COMMISSION ON FILIPINOS

OVERSEAS
INFORMATION SHEET FOR FILIPINO EMIGRANTS

PHOTO

INSTRUCTIONS : Please PRINT letters in the spaces provided.

Please CHECK ( ) appropriate box(es).

(FOR CFO USE ONLY)

CFO No. / Emigrant No.
OR #
GCC Form #
Issue Date [ mm-dd-yyyy ]
Category
Reg. Date [ mm-dd-yyyy ]
Verifier

PERSONAL
DATA
Last Name

M A N Z O

First Name

WI

N E

Middle Name H E

Suffix

F R E D A

R N A N D E Z

If married, please state mother's maiden name N A

DATE OF BIRTH [ mm-dd-yyyy ]

0 5

0 5

AGE

SEX

5 99

CIVIL STATUS

Male

Female

Single

Divorced

PLACE OF BIRTH
Town / City

Province

Married

Widow(er)

Separated

Outside of the Philippines

N A M A L
R I

E N T A

A Y A N
L

M
M I

N O T
N D O

A P

P L I

C A B L E

R O

ADDRESS & CONTACT NUMBERS IN THE PHILIPPINES

D E L P I L A R, S T.
House No. / Street / Barangay

P I N AM AL AYAN
Town / City

O R

E N T A L

M I N D O R O

Province

Zip Code

N O N E

Telephone Number

2 1

9 3

1 6

Cellphone Number

winefredamanzo@yahoo.com
E-mail Address
ADDRESS & CONTACT NUMBERS (Country of Destination)

1 2

D U L A L A S

L O O P

House No. / Street

Y I
City

G O

G U A M ,

2 9

/ State

U N

T E D

S T A T E S

O F

A M E R I

C A

Country

9 2

Zip Code

Telephone Number

6 5

2
Cellphone Number

PASSPORT NUMBER

E B 1

7 5

DATE OF ISSUE [ mm-dd-yyyy ]

VISA NUMBER

Revised as of January 2008

NOT FOR SALE

DATE OF ISSUE [ mm-dd-yyyy ]

THIS FORM IS

HIGHEST EDUCATIONAL ATTAINMENT

Elementary Level
Elementary Graduate
High School Level
High School Graduate

Vocational Level
Vocational Graduate
College Level
College Graduate

Post Graduate Level

Post Graduate
No Formal Education
Others

Not of schooling age

( Below 7 yrs old )

If vocational / college / post graduate, state course

ECONOMIC STATUS

Employed

Self-employed

Unemployed

If employed / self-employed, state profession / occupation / business

N A
If unemployed, check appropriate box
Housewife

Student

Retiree

Out-of-school youth

Minor (Below 7 yrs old)

Not reporting any occupation

DATA OF NEAREST FAMILY MEMBER IN THE PHILIPPINES

Last Name

M A Z O N

First Name

Middle Name M A N Z

D E L

Suffix

I A N A
O

Relationship S I S T E R

I L A R

S T

House No. / Street / Barangay

N A M A L A Y A N

Town / City

O R

I E N T A L

M I N D O R O

Province

Zip Code

N O N E

Telephone Number

8 2

9 1

Cellphone Number

E-mail Address

PETITIONER'S DATA
Last Name

M A N Z O ,

First Name

F I D E L A

Middle Name

H E R N A N D E Z

Suffix

Relationship
MOTHER

Age

8 0

ADDRESS & CONTACT NUMBERS ABROAD

1 2 0

D U L A L A S

L O O P

House No. / Street

Y I G O , G U A M
City

9 6 9 2 9

/ State

U N I T E D

S T A T E S

O F

A M E R I C A

Country

9 6

9 2

Zip Code

E-mail Address

N O N E
Telephone Number
CITIZENSHIP

Cellphone Number
YEAR OF MIGRATION [ yyyy ]

F I L I P I N O
OCCUPATION

UNEMPLOYED

CERTIFICATION
I hereby certify under penalty of law to the truth and correctness of
the statement and that this form was accomplished by me
personally or under my personal direction.

SIGNATURE ABOVE PRINTED NAME

Revised as of January 2008

THIS FORM IS NOT FOR SALE