OWWA ECARD APPLICATION

OWWA DUBAI

E-Card Application Form

Ref No:

Last Name:

First Name:

Middle Name:

Suffix Name:

Birthdate *

OWWA ID:

MEMBERSHIP EXPIRATION *

Additional Information

Gender *

Contact No (PHILIPPINES) *

Work Site *

Address (PHILIPPINES) *

E-mail Address *

In Case of Emergency

Name

Contact Number (PHILIPPINES)

Sample Signature

Please sign on a white background below

Sample Photo

No cap/hat/sunglasses. Neutral face expression and on a white background

Data Privacy & Non-Disclosure Agreement

DATA PRIVACY STATEMENT
The OWWA is committed to protect your privacy and ensure that all personal data collected from you are processed according to R.A. 10173 (Data Privacy Act of 2012).

NON-DISCLOSURE AGREEMENT

(a) To maintain the same in confidence and to use it solely and exclusively for the mutual purpose of the parties.
(b) Not to copy, reproduce, or reduce in writing any part thereof except as may be necessary.
(c) Not to disclose the same whether to its employees or to third parties, except in confidence and only when necessary.
(d) To be responsible for the performance of the above obligations by its employees or parties to whom the information is disclosed.
(e) To apply security measures and adequate care to protect the information from unauthorized disclosure or use.

By submitting this application, I certify that all information provided is true and accurate. I agree to the collection and use of my personal information under OWWA’s Terms and Conditions and Data Privacy Policy.

Draw Your Signature