BALIK-MANGGAGAWA INFORMATION SHEET

Appointment Date: April 04, 2019 10:00 AM

Processing Site: POEA Main Office (Ortigas)

PERSONAL DATA
 

PANOPIO IAN ENDAYA

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

P4831332A February 01, 1988 BAUAN BATANGAS MALE SINGLE

Passport Birth Date Birth Place Sex Civil Status

BAUN SAN ANDRES Bauan BATANGAS

Home Address in the Philippines

SSS Pag-IBIG RTN/MID

09079582127 ianzkhi0201@gmail.com
Telephone/Cellphone No. E-mail Address

Mother's Full Maiden Name:

ENDAYA MARCELA DIÑO
Last Name First Name Middle Name

Name of Spouse (If married)

Last Name First Name Middle Name

CONTRACT PARTICULARS OF OFW

PEC LTD (FORMERLY PLANT ENGINEERING CONSTRUCTION PTE LIMITED)

Name of Company/Employer

- SINGAPORE
Address of Employer Country

-/- 700.00 SGD

Tel. No./Fax No./E-Mail Address Salary / Currency

PIPFITER 24 months
Position Contract Duration

February 20, 2018 March 26, 2019

Last Deployment Date Last Arrival Date

LEGAL BENEFICIARIES / QUALIFIED DEPENDENTS

 

Complete Name Sex Relationship of OFW to Dependent/s Date of Birth

JERWIN ENDAYA. PANOPIO MALE BROTHER December 29, 1999
 
I hereby certify that the above statements are true and correct.

Control Number: P5104947404

Worker's Signature Over Printed Name