Subject: New Hire Details - Joseline Xerez-Burgos
From: Jotform <[email-masked]>
To: [email-masked], [email-masked]
Date: Sat, 6 Aug 2022 09:32:58 -0400

Basic
Information form for Contract

Full Name (As mentioned in your
passport)

Joseline Xerez-Burgos

Passport
Number

P2372016B

Complete Home Address (this is where
your documents will be sent to)

Street Address: 16 Kennedy
Drive Pleasant View
Street Address Line 2: Tandang Sora
City: Quezon
City
State / Province: NA
Postal / Zip Code: 1116
Country:
Philippines

Phone Number

(632)
9152503119

Email

[email-masked]

Gender

Female

Start Date

08-08-2022

Please answer the questions
below:

Yes

No

Have you
ever been charged with any crime in any country (weather or not
convicted)?

-

Do you
have drug or alcohol addictions?

-

Do you have any medical conditions which would
affect your ability to perform the assigned job?

-

Is there any other information that you would like
to disclose about your background or other factors which may affect your work or
our organisation?

-

If you answered yes to
any of the questions above, please share the details here

NA

Please attach COPY OF GOVERNMENT
ISSUED ID (IT MUST HAVE YOUR PICTURE AND ADDRESS)

Phil health.jpg

Globe bill.png

PHOTO.jpg

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easily.