EMBASSY OF THE PHILIPPINES APPLICATION FOR

FA Form No. 2-A
Foreign Service of the Republic of the Philippines
EMBASSY OF THE PHILIPPINES
Berlin, Federal Republic of Germany
3 mos. single
6 mos. multiple
1 yr. multiple
NAME
Picture
(Bild)
APPLICATION FOR TEMPORARY VISITOR´S
VISA FOR THE PHILIPPINES
_____________________ 2 ______
Visa No. BNX - _________
FAMILIENNAME Family Name VORNAME(N) First Name(s) Staatsangehörigkeit Citizenship
(Blockschrift)
(In block letters)
Familienstand Civil Status
Ledig Single
Verheiratet Married
Getrennt Separated
Verwitwet Widow
Geschieden Divorced
Geburtsdatum
Alter
Geburtsort
Beruf Occupation
Geschlecht
männlich
weiblich
Place of Birth
Sex
Male
Female
Derzeitige Adresse
Zweck der Einreise
beabsichtigte Dauer des Aufenthaltes
Present Address
Purpose of Entry
Length of Intended Stay
Reisesumme in bar/Schecks
Nächstes Bestimmungsland
Financial Means of Support of Applicant
Next Port of Destination
Date of Birth
Age
Tel. No.
Name und Adresse des/der Gatten/Gattin
Referenz auf den Philippinen mit Adressen, wenn vorhanden
Name and Address of Spouse
Refence in the Philippines, if any. and address
ANKUNFTSTAG AUF DEN PHILIPPINEN:
Date of Arrival in the Philippines
Paß/Reise Dokument Nummer
Austellende Behörde
Passport/Travel Document Number
Issued by
Ausstellungsdatum
Paß des Antragstellers gültig bis (Datum angeben)
Date of Issue
Passport of Applicant Valid Until (Give date)
Die nachstenhend in meinen Reisepaß eingetragenen
Personen werden mich auf den Philippinen begleitan:
Name(n) und Adresse(n) der nächsten Verwandten auf den
Philippinen:
The following persons, who are included in my travel document are
accompanying me to the Philippines:
Name(s) and address(es) of nearest relative(s) in the Philippines:
1._________________________________________________ 1.________________________________________________
2._________________________________________________ 2.________________________________________________
3._________________________________________________ 3.________________________________________________
Unterschrift des Antragstellers:
Signature of Applicant
_________________________________________________
TO BE FILLED OUT BY THE CONSULAR SECTION OF THE PHILIPPINE EMBASSY
Passport visa No._______________granted______________, as Temporary Visitor for Business
Pleasure
under Section 9(a) of the Philippine Immigration Act of 1940, as amended, valid until __________________.
Visa includes:__________________________________________ None
Consular Notations: Single-Entry
Six (6) Months Multiple-Entry
One (1) Year Multiple-Entry
O.R. No. : ________________ Service No. _________________
Fee Paid :
EURO 39.00
EURO 78.00
EURO 117.00
Date Paid : ________________
L O L : ___________________________
_____________________________________
Consul of the Republic of the Philippines
Revised May 2002