Application for Non-immigrant Visa
非移民签证申请
表
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Embassy of the Philippines
Beijing, China
菲律宾驻华大使馆
Surname/姓 Given Name/名 Middle Name Citizenship/国籍
Occupation/职业 Since/自 Place of Birth/出生地点 Date of Birth/出生日期 Sex/性别 Male/男 Female/女
Applicant`s Address/申请人住址 Since/自 Telephone/电话
Civil Status
婚姻状况 Single/未婚 Married/已婚 Widowed/寡鳏 Separated/分居 Divorced/离婚
If married, state name and address of the spouse/如已婚 写出配偶姓名及地址
Description of Passport or Travel Document/护照或旅行证件说明 Name and Ages of Children, if any/如果有子女 填写其姓名及年龄
Type/证件种类 Passport Number/证件号码 Valid until/有效期至
Issued by/签发地 Date of Issue/签发日期 Father`s Name/父亲姓名
Port of Entry/入境口岸 Purpose of Entry/入境目的 Length of Stay/逗留时间
days/天
Mother`s Name/母亲姓名
Other person travelling with the Applicant under the same Passport or Travel Document/ 随行人员与申请人使用同一本护照或旅行证件
Address in the Philippines/在菲律宾的地址 Destination after the Philippines/离开菲律宾后的目的地
References in the Philippines/在菲律宾的联系人
1.
2.
Name/联系人姓名 Address/联系人地址
Supporting documents submitted and offered for inspection of visa application/ 所提交附加文件
1. 2.
3. 4.
5. 6.
Were you ever refused any kind of Philippine visa before and denied admission into or deported from the Philippine? If yes, state circumstances/
你以前曾有任何一种菲律宾签证被拒签和被禁止入境或被驱逐出境吗 如有 说明情况
I understand that I may only onter the Philippines at the Port of Entry designated by the Philippine immigration Authorities and under the condition imposed by those
authorities./ 我明白我只能在菲律宾移民当局指定的入境口岸及规定的入境条件入境
I solemnly swear that the foregoing statement are true to the best of my knowledge./ 我在此严正声明上述填写内容属实
Date/日期 Signature of Applicant/申请人签名
TO BE ACCOMPLISHED IN ENGLISH/请 用 英 文 正 揩 填 写 REVISED 1 FEBRUARY 2002
PHOTO
照 片
For Official use only/ 以下由领事官员填写
Non-Immigrant Visa No. _____________________________ under Section __________________________________ of the Philippine Immigration Act of 1940, as amended issued
to ___________________________________________________. A _______________________________________________ and valid until ___________________________.
WARNING: Under Philippine laws 1) Drug trafficking is punishable by death; 2) foreign visitors engaging in retail trade shall be penalized by the Bureau of Immigration with PHP 51,000.00
fine and deportation./ 警 告 根据菲律宾法律 1 毒品走私将被判死刑 2 外国来访者从事零售买卖 菲律宾移民当局将罚款51000.00 比索并将其驱逐出境
RemarksFee Paid
O.R. No.
Service No.
Consul of the Republic of the Philippines
1.
2.