Philippines - Visa Application

F.A. Form No. 2-A (Revised 1981)

Foreign Service of the Philippines PHILIPPINE CONSULATE GENERAL Geneva, Switzerland

APPLICATION FOR NON-IMMIGRANT VISA ____________________________, 20___ Classification _______________________ No._________

Surname/Nom

Name/Prenom

Date of Birth

Place of Birth

Sex Male

Female

Civil Status

Middle Name (Photograph)

Single Married

Citizenship

Widowed/wer Divorced

Separated Note: Attach photo (or photos if other persons are travelling on same visa/passport).

Occupation

Present Address

Telephone Number

Purpose of Entry

Date of Entry in the Philippines

Next Port of Destination Length of Intended Stay

Reference in the Philippines, If Any, and Address

Type of Travel Document

Number

Date of Issue

Valid Until

The following persons, who are included in my travel document, are accompanying me to the Philippines:

1. 2. 3. 4.

_____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________

Signature: ______________________________________ Date: ___________________________

PLEASE DO NOT FILL OUT BELOW THIS LINE (For Official Use Only) Visa No. __________granted on _________________________20___ as non-immigrant under Section 9(

) of the Philippine Immigration Act of 1940, valid until ______________________, 20____.

Visa includes: _______________________________________________________________________ Consular Notations: __________________________________________________________________

____________________________________ Consul of the Republic of the Philippines Fee

: ____________

O.R. No

: ____________

Service No.: ____________ Date

: ____________