APPLICATION FOR NON-IMMIGRANT VISA (9-A)

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