BALIK-MANGGAGAWA INFORMATION SHEET

Appointment Date: June 29, 2021 01:00 PM

Processing Site: Region 4A (SM Bacoor, Cavite-OSSCO)

PERSONAL DATA

YANCE MICHAEL JOHN DE MONET

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

P4462963A June 05, 1986 Parañaque MALE SINGLE

Passport Birth Date Birth Place Sex Civil Status

E. Jacinto West Rembo Makati METRO MANILA

Home Address in the Philippines

SSS Pag-IBIG RTN/MID

0097455107660 michaelyance_03@yahoo.com
Telephone/Cellphone No. E-mail Address

Mother's Full Maiden Name:

De Monet Rosario Navarro
Last Name First Name Middle Name

Name of Spouse (If married)

Last Name First Name Middle Name

CONTRACT PARTICULARS OF OFW

WYNDHAM GRAND REGENCY HOTEL DOHA

Name of Company/Employer

P.O. Box 22606 QATAR

Address of Employer Country

0097444343333 / infograndregencydoha@wyndham.com 3500.00 QAR

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

Front Office Shift Leader 24 months

Position Contract Duration

January 01, 1970 August 01, 2015

Last Deployment Date Last Arrival Date

LEGAL BENEFICIARIES / QUALIFIED DEPENDENTS

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

Rosario Navarro De Monet FEMALE MOTHER January 20, 1956

I hereby certify that the above statements are true and correct.

Control Number: Y520904311

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