FUGRO MIDDLE EAST

Personal Information Form

GENERAL INFORMTION

First Name Bernard Last Name Legacion

Gender Male Nationality / Dual Nationality Filipino

Place of Birth San isidro, Nueva Ecija Date of Birth August 12, 1991

Marital Status Single Religion Born Again Christian

Father's Full Name Bernardo C. Legacion Mother's Full Name Margarita D. Legacion

Country Airport Airport Name Manila International Airport

EDUCATIONAL INFORMATION

Educational Establishment College Undergraduate Subject BSBA- Major in Accountancy

Course Duration (How many

2 years Graduation Date none
years/months)

Status Completed Dropped out Enrolled Professional Membership

CONTACT INFORMATION of EMPLOYEE - Country of Employment Information & Address

Country Philippine Area/ Town San isidro, Nueva Ecija

Building Name Apartment/ Villa Name

How long have you been at this

Street Name / No: 233 Poblacion 25 years
address

Landmark Description school of NEUST, San isidro P.O Box

Personal Contact Number 9274920094 Home Telephone

EMERGENCY CONTACT INFORMATION - In Country of Employment (Friend or Family member residing in the same country of Employment)

Emergency contact Name Ferdinand De Leon Relationship Uncle

Contact Number 33580154 Telephone None

Address Line 1 Street 40, Gate 54, Industrial Area, Doha, Qatar Address Line 2 None

Personal Email None Alternative Email (if any) None

CONTACT INFORMATION (Home Country)

Emergency contact Name Margarita Legacion Relationship Mother

Personal Contact Number 9155344806 Home Telephone None

Country Philippine Area/ Town San isidro, Nueva Ecija

Address Line 1 233 Poblacion, San Isidro, Nueva Ecija Address Line 2 None

Personal Email None Alternative Email (if any) None

NEXT OF KIN

Next Of Kin Marion Christopher Legacion Relationship Brother

Personal Contact Number 9263955005 Home Telephone None

Country Philippine Area/ Town San isidro, Nueva Ecija

Address Line 1 233 Poblacion, San Isidro, Nueva Ecija Address Line 2 None

Personal Email Encore0902@yahoo.com Alternative Email (if any) None

WORK PLACE DETAILS

Job Title Data Encoder Start Date

Line Manager Work Email

Personnal Email Legacion.bernard@yahoo.com Mobile Number

Work Telephone Work Extension

LEGAL INFORMATION

Passport No EC1910462 Issue Date 15-Aug-14

Expiry Date 14-Aug-19 Place of Issue

Country of Issue Philippine Valid for more than 6 months Yes No

I do hereby declare that all the above information furnished are true and correct to the best of my knowledge.
Signature: Bernard D. Legacion
Date March 14, 2017