FILL-IN BLANKS (TO BE ACCOMPLISHED IN ENGLISH) TYPE WRITTEN IN BLOCK LETTERS

Surname:

First Name:

Place of Birth: (City / Country)

Date of Birth: (Month/Date/Year)

Age:

Citizenship:

Sex: Male Female

Applicant’s Address: (Flat no. / Villa no.: Building Name/No.: Street: District/Area: Emirates)

Contact No.: (Mobile No/ Telephone no.)

Occupation:

Office of Employment and Address:

Contact No.: (Mobile No/ Telephone no.)

Father’s Name:

Mother’s Name:

Civil Status: Single Married Widowed Separated Divorced/Annulled:

If married, name of spouse:

Citizenship:

Name and ages of Children, if any:

Name and address of sponsor/reference in the Philippines:

Contact No.: (Mobile No/ Telephone no.)

Passport/Travel Document no:

Date of Issue:

Valid until: Issued by:

Flight Details: (Exit) Date :___________

Flight No. :___________ Port of Exit :___________

Length of stay:

Purpose of Entry: Tourism Business

Others, Pls. Specify ________ _________________________

Name of travelling companion (for minor applicant):

Destination after the Philippines:

OR No. Service No. Fee.

Attached recent

Passport-size color photo

here

(taken within the last 6

months)

Embassy of the Philippines

Abu Dhabi, United Arab Emirates

REPUBLIC OF THE PHILIPPINES

FOREIGN SERVICE OF THE PHILIPPINES

APPLICATION FOR NON-IMMIGRANT VISA (9-A)

Flight Details: (Entry) Date :___________ Flight No. :___________ Port of Entry :___________

Remarks if any: ______________________________________________________________________________________________ ______________________________________________________________________________________________

Have you ever been issued a Philippine visa? Yes No , If yes, please attach copy of latest visa. Latest visa no. ____________________ Type of Visa: __________________ Issued on: ________________ Issued by: ________________ Documents submitted in support of application: Valid passport/travel document Letter of Guarantee/No Objection from employer Photocopy of UAE residence visa Trade License / Commercial License (English Translation) Note: Must be valid beyond the date of departure from the Philippines Note: For Business proprietor or partner Invitation letter from Philippine sponsor/contact person or company Proof of Financial Capacity for International Travel with a copy of the sponsor’s passport or any identification card. Note: Bank Statement or Salary Certificate from the company Hotel Reservation Booking Flight Ticket/Itinerary booking. *Additional requirements may be required upon processing of visa application. 1. Were you ever refused any kind of Philippine visa before and denied admission into or deported from the Philippines? Yes No If yes, state circumstances ___________________________________________________________________________ 2. Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty, or other legal action? Yes No If yes, state circumstances ___________________________________________________________________________ 3. Have you ever been afflicted with a communicable disease of public health significance, dangerous physical or mental disorder, or been a drug abuser or addict? Yes No I understand that I may only enter the Philippines at the Port of Entry designated by the Philippine Immigration Authorities and under the condition imposed by those of authorities. I solemnly swear that the foregoing statements are true to the best of my knowledge. Warning: (1) Drug trafficking is punishable under Philippine law. (2) Tourists are not allowed to engage in any peddling activity. _________________________________________ Violators will be subject for deportation Applicant’s Printed Name & Signature

Non-immigrant visa no. ______________________________ under section _________________________________ of the Philippine Immigration Act of 1940, as amended, issued on ________________________________ and valid until _________________________________. SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF _________________________. __________________________________________ Consul of the Republic of the Philippines

Philippine Consulate General

Dubai, United Arab Emirates

THIS PORTION IS FOR USE OF PHILIPPINE GOVERNMENT OFFICIALS ONLY