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OFW Information Form

This 3-page document is an information sheet for overseas Filipino workers (OFWs) to fill out for the Overseas Workers Welfare Administration (OWWA). It requests personal details of the OFW like name, address, contact details, education level, as well as contract particulars including employer name, job position, salary and duration. It also collects details of legal beneficiaries nominated by the OFW like name, relationship, date of birth, address and contact. The OFW needs to certify that all information provided is true and correct.

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Joel Laguitao
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216 views1 page

OFW Information Form

This 3-page document is an information sheet for overseas Filipino workers (OFWs) to fill out for the Overseas Workers Welfare Administration (OWWA). It requests personal details of the OFW like name, address, contact details, education level, as well as contract particulars including employer name, job position, salary and duration. It also collects details of legal beneficiaries nominated by the OFW like name, relationship, date of birth, address and contact. The OFW needs to certify that all information provided is true and correct.

Uploaded by

Joel Laguitao
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: _________________________________

Date:______________________ Verified by: _______________________________

PERSONAL DATA

Last Name First Name Name Ext. (e.g. Jr., III) Middle Name

Philippine Address:
House No. Lot No. Block No. Phase No. Street Subdivision

Barangay Municipality/City Province Zipcode

Contact No.: ______________________ E-mail Address: ___________________________ Passport No.: ______________________

Birthdate: ___/____/____ Sex: ___________________ Religion: __________________ Civil Status: _______________________

Highest Educational Attainment: ________________________________ Course: _________________________________________

CONTRACT PARTICULARS

Name of Company/Employer: ___________________________________________________________________________________

Address: ____________________________________________________________________________________________________

Tel No.: _______________________ Jobsite/Country:_______________________________________________________________

Position: _______________________ Monthly Salary/Currency: _____________________ Contract Duration: __________________

Name of Agency (if applicable): __________________________________________________________________________________

LEGAL BENEFICIARIES/QUALIFIED DEPENDENTS

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

__________________________ ______________ _____________ ___________________________ ____________________

__________________________ ______________ _____________ ___________________________ ____________________

__________________________ ______________ _____________ ___________________________ ____________________

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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