EMBASSY OF THE PHILIPPINES │ SINGAPORE

Paste colored photo here.

APPLICATION FOR TOURISM OR BUSINESS VISA Subject must be against a
TRAVEL HISTORY white background.
Have you traveled to Hubei, China within the last four (4) Weeks? YES NO Photo must be taken
Are you planning to travel to/transit via China before your travel to the Philippines? YES NO
within the last 3 months.
Do not wear eyewear or
PERSONAL INFORMATION headwear.
Last Name

First Name Middle Name

Citizenship Date of Birth Place of Birth

Civil Status Gender Citizenship

 Single  Married
 Widowed  Separated  Divorced
Passport Number Passport Date of Issue Passport Place of Issue Passport Date of Expiry

Address of residence Phone number

Occupation Company (if applicant is student, School) Phone number of Company

If married, name of spouse Citizenship of Spouse

Name of Father Citizenship of Father

Name of Mother Citizenship of Mother

DETAILS OF THIS TRAVEL TO THE PHILIPPINES

Purpose of Travel Length of Stay Planned Date of Arrival in the Philippines

Port of Entry Destination after the Philippines

Address while in the Philippines

Name of Reference in the Philippines Company

Any children included in Applicant’s Passport who are in this travel to the Philippines

Have you applied for a Philippine visa?  No  Yes Have you been denied entry into the Philippines?  No  Yes
Have you been denied a Philippine visa?  No  Yes Have you been deported from the Philippines?  No  Yes

SUBSCRIBED AND SWORN to before VISA TYPE

I certify under oath that all of the above information
me this day of VISA NO.
and statements are true and correct to my own
personal knowledge. VALIDITY
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to
Applicant’s Signature over Printed Name Service No.:
O.R. No.: Processor initials:
PASSPORT & VISA RECEIVED : Fee Paid: O.R. No.:
Date : Fee Paid: