Tourist Visa Extension Form 2014
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2BI FORM 2014-00-004 Rev 0
This document may be reproduced and is NOT FOR SALE
CONSOLIDATED GENERAL APPLICATION FORM
TOURIST VISA EXTENSION
FOR
I. APPLICATION INFORMATION
Number of Months Requested
Number of Months Stayed in the Philippines
Attach your 2x2 colored photograph
with white background using
permanent glue in the
Reason
photograph box.
Pleasure
With Valid Special Study Permit
The photograph must be taken
within the last three (3) months
Health
With Valid Provisional Work Permit
from the date of application.
Business
With Other Pending Visa Application
A scanned photograph is not
allowed. A photograph of the
Others, please specify _____________________________________________________
applicant wearing eyewear (i.e.
sunglasses, colored contact lenses,
Method of Application
etc.) or headwear is not acceptable.
Personal
Authorized Representative
Name of Authorized Representative [Last Name, First/Given Name, Middle Name]
BI Accreditation Number
II. PERSONAL INFORMATION
Last Name
First/Given Name
Middle Name
Other Name(s)/Alias(es)
1
2
Date of Birth
Gender
Country of Birth
[DD-MMM-YYYY e.g. 01 JAN 1990]
M
F
Citizenship/Nationality
Civil Status
Single
Married
Annulled
Height [cm]
Weight [kg]
Separated
Widowed
Divorced
Registered Address in the Philippines
House/Unit No., Street, Subdivision/Village
Barangay, Municipality/City
Province, Zip Code
Residential Address Abroad
House/Unit No., Street, Subdivision/Village
City, State
Country, Zip Code
III. Travel Information
Passport Number
Expiry Date/Valid Until
[DD-MMM-YYYY e.g. 01 JAN 1990]
Place of Issuance
Date of Latest Arrival
Flight Number
[DD-MMM-YYYY e.g. 01 JAN 1990]
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