02/08/2008 ___________________________
______________ _____________ Labit proper Urdaneta City +639774432279
____________________

Rosendo T. Andrada III ______________ 12/06/2010 +639774432279


Labit proper Urdaneta City ____________________
__________________________ Son _____________ ___________________________

I hereby certify that the above information is true and correct.

Signature of Worker

OWWA Center, 7th St. cor. F.B. Harrison, Pasay City 1300, Philippines . Tel No. 891-7601 to 24 Fax: 804-0638
24/7 Operation Center - Hotlines: 551-6641; 551-1560 . Website: www.owwa.gov.ph
REV: 01

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