Subject: New Hire Details - Kimberlee Ledres
From: Jotform <[email-masked]>
To: [email-masked], [email-masked]
Date: Thu, 30 Mar 2023 21:14:37 -0400

| | Basic Information form for Contract

Full Name (As mentioned in your passport) | Kimberlee Ledres
Passport Number | N/A

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

Street Address: 56/A S.Pedracio St
Street Address Line 2: Brgy Dalig
City: Antipolo
State / Province: Rizal
Postal / Zip Code: 1870
Country: Philippines

Phone Number | (+639) 703670914
Email | [email-masked]
Gender | Female
Start Date | 01-04-2023

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) | national ID.jpg
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