FA Form No. 2-A (Revised 1981) PHILIPPINE CONSULATE GENERAL 30 N. Michigan Ave., Suite 2100 Chicago, IL 60602 Tel. Nos. (312) 332-6458 2" x 2" photograph of applicant without eyeglasses and with white plain background APPLICATION FOR NON-IMMIGRANT VISA FOR TEMPORARY STAY FOR PLEASURE AND BUSINESS (TO BE ACCOMPLISHED BY U.S. PASSPORT HOLDERS) PLEASE READ REQUIREMENTS BEFORE FILLING OUT FORM. TYPE OR PRINT IN BLUE/BLACK INK. VISA IS VALID FROM DATE OF ISSUANCE Surname Place of Birth: First Name Date of Birth: Middle Name Age: Sex: ( ) Male Citizenship: ( ) Female Civil Status: ( ) Single ( ) Widower ( ) Married ( ) Divorced ( ) Separated ( )Widow If married, state name and address of spouse: Name of Father: Name of Mother: Present Address: Telephone Nos.: Office :( ) Home :( ) Occupation: Financial means of support: Passport Number: Purpose of Entry: Date of Issue: Issued by: Date of Departure from the U.S.: Valid until: Length of Stay: Port of Entry: Port of next destination: Are you entering or leaving the Philippines on a privately owned yacht or sailboat? Persons included in your travel document and accompanying you to the Philippines. Reference(s) and/or immediate relatives in the Philippines: Name(s): Complete Address (P.O. Box unacceptable) Signature of Applicant: IF APPLICANT IS UNABLE TO APPEAR IN PERSON, FORM HAS TO BE NOTARIZED. Date of application: Received by: Date: For Official Use Only: Notary Public Visa No. granted on as non-immigrant under Section 9(a) of the Philippine Immigration Act of 1940, as amended, valid until . Visa includes: Consular Officer Fee: O.R. No. Service No. NO DEROGATORY INFORMATION AS OF THIS DATE: REMARKS: DATE: The Consulate General, Chicago covers the following states: Arkansas, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Mississippi, Missouri, North Dakota, Nebraska, South Dakota, Ohio, and Wisconsin. REQUIREMENTS FOR ISSUANCE OF TOURIST OR BUSINESS VISA FOR U.S. PASSPORT HOLDERS Foreigners may enter and visit the Philippines without securing entry visas if their intended length of stay is twenty-one (21) days or less, the nature of their trip is for tourism only, and they are holders of round-trip or onward travel airline tickets. All others are required to secure entry visas, particularly the following: (a) Applicants who are fourteen (14) years of age and below who are traveling unaccompanied by a parent or not joining a parent in the Philippines; and, (b) Applicants between the ages of fifteen (15) and seventeen (17) years old. If a visa is required, applicants are requested to submit the following documents/papers, where appropriate: 1. Original passport or travel document with a validity of not less than six (6) months beyond the last day of the intended stay in the Philippines. 2. A visa application form, duly accomplished. 3. Photocopy of round trip/onward flight plane ticket or a travel itinerary from a travel agency. 4. If a U.S. Immigrant/green card holder, a photocopy of U.S. Alien Registration Card or U.S. re-entry permit. 5. If a minor and a. To be accompanied during the trip by either parent - a duly notarized Affidavit of Consent by parent staying behind b. Below the age of 15 - secure a Waiver of Exclusion Ground (WEG) upon arrival in the Philippines. (Please see item 10 below) c. If parents are divorced or separated - proof of the holding of sole custody of said minor, e.g. divorce decree or an appropriate court order 6. Proof of financial capacity: a. If trip is for pleasure/tourism/to visit relatives - photocopy of one of the following - latest bank statement, affidavit of support executed by relatives here or in the Philippines, statement of monthly pension, recent pay stub, Employment Certificate from the employer indicating position and salary, etc. b. If trip is for business purposes - a letter from employer or sponsor indicating purpose or nature of the trip, length of intended stay (inclusive dates), company guarantee of financial obligations that may be incurred while in the Philippines. 7. NO VISA IS REQUIRED FOR FORMER FILIPINOS who are naturalized citizens of the U.S.A. and proceeding to the Philippines for tourism purposes for a stay of one (1) year or less as Balikbayans provided they show proof of being former citizens of the Philippines (e.g., old Philippine passport, birth certificate or naturalization papers) upon arrival in the Philippines. Spouses and children (below 21 years old) of former Filipinos who are U.S. passport holders and travelling with the principal former Filipinos may avail of the same privilege by presenting, upon arrival in the Philippines, copy of their marriage certificates (for spouses) and birth certificates (for children). 8. If married to a Filipino citizen, please submit photocopy of marriage certificate. 9. Visa Fee Schedule: $30.00 - Single entry visa valid for three (3) months with a 59-day initial stay 60.00 - Multiple entry visa valid for six (6) months with a 59-day initial stay 90.00 - Multiple entry visa valid for twelve (12) months with a 59-day inital stay The Visa Officer may require the submission of other documents. Application forms can be filed either in person or by mail. Applications transmitted by mail should be notarized by a Notary Public. Please allow one to two weeks for processing and mailing. 10. Additional requirements for applicants under fifteen (15) years of age Said applicants are required to secure Waiver of Exclusion Ground (WEG) from immigration authorities upon arrival in thePhilippines. The following documents are to be submitted to the immigration authorities at the Ninoy Aquino International Airport (NAIA), or to the Bureau of Immigration in Intramuros, Manila within three (3) days from arrival: 1. Notarized Affidavit of Request, Consent and Guaranty by either parent or legally appointed guardian of the child, which indicates the person who is accompanying the child and also the person with whom the child will stay in the country. (A pro forma affidavit of Request, Consent and Guaranty form is available at the Consulate); 2. Birth Certificate of the child; 3. Clear photocopy of the data page of the child s passport; and, 4. P3,630.00 waiver fee. (The minor s passport will be surrendered to immigration authorities at NAIA, for transmittal to the Office of the Immigration Commissioner. The waiver approval and the child's passport will be returned to the NAIA Immigration prior to the minor s departure from the Philippines. Please inform NAIA Immigration authorities if the child is proceeding outside Metro Manila and if the intended port of departure is outside Manila (e.g. Cebu), so that the waiver approval and the minor's passport can be sent to the latter port of departure. The concerned parent/guardian of the applicant minor may execute a duly authenticated Special Power of Attorney designating and authorizing an agent based in Metro Manila to secure from BI in Intramuros the certificate of WEG and pay the corresponding fees. Failure to comply with the above requirements may cause the cancellation of admission status.) PAYMENTS MUST BE MADE IN CASH, MONEY ORDER, BANK DRAFT, OR CASHIER S CHECK PAYABLE TO PHILIPPINE CONSULATE GENERAL. PERSONAL CHECKS WILL NOT BE ACCEPTED. THE CONSULATE ASSUMES NO RESPONSIBILITY FOR LOSS THROUGH THE MAIL. If applicant wishes the passport to be mailed back, applicant should enclose any of the following: a self-addressed/ stamped priority/certified mail envelope; a prepaid FEDEX, AIRBORNE or UPS envelope; $17.00 for Express Mail to cover mailing expenses. METERED STAMPS WILL NOT BE ACCEPTED.