Application For Non-Immigrant Visa
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1
2FA Form No. 2 (Revised 2000)
Applicant's Photograph
( 50 mm x 40 mm )
Foreign Service of the Philippines
1. Picture taken within the
Philippine Consulate General
the past 6 months
Toronto, Ontario, Canada
2. Front View (Full Face)
3. Without eyeglasses
APPLICATION FOR NON-IMMIGRANT VISA
SURNAME
NAME
MIDDLE NAME
SEX
( ) Male
( ) Female
DATE OF BIRTH :
PLACE OF BIRTH: ( City/Province/Country)
CITIZENSHIP :
DAY
MONTH
YEAR
CITY
PROVINCE
COUNTRY
PRESENT ADDRESS :
TELEPHONE NO. :
(house no., street, town or city, province, country, postal code)
CIVIL STATUS :
( ) Married
( ) Divorced
( ) Separated
( ) Single
( ) Widowed
If married, state name and address of spouse :
OCCUPATION :
FINANCIAL MEANS OF SUPPORT WHILE IN THE PHIL.
Company / School Name
Address
Telephone No.
PASSPORT NO. :
DATE OF ISSUE : (dd/mm/yyyy)
ISSUED IN :
VALID UNTIL : (dd/mm/yyyy)
PURPOSE OF ENTRY :
LENGTH OF STAY:
PORT OF ENTRY IN THE PHILIPPINES :
DESTINATION/S IN THE PHILIPPINES :
ADDRESS IN THE PHILIPPINES :
REFERENCE / CONTACT PERSON IN THE PHILIPPINES :
Name
Address
Telephone No.
Supporting Documents submitted and offered for inspection in support of visa application :
Have you been convicted of any crime ?
(
) Yes
(
) No
If Yes, provide details :
Do you have any communicable disease ?
(
) Yes
(
) No
If Yes, provide details
Do you have a history of mental illness :
(
) Yes
(
) No
If Yes, provide details :
Were you ever refused of any kind of Philippine visa, denied admission into or
deported from the Philippines and removed at government expense from the
(
) Yes
(
) No
Philippines and other countries?
If Yes, provide details :
I understand that I may enter the Philippine at the Port of Entry designated by the Philippine Immigration Authorities and under the conditions
imposed by those authorities.
I solemnly swear that the foregoing statements are true to the best of my knowledge:
Date
Signature of Applicant
SUBSCRIBED AND SWORN to before me this __________________day of __________________________________.
Consul of the Republic of the Philippines
IMPORTANT : IF APPLICANT IS UNABLE TO APPLY IN PERSON, THIS FORM MUST BE NOTARIZED.
SUBSCRIBE AND SWORN to before me this ____________ day of ____________________ at _________________________________________
the affiant exhibiting the following identification (type) _________________________________ number ______________________________________
issued at ____________________________________________________________________ on _________________________________________.
Notary Public
( For Official Use Only )
Non -immigrant Visa No.
under Section
of the Philippine
Immigration Act of 1940, as amended issued to
on
and valid until
Consular Notation :
Visa Sheet No.
Purpose :
Number of entries :
Service NO.
O.R. No.
Processing Officer
Consul of the Republic of the Philippines
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