Feedback Form for Filipino Emigrants

CFO Filipino emigrants form for feedback

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FEEDBACK FORM FOR FILIPINO EMIGRANTS
INSTRUCTION: PLS. ACCOMPLISH THIS FEEDBACK FORM WITHIN 2 WEEKS TO 3 MONTHS AFTER ARRIVAL ABROAD AND MAIL OR FAX TO CFO.

DATE ACCOMPLISHED: _____________________________________

DATE OF ARRIVAL: __________________________________

Name:
(Last Name)

(First Name)

Birth Date: ________________________________________

(Middle Name)

(Month / Day / Year)

Sex: [ ] Male

[ ] Female

Address Abroad:
House No.

Zip Code

State
Civil Status:
( ) Single
( ) Separated
( ) Married ( ) Divorced
( ) Widow(er)

Country

Telephone no.: __________________________
Occupation

Street

Mobile no.:

E-mail:
at present:

prior to migration:

What conditions / realities are you currently experiencing? ( Ano ang iyong mga nararanasan ngayon?)
[
[

[
[
[

] Difficulty in finding a job (Hirap sa paghahanap ng trabaho)
] Difficulty in adjusting to: (Hirap sa mga pagbabago sa:)
( ) Environment (Kapaligiran)
( ) Climate (Klima)
( ) Language (Pananalita)
( ) Culture (Kultura)
] Warm and Friendly Community (Magandang pagsasamahan sa komunidad)
] Availability of public services like transportation, church, hospital, etc.
(Pagkakaroon ng pangunahing serbisyong publiko tulad ng sasakyan, ospital, atbp.)
] Availability of welfare / support agencies or organizations. Please specify name, address and telephone number of the organization.
(Pagkakaroon ng ahensya/organisasyong agarang mahihingian ng tulong. Pakisulat ang pangalan, address at telepono ng organisasyon.)
Name of organization (Pangalan ng Organisasyon) :
Address:
Zip Code:

[

Tel. no.:

] Others. Please specify.

Explain the problems / difficulty you have identified. Use separate sheet if necessary.

Pls. provide your comments and suggestions on CFO services / projects for Filipino immigrants. Use separate sheet if necessary.

PLEASE NOTIFY CFO IN CASE OF CHANGE OF ADDRESS
Citigold Center, 1345 Quirino Avenue, corner South Superhighway, Manila 1007 Philippines
Telephone no. (632) 561-8321 Fax no. (632) 561-8332
E-mail: info@cfo.gov.ph Website: www.cfo.gov.ph

CFO Emigrant No. ________________
CFO Registration Date______________
__________________________________
Signature

COMMISSION ON FILIPINOS OVERSEAS
Citigold Center, 1345 President Quirino Avenue
corner South Superhighway, Manila 1007 Philippines