Subject: New Hire Details - Charity Gay Guba
From: Jotform <[email-masked]>
To: [email-masked], [email-masked]
Date: Mon, 17 Oct 2022 03:55:38 -0400

| | Basic Information form for Contract

Full Name (As mentioned in your passport) | Charity Gay Guba
Passport Number | A02-10-004751

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

Street Address: Purok 6
Street Address Line 2: Sitio Tebag, Diaz
City: Umingan
State / Province: Pangasinan
Postal / Zip Code: 2443
Country: Philippines

Phone Number | (00) 9925697186
Email | [email-masked]
Gender | Female

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? | - |

Please attach COPY OF GOVERNMENT ISSUED ID (IT MUST HAVE YOUR PICTURE AND ADDRESS) | dlicense.JPG
| IMG_20221017_154151.jpg
| received_1236328450259877.jpeg

| |

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