Office of Senator Win Gatchalian

LINGKOD OFW
General Information Sheet (GIS)

Control No. Date:

REQUESTING PARTY

Name: Organis Julieta Dante

Last First Middle

Present Address:

Zone-1, Sagrada Familia, Bula, Camarines Sur, 4430

Provincial Address:

Zone-1, Sagrada Familia, Bula, Camarines Sur, 4430

Relationship to OFW: Mother Contact Numbers: +639103689465

OVERSEAS FILIPINO WORKER (OFW)

Name: Organis Alexis Dante

organisalexis@gmail.com Last First Middle

Age: 39 Date of Birth: October 18, 1982

Gender: [✓ ] Male [ ] Civil Status: [ ] Single [ ✓ ] Married [ ] Separated [ ] Others:_____________

Position/Current Job: Laborer Deployment Date: October 2, 2021

Overseas Address: Shelter POLO Al Khobar, kingdom of Saudi Arabia

(House No. / Village / City / Country)

AGENCY / EMPLOYER

Local Agency: Centaur International Manpower Services Inc.

Address: G/F P.E.S Building, 1639 Dian Corner Rockefeller Streets, Makati City, Philippines

Contact Person: Pia G. Villanueva Contact Numbers: +639954267330

Foreign Agency:

Address:
 Contact Person: Contact Numbers:

Principal Employer: OLD PORT TRADING

Address: Prince Abdullah Bin Jalawi, Al Omairiyah, Al Hofuf 36362, kingdom of Saudi Arabia

Contact Person: Ibrahim Hamad Alkhatam Contact Numbers: +966583333927

OFW PRESENT STATUS

Employer’s Custody Hospital Jail

Foreign Agency Custody Morgue Others: APARTMENT

✓ Shelter / Polo Custody Detention Facility

NATURE OF COMPLAINTS

Finished Contract ✓ Salary Reduction Maltreatment

Terminated ✓ Salary / OT Payment Delay ✓ Verbal Abuse

✓ Contract Violation Non-Payment of Salary Sexual Harassment

Illegal Detention ✓ Long Working Hours Health Problem

Locked-up by Employer ✓ Overworked PTA Request

Prevented from Returning ✓ Poor Working Conditions Repatriation of Remains

REQUESTED ASSISTANCE

1. Repatriation
2. Filing of formal complaint to POEA

I hereby certify that the above information/narration are true and correct to the best of my knowledge.

Alexis D. Organis

Signature over Printed Name

Assessed and Interviewed by: Reviewed by:

ERIC B. VILLARICO ANALISA F. ALLEN

Recommendation: [ ] Referral to DFA [ ] Referral to OWWA [ ] Referral to POEA [ ] Others:_____________