OFW INFORMATION SHEET
DATE FILED
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
OFW PERSONAL DATA
Name
Last Name
Given Names
Name
LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX NAME SAMPLE JR SR III JRA
ADDRESS
ADDRESS 2
PHIL. PHONE NO.
-
Area Code
Phone Number
EMAILFACEBOOK
example@example.com
PASSPORT NO
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender
Female
Male
RELIGION
CIVIL STATUS
HIGHEST EDUCATION ATTAINMENT
COURSE
REGISTRATION CERT NO
EMPLOYERS NAME
EMPLOYERS HK ID NO
EMPLOYERS ADDRESS
EMPLOYER'S PHONE NO.
-
Area Code
Phone Number
JOBSITE / COUNTRY
OFW POSITION
OFW Salary_ HK$
AGENCY NAME if applicable
LEGAL BENEFICIARIES / QUALIFIED DEPENDENTS
Beneficiary Name 1
Relationship with B1
Date of birth B1
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Beneficiary Name 2
Relationship with B2
Date of birth B2
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Beneficiary Name 3
Relationship with B3
Date of birth B3
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
SIGNATURE OF WORKER
OFW HK PHONE NO.
-
Area Code
Phone Number
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