FA Form 2-A "Philippine Non-immigrant Visitor Visa Application Form - Philippine Embassy" - Berlin, Germany (English/German)

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FA Form No. 2-a
. I
P L E A S E F I L L I N A L L B L A N K S
N C O M P L E T E F O R M S W I L L N O T B E P R O C E S S E D
IMPORTANT: THERE IS A NO-REFUND POLICY WHEN IT COMES TO PAYMENT FOR SERVICES
DONE BY THE CONSULAR SECTION. BY FILLING THIS FORM YOU AGREE TO THE CONDITIONS
FOR APPLYING FOR A VISA AND YOU ARE AWARE OF THE PROPER FEES TO BE PAID.
Foreign Service of the Philippines
Philippine Embassy, Berlin
APPLICATION FOR NON-IMMIGRANT VISITOR VISA / ANTRAG FÜR BESUCHERVISUM
4.5 cm x 3.5 cm
Photo of
Family Name
First Name
Middle Name
Applicant
Familienname
Vorname(n)
Mittelname
Bild des/der
Antragstellers/in
hier kleben
Citizenship
Occupation
Staatsangehörigkeit
Beruf
Date of Birth
Place of Birth
Sex
Male
Female
Geschlecht männlich
weiblich
Geburtsdatum
Geburtsort
Financial Means of Support
Civil Status
Single (ledig)
Separated (getrennt)
Divorced (geschieden)
Reisefinanzierungsmittel
Familienstand
Married (verheiratet)
Widow/Widower (verwitwet)
Present Address
If Married, state name & address of Spouse
Proposed Address in the Philippines
Wenn verheiratet, Name u. Adresse des Ehepartners
Derzeitige Adresse
Bezugsadresse auf den Philippinen
Telephone Nos.
Purpose of Entry
Date of last visit to the Philippines
Telefonnr.
Zweck der Einreise
Datum der letzten Einreise in die
Philippinen
(Festnetz u. Handy)
E-mail Address:
Date of scheduled arrival in the Philippines
Length of Intended Stay/ Number of Days
Next Port / Country of Destination
Ankunftstag auf den Philippinen beim bevorstehenden
Dauer des vorgesehenen Aufenthaltes
Ausreise von den Philippinen nach
Besuch
Passport / Travel Document No.
Date of Issue
Issuing Authority
Valid Until (Please give date)
Reisepass / Reisedokument Nr.
Ausstellungsdatum
Ausstellende Behörde
Gültig bis (Datum angeben)
Reference and/or Immediate relatives in the Philippines
The following person/s who are included in my
Referenz und / oder nächste Verwandte auf den Philippinen
passport/ travel document is/are accompanying me to
Name
the Philippines.
_______________________________________________________________
Address and Telephone No.
_______________________________________________________________
_______________________________________________________________
I have read and understood all the information stated above.
Signature of Applicant
Date
Unterschrift des Antragstellers
Datum
X- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -X
( F o r O f f i c i a l U s e O n l y )
nur für Eintragungen der Dienststelle
Visa No.
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_ / MRRVisa Sticker No. ____________ granted on ____________________ as non-immigrant
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
under Section 9( ) of the Philippine Immigration Act of 1940 as amended, valid until __________________________ .
Visa includes ___________________________________________________________________________________.
Consular Notation:
____________________________________________________________________________
Fee:
€ 27,00 (Single Entry)
€ 54,00 (6 months Multiple Entry)
€ 81,00 (1 year Multiple Entry)
€ 36,00 (Visa-Required)
€ 18,00 (Seaman)
O.R. No.: _________________
: _________________
Service No.
Date Paid: _________________
LOL:
_____________
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
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FA Form No. 2-a
. I
P L E A S E F I L L I N A L L B L A N K S
N C O M P L E T E F O R M S W I L L N O T B E P R O C E S S E D
IMPORTANT: THERE IS A NO-REFUND POLICY WHEN IT COMES TO PAYMENT FOR SERVICES
DONE BY THE CONSULAR SECTION. BY FILLING THIS FORM YOU AGREE TO THE CONDITIONS
FOR APPLYING FOR A VISA AND YOU ARE AWARE OF THE PROPER FEES TO BE PAID.
Foreign Service of the Philippines
Philippine Embassy, Berlin
APPLICATION FOR NON-IMMIGRANT VISITOR VISA / ANTRAG FÜR BESUCHERVISUM
4.5 cm x 3.5 cm
Photo of
Family Name
First Name
Middle Name
Applicant
Familienname
Vorname(n)
Mittelname
Bild des/der
Antragstellers/in
hier kleben
Citizenship
Occupation
Staatsangehörigkeit
Beruf
Date of Birth
Place of Birth
Sex
Male
Female
Geschlecht männlich
weiblich
Geburtsdatum
Geburtsort
Financial Means of Support
Civil Status
Single (ledig)
Separated (getrennt)
Divorced (geschieden)
Reisefinanzierungsmittel
Familienstand
Married (verheiratet)
Widow/Widower (verwitwet)
Present Address
If Married, state name & address of Spouse
Proposed Address in the Philippines
Wenn verheiratet, Name u. Adresse des Ehepartners
Derzeitige Adresse
Bezugsadresse auf den Philippinen
Telephone Nos.
Purpose of Entry
Date of last visit to the Philippines
Telefonnr.
Zweck der Einreise
Datum der letzten Einreise in die
Philippinen
(Festnetz u. Handy)
E-mail Address:
Date of scheduled arrival in the Philippines
Length of Intended Stay/ Number of Days
Next Port / Country of Destination
Ankunftstag auf den Philippinen beim bevorstehenden
Dauer des vorgesehenen Aufenthaltes
Ausreise von den Philippinen nach
Besuch
Passport / Travel Document No.
Date of Issue
Issuing Authority
Valid Until (Please give date)
Reisepass / Reisedokument Nr.
Ausstellungsdatum
Ausstellende Behörde
Gültig bis (Datum angeben)
Reference and/or Immediate relatives in the Philippines
The following person/s who are included in my
Referenz und / oder nächste Verwandte auf den Philippinen
passport/ travel document is/are accompanying me to
Name
the Philippines.
_______________________________________________________________
Address and Telephone No.
_______________________________________________________________
_______________________________________________________________
I have read and understood all the information stated above.
Signature of Applicant
Date
Unterschrift des Antragstellers
Datum
X- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -X
( F o r O f f i c i a l U s e O n l y )
nur für Eintragungen der Dienststelle
Visa No.
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_ / MRRVisa Sticker No. ____________ granted on ____________________ as non-immigrant
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
under Section 9( ) of the Philippine Immigration Act of 1940 as amended, valid until __________________________ .
Visa includes ___________________________________________________________________________________.
Consular Notation:
____________________________________________________________________________
Fee:
€ 27,00 (Single Entry)
€ 54,00 (6 months Multiple Entry)
€ 81,00 (1 year Multiple Entry)
€ 36,00 (Visa-Required)
€ 18,00 (Seaman)
O.R. No.: _________________
: _________________
Service No.
Date Paid: _________________
LOL:
_____________
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
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i
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n
n
g
g
O
O
f
f
f
f
i
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c
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e
r
r
(
1
5
A
2
0
1
3
)
(
1
5
A
2
0
1
3
)
U
U
P
P
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A
A
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