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REPUBLIC OF THE PHILIPPINES FOREIGN SERVICE OF THE PHILIPPINES Embassy of the Philippines Abu Dhabi, United Arab Emirates Attached recent Passport-size color photo here (taken within the last 6 months) Philippine Consulate General Dubai, United Arab Emirates APPLICATION FOR NON-IMMIGRANT VISA (9-A) FILL-IN BLANKS (TO BE ACCOMPLISHED IN ENGLISH) TYPE WRITTEN IN BLOCK LETTERS Surname: Place of Birth: (City / Country) Applicant’s Address: (Flat no. / Villa no.: Occupation: First Name: Age: Date of Birth: (Month/Date/Year) Building Name/No.: Street: Citizenship: District/Area: Emirates) Office of Employment and Address: Father’s Name: Sex: Male Female Contact No.: (Mobile No/ Telephone no.) Contact No.: (Mobile No/ Telephone no.) Mother’s Name: Civil Status: Single Married Widowed Separated Divorced/Annulled: If married, name of spouse: Citizenship: 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: (Entry) Flight Details: (Exit) Length of stay: Date Flight No. Port of Entry Date Flight No. Port of Exit Purpose of Entry: Tourism Business Others, Pls. Specify ________ _________________________ Name and ages of Children, if any: :___________ :___________ :___________ Name of travelling companion (for minor applicant): :___________ :___________ :___________ Destination after the Philippines: 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 OR No. Service No. Fee. Remarks if any: ______________________________________________________________________________________________ ______________________________________________________________________________________________ THIS PORTION IS FOR USE OF PHILIPPINE GOVERNMENT OFFICIALS ONLY