CERTIFICATE OF SPONSORSHIP CHECKLIST

In order for us to be able to apply for your certificate of sponsorship, we shall require the following
information:

Personal Information
Family or Last Name: DIEGO
First Name (s): MARY JOSELL
Other Names:
Nationality: FILIPINO
Place of Birth: TONDO MANILA
Country of Birth: PHILIPPINES
Date of Birth: AUGUST 5, 1994
Gender: Female
Country of Residence: PHILIPPINES
GMC /GDC number:
Passport or Travel Document
Passport Number: P8949256B
Issue Date: FEBRUARY 14, 2022
Expiry Date: FEBRUARY 13, 2032
Place of issue of passport: DFA NCR SOUTH
Address – This will be the address that your Visa gets posted to.
Address: #19 JP RIZAL ST. FORTUNATA VILLAGE BARANGAY SAN ISIDRO
SUCAT
City or town: PARANAQUE CITY
County/Area/District/Province: METRO MANILA
Postcode: 1700
Country: PHILIPPINES
Identification Numbers
UK ID card number:
UK National Insurance number:
National ID card number: 0864502
Proof of a covid vaccine certificate or letter of proof from the overseas territory government showing
you’ve been fully vaccinated under the UK overseas vaccine programme
Type: MODERNA
Amount of doses: 3
Country of issue: PHILIPPINES
Date of doses: 1ST DOSE: OCTOBER 25, 2021
2ND DOSE: NOVEMBER 22, 2021
1ST BOOSTER: JULY 02, 2022

Work Information
Main work place: FOUNDATION OF OUR LADY OF PEACE HOSPITAL
Other regular work address:
I confirm that the information provided above is true to the best of my knowledge and belief. I understand
that knowingly giving false information may be classed as gross misconduct and will be dealt with under the
Trust’s Disciplinary procedure

Signed ................................................................................................ Dated AUGUST 31, 2023