EMPLOYEE DATA FORM

Personal Information

Full Name: Frades, Juliana Mae L.

Address: malabon, metro manila

Home Phone: 09282922256 Cell Phone: 09282922256

Email Address: fradesjulianamae@gmail.com

Social Security Number or Government ID: 136854120451

Birth Date: april 11 2003 Marital Status: single

Spouse’s Name: none

Spouse’s Phone: none

Emergency Contact Information

Full Name: renato jhon rondario

Address: malabon, metro manila

Primary Phone: 09505521169 Cell Phone: 09505521169
Relationship: boyfriend

juliana mae frades

I _____________________________________________________ hereby declares that all information as provided above by
me are true and correct to the best of my knowledge.

Employee’s Signature/Date:______________________

juliana mae frades

__________________________
Official Signature