Fa Form 2 - Application For Non-Immigrant Visa Form

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Applicant’s Signed
Photograph (passport
size) taken within the
last 6 months.
APPLICATION FOR NON-IMMIGRANT VISA
FA Form No. 2 (revised 2000) Embassy of the Philippines, New Delhi
Please affix signature
on the front side of
For official use only:
picture.
Visa No. ___________
Sticker No______________
Do not attach
Service No. _________ OR # ______________ Amount Paid______________
scanned pictures.
Surname
[
] Male
Date of Birth
Given Name
[
]Female
_____/_______/______
Date
/ Month/
Year
Nationality
Middle Name
Age: ______
Civil Status: [
] Single [
] Married
[
] Widowed [
] Separated
[
] Divorced
Name of Spouse
Names of Children
Name of Father
Name of Mother
If less than 15 years old, name and
relationship of traveling companion:
Home Address of Applicant
Since
Telephone No:
Mobile No:
Name of Company and Company Address of Applicant
Since
Telephone No:
Designation of Applicant
Passport Number
Date of Issue (day, month, year)
Valid until
Place of Issue
Purpose of Visit to the Philippines
Duration of Stay
Number of Entries Applied for
Single entry[
]
6 months Multiple entry [
]
1 yr Multiple entry* [
]
*for business visa only
Date of Arrival in the Philippines
Flight Number (arrival in Philippines)
Philippine Port of Entry
(day, month, year)
For temporary visitor’s visa and transit visa holders: Please present to the Philippine immigration officer your return or onward journey plane ticket.
Name of Reference in Philippines
Address in Philippines
Telephone Number
For more information on Philippine visa matters, please visit
.
June 28, 2013

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