Department of Labor and Employment

OVERSEAS WORKERS WELFARE

ADMINISTRATION

1x1 ID
Photo

OWWA TULAY PROJECT

APPLICATION FORM
(Annex B)

I.

APPLICANTS INFORMATION
If applicant is an OFW ( please check )
Land-based
Sea-based
Name:

If applicant is OFWs family member ( please check relationship )

Husband / Wife
Father / Mother
Son / Daughter
Brother / Sister
Others

____________________________________________ Contact No.: ____________________

(Last Name)

(First Name)

(Middle Name)

Address:
____________________________________________________________________________
Birthday:
______________________ Age: _____ Sex: _________ Civil Status: _______________
Highest Educational Attainment:
__________________________________________________________
Employment Status:
Employed
Self-Employed
Unemployed
If employed or self-employed:
Name of Company/Employer:
________________________________________________
Position:
________________________________________________
st
nd
Course Applied (indicate 1 for 1 priority and 2 for 2 priority.)
Computer Fundamentals
Word Processing Fundamentals
Spreadsheet Fundamentals
Presentation Fundamentals
Internet and World Wide Web
Digital Media Fundamentals
Web Design Fundamentals
Database Fundamentals
Learn and Earn (Using Technology Wisely)

Schedule
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________

Do you have experience in using a computer?

Yes
No
Have you previously availed of any computer training?
Yes
No
If yes, what is the course title?
________________________________________________
When did you avail it?
________________________________________________
Computer Skills, if any?
________________________________________________
II. OFWs INFORMATION
Name:
____________________________________________________________________________
Date of Birth: ____________________________________________________________________________
Status of OFW:
At the job site (abroad)
On vacation
Returnee
If still working overseas:
Name of Employer/Company:
________________________________________________
Complete address at jobsite:
________________________________________________
OATH OF UNDERTAKING
I, __________________________________, a beneficiary of the OWWA/DOLE Microsoft Tulay Program, hereby
undertake to abide by the rules and regulations set by OWWA for this program. In the event that I would not be able
to complete the course/training for whatever reason, I understand I would not be issued a Certificate of Completion
but I may still be allowed to avail of another computer course under this Program.
________________________
Signature
s

FOR USE OF OWWA

Requirements attached:
ID Photo
Proof of OWWA Membership (please specify)
Proof of Relationship to OFW (please specify)
Requirements received and certified true copy by:
RHEIMON J. LAQUIAN

______________________

IT Instructor

Date

Processed and evaluated by:

RHEIMON J. LAQUIAN

______________________

IT Instructor

Date

MARILOU M. SUMALINOG

______________________

OIC, Regional Director

Date

APPROVED BY: