Form Tvs-Cgaf-Ve - Consolidated General Application Form For Tourist Visa Extension - 2016
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1BI FORM NO. TVS-CGAF-VE-2016
This document may be reproduced and is NOT FOR SALE
CONSOLIDATED GENERAL APPLICATION FORM
TOURIST VISA EXTENSION
FOR
Method of Application
Personal
Authorized Representative
I. APPLICATION INFORMATION
Number of Months Requested
Accreditation Number
Reason
Name of Authorized Representative
(Last Name, Given Name, Middle Name)
Pleasure
With Valid Special Study Permit
Health
With Valid Special Study Permit
Business
With Valid Provisional Work Permit
Others, please specify: _______
With Valid Limited Work Permit
II. PERSONAL INFORMATION
Last Name, Given Name, Middle Name, Other name/ ALIAS
Residential Address in the Philippines
Citizenship / Nationality
Number & Street
Subdivision / Village
Country of Birth
Barangay, Municipality, City
Date of Birth
Gender
Province, Zip Code
(DD-MMM-YYYY e.g. 01-JAN-1990)
Male
Female
Civil Status
Mobile Number
Single
Separated
Annuled
Height
cm
kg
C E R T I F I C A T I O N
Married
Widowed
Divorced
Weight
I/We certify that: (1) All the information in the application is truthful,
complete and correct; (2) All documents are authentic and were legally
obtained from the corresponding government agencies or private entities; (3)
I/We understand that my/our application may be summarily denied if: (a)
Any statement is false; (b) Any document submitted is falsified; or (c) I/We
fail to comply with all the BI requirements without prejudice to whatever
action the BI may take; and (4) I/We have not filed this or any similar
_________________________
_____________
application before any office of the Bureau.
Applicant’s Signature over Printed Name
Date
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