VISA APPLICATION FORM PHILIPPINES

-

A Form No. 2 (Revised 1981)
FOREIGN SERVICE OF THE PHILIPPINES
EMBASSY OF THE PHILIPPINES
JAKARTA, INDONESIA

Applicant’s
Photo

APPLICATION FOR NON-IMMIGRANTS
___________________________________________________________________________________________________________

Surname
First Name
Middle Name
____________________________________________________________________________________________________________________
Date of Birth
Age:
Sex:
( ) Male

( ) Female
___________________________________________________________________________________________________________________
Place of Birth
Citizenship
____________________________________________________________________________________________________________________
Civil Status: ( ) Single ( ) Separated ( ) Married ( ) Divorced ( ) Widowed

Name of Spouse: _______________________________

Applicant’s Address

Contact Number & E-Mail Address:

___________________________________________________________________________________________________________________________________

Occupation

Name of Company:

Telephone No.:


___________________________________________________________________________________________________________________________________

Names and Ages of Children
___________________________________________________________________________________________________________________________________

Father’s Name
Mother’s Name
________________________________________________________________________________________________________________________________
Description of Travel Document
Type
No.
Date Issued
Issued By
Valid Until
____________________________________________________________________________________________________________________
Other persons traveling to the Philippines with applicant under the same or separate travel documents
__________________________________________________________________________________________________________________________________

Port of Entry


Purpose of Entry

Length of Stay

___________________________________________________________________________________________________________________________________

Address in the Philippines
___________________________________________________________________________________________________________________________________

Reference/s in the Philippines
Name

Address

Contact Number

___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________


Destination after the Philippines ________________________________________________________________________________________
Supporting documents offered for inspection
___________________________________________________________________________________________________________________________________

Were you ever refused any kind of visa for, denied admission into or deported/removed at government expense from the Philippines?
( ) No
( ) Yes (State
circumstances)________________________________________________________________________________________________________
I understand that I may enter the Philippines at a Port of Entry designated by the Philippine Immigration Authorities and with the
permission of and under the conditions, including the giving of bond, imposed by those authorities.
I solemnly swear that the foregoing are true to the best of my knowledge and belief.

_____________________________________________

Signature of Applicant
Date:
Subscribed and sworn to before me this _________ day of _________________, _________.
_________________________________________


Notary Public/Commissioner of Oaths
___________________________________________________________________________________________________________________________________

(For Official Use Only)
Visa No. _______________ granted on ______________________________________as non-immigrant under Section
________________of the Philippine Immigration Act of 1940, as amended.
Valid until __________________________________.
___________________________________
Consul of the Republic of the Philippines
Fee Paid
: Rp _______________
O.R. No.
:
_______________
Service No. :
_______________

AMOUNT RECEIVED: Rp ___________________________ >VISA _____
> OT _____


CHANGE: Rp _________________

NOTICE FOR VISA APPLICANTS
ALL VISA APPLICANTS ARE REQUESTED TO ACCOMPLISH THE FOLLOWING:
FOR TOURIST PURPOSE:
1. PERSONAL APPEARANCE
2. FILL OUT COMPLETELY THE VISA APPLICATION FORM
3. ATTACH 1 RECENT (NEWLY TAKEN) PASSPORT SIZE (3 cm X 4 cm) COLORED PHOTO WHITE BACKGROUND.
4. SUBMIT ORIGINAL AND PHOTOCOPY OF PASSPORTS. PASSPORTS MUST BE VALID AT LEAST SIX
(6) MONTHS VALID AFTER DEPARTURE FROM THE PHILIPPINES.
5. PREVIOUS PHILIPPINE VISAS ISSUED, IF ANY, FOR REFERENCE.
6. ORIGINAL AND PHOTOCOPY OF KITAS (STAY PERMIT CARD)
7. INVITATION LETTER FROM THE PHILIPPINES, IF ANY
8. HOTEL BOOKING
9. SUBMIT ORIGINAL AND COPIES OF 2 WAY CONFIRMED FLIGHT TICKETS (INBOUND AND OUTBOUND).
10. REFERENCE LETTER FROM PRESENT COMPANY.
11. BANK STATEMENT OR CREDIT CARD STATEMENT
12. TWO (2) WORKING DAYS PROCESSING. EX.: APPLICATION – MONDAY, RELEASE - WEDNESDAY

FOR BUSINESS PURPOSE:


1. PERSONAL APPEARANCE
2. FILL OUT COMPLETELY THE VISA APPLICATION FORM
3. ATTACH 1 RECENT (NEWLY TAKEN) PASSPORT SIZE (3 cm X 4 cm) COLORED PHOTO WHITE BACKGROUND
4. SUBMIT ORIGINAL AND PHOTOCOPY OF PASSPORTS. PASSPORTS MUST BE VALID AT LEAST SIX
(6) MONTHS VALID AFTER DEPARTURE FROM THE PHILIPPINES.
5.

PREVIOUS PHILIPPINE VISAS ISSUED, IF ANY, FOR REFERENCE.

6. ORIGINAL AND PHOTOCOPY OF KITAS (STAY PERMIT CARD)
7.

INVITATION LETTER FROM THE COMPANY IN THE PHILIPPINES, IF ANY

8.

HOTEL BOOKING

9.


SUBMIT ORIGINAL AND COPIES OF 2 WAY CONFIRMED FLIGHT TICKETS (INBOUND AND OUTBOUND).

10. REFERENCE LETTER FROM PRESENT COMPANY.
11. FOR SEAMAN: SUBMIT ORIGINAL AND PHOTOCOPY OF SEAMAN’S BOOK. SEAMAN’S BOOK MUST BE
VALID AT LEAST SIX (6) MONTHS AFTER DEPARTURE FROM THE PHILIPPINES.
12. TWO (2) WORKING DAYS PROCESSING. EX.: APPLICATION – MONDAY

RELEASE - WEDNESDAY