IMPORTANT INFORMATION (Please Fill out all in yellow)
Monthly Income in Philippine Pesos
No. of Years working overseas
APPLICANT
SPOUSE
No. of KIDS
under 17 yr old
Number of Student or Worker/Spouse
Income in Canada (Canadian Dollar)
Province
Salary per Hour
No. of Hours per month
INCOME in Philippine Peso
Applicant
SPOUSE
YEAR
MONTHLY income in Philippine Peso
ANNUAL income in Philippine Peso
MONTHLY income in Philippine Peso
ANNUAL income in Philippine Peso
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Php
Php
Figure in US Dollar $
$
INCOME in CANADIAN DOLLAR
Applicant
SPOUSE in Canada
CHILDREN in Canada
YEAR
MONTHLY income in Canadian Dollar
ANNUAL income in Canadian Dollar
MONTHLY income in Canadian Dollar
ANNUAL income in Canadian Dollar
MONTHLY income in Canadian Dollar
ANNUAL income in Canadian Dollar
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Figure in US Dollar $
$
$
TOTAL INCOME in Dollar
Present Income
Income in Canada
Applicant
Spouse
Children
Total Income
Total Income Lost working overseas in US Dollar
EXCHANGE RATE
Total Income Lost working overseas in Philippine PESO
LOST INCOME CALCULATOR
LOST BENEFITS CALCULATOR
LOST LIFE CALCULATOR
✓ Illustration below shows that you have worked overseas or in the Philippines for a period of
✓ Illustration below shows that you have earned while working overseas or in the Philippines with Monthly Income
Monthly income in Peso
Principal Applicant
Spouse
✓ Illustration below shows how much you can earn if you go to Canada,
Income in Canada
(Canadian Dollar)
Province
Salary per Hour
No. of Hours per month
✓ Illustration below shows that you have kids under 17 years old
No. of KIDS
under 17 yr old
TOTAL INCOME in Dollar
Income as an OFW or Worker in the Philippines
Income in Canada
Applicant
Spouse
Children
Total Income
Total Income Lost working overseas in US Dollar
EXCHANGE RATE
Total Income Lost working overseas in PESO
✓ Illustration in Schedule shows that you have lost a total amount of
✓ While working abroad, Are you with your Family?
✓ How many times you celebrate special occasions with your Family?
✓ Where you able to see your Kids Grow? Be with them on every first of their Life?
✓ What kind of benefits you get for you and your Family?
✓ Is that a quality of Life?
✓ When you RETIRE or go back to the Philippines after your contract expires, How or Who will replace your current income?
✓ Would you like to lost this amount in the next years to come?
✓ Would you like to lost your Life?
✓ What are you waiting for? ACT NOW!