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BALIK-MANGGAGAWA INFORMATION SHEET

Appointment Date: June 26, 2019 08:00 AM


Processing Site: Region10 (Cagayan De Oro)

PERSONAL DATA
 

BALATERO HAIDEE TALISIC


Last Name First Name Name Ext. (e.g. Jr.,III) Middle Name
P2377527A March 29, 1981 Tangub City FEMALE MARRIED
Passport Birth Date Birth Place Sex Civil Status
Purok 2 Bagumbang Bonifacio MISAMIS OCCIDENTAL
Home Address in the Philippines

SSS Pag-IBIG RTN/MID


+971525632408 haideesahir@gmail.com
Telephone/Cellphone No. E-mail Address
Mother's Full Maiden Name:
Rizon Lolita Cabardo
Last Name First Name Middle Name
Name of Spouse (If married)
Balatero Edwin Managing
Last Name First Name Middle Name

CONTRACT PARTICULARS OF OFW

Gulf Shipping Ajman Fzc


Name of Company/Employer
Ajman Holding,Sheik Khalifa Bin Zayed Street,Ajman UAE UNITED ARAB EMIRATES
Address of Employer Country
067116806 / - 2500.00 AED
Tel. No./Fax No./E-Mail Address Salary / Currency
Cleaner 24 months
Position Contract Duration
January 01, 1970 May 08, 2017
Last Deployment Date Last Arrival Date

LEGAL BENEFICIARIES / QUALIFIED DEPENDENTS


 

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


Haidwin Talisic Balatero MALE SON June 16, 2009
 
I hereby certify that the above statements are true and correct.
LEGAL BENEFICIARIES / QUALIFIED DEPENDENTS

Control Number: B4365043666


Worker's Signature Over Printed Name

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