Philippines Visa Application Form
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1
2Applicant’s
FA Form No. 2 / Revised
recent
photograph
EMBASSY OF THE PHILIPPINES CANBERRA
(passport size)
PHILIPPINE CONSULATE GENERAL SYDNEY
Do not attach
APPLICATION FOR NON-IMMIGRANT VISA
scanned pictures.
Please TYPE or PRINT.
Surname:
_____________________________
Citizenship: ____________________
Sex: [
] Male
[
] Female
Given Name: ____________________________
Date of Birth: _____________
Middle Name: ____________________________
Place of Birth: _____________
Have you used any name other than the above? [
] Yes [
] No
If yes, please indicate: _________________________
Civil Status [ ] Single [ ] Married
[ ] Widowed [ ] Divorced Others, specify ______________
If married, state name and address of spouse:
Names and Ages of Children:
1.
2.
3.
Present Address:
Contact Details: Tel:
Mobile:
Email:
Father’s Name:
Mother’s Name:
Occupation:
Financial means to support while in the Philippines:
[ ] Cash [ ] Traveller’s Checks [ ] Credit Card [ ] Fund Transfers
Description of Travel Document:
Type: [ ] Diplomatic [ ] Official [
] Ordinary/Regular
Passport No:
Date of Issue:
Valid Until :
Issued By:
Other persons traveling to the Philippines under the same travel document or under separate travel
documents:
Date of Arrival:
Port of Entry:
Purpose of Stay:
Length of Stay
Destination after the Philippines:
Number of entries applies for: [ ] Single Entry [
] 6 Months Multiple Entry [
] 1 Year Multiple Entry
Have you ever been convicted of any crime? [ ] Yes [ ] No
If yes, please give details:__________________________________________________________
Are you afflicted with any contagious disease? [ ] Yes [ ] No.
If yes please give details:___________________________________________________________
Have you ever been institutionalized for any mental disorder? [ ] Yes [ ] No
If yes, please give details: __________________________________________________________
Have you ever been refused a Philippine visa of any kind at a Philippine diplomatic or Consular Office or
been denied admission into the Philippines or been deported or removed at government expense from
the Philippines? [ ] Yes
[ ] No
If yes, please give circumstances.
___________________________________________________
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