Fa Form 2-A - Non-Immigrant Application For Visa For The Philippines
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2FA Form 2-A______________
Note: Please see for requirements
FOREIGN SERVICE OF THE PHILIPPINES
Photo 2" x 2"
(Field for Embassy/Consulate General Address and contact nos.)
NON-IMMIGRANT APPLICATION FOR VISA FOR THE PHILIPPINES
________________________________________________20___
CLASSIFICATION______________________No._______________
Surname / Family Name / Last Name
Citizenship
Middle Name (mother's maiden surname / if married,
First Name / Given Name
maiden surname)
Civil Status
Single
Married
Occupation
Employer
Widowed
Divorced
Address of Employer
Separated
Sex
Male
Female
Date of Birth(m/d/y)
Place of Birth
Current Address
State
Phone Number
in the US
(Apartment No.,
Zip Code
Street,City)
Reference in the
Name of Spouse
Address of Spouse
Philippines, if any.
Purpose of Visit
Business
Pleasure
Next Port of Destination
Name, Address
Financial means of support and proof
Length and Dates of intended stay
Passport Country
Issued By
Expiry Date (m/d/y)
Passport Number
Issued on (m/d/y)
Have you ever been
The following people are
convicted of a crime?
accompanying me to the
If yes please provide
Philippines
details
SUBSCRIBED AND SWORN to before me this _____ day of _______
OFFICER AUTHORIZED TO ADMINISTER OATH
SIGNATURE OF APPLICANT
FOR OFFICIAL USE ONLY
Passport Visa No. ______________________ Granted___________________________ as non-immigrant under section
9( )_____________________________________. of the Philippine Immigration Act of 1940, as amended,
Multiple entry until________________________
Visa Includes:
CONSUL OF THE REPUBLIC OF THE PHILIPPINES
PRINT NAME AND SIGNATURE
DATE RELEASED:
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