F.A. Form NO. 2 Revised 13 December 2012
ACCOMPLISHINDUPLICATE FORCHINESE
Republic of the Philippines
FOREIGN SERVICE OF THE PHILIPPINES
PHILIPPINE CONSULATE GENERAL
GUANGZHOU, CHINA
FILL-IN BLANKS (TO BE ACCOMPLISHED IN ENGLISH) TYPE OR WRITE IN BLOCK LETTERS请用英文印刷体填写表格，手写或机打皆可。
Surname/姓 First Name /名
Place of Birth DateofBirth:(Month/Date/Year) Age/年龄 Citizenship/国 籍: SEX/性别
出生地 出生日期:（月/日/年）
Applicant’s address/ 申 请 人 地 址:
Office of Employment and Address: 工作单位及地址
CIVIL STATUS / 婚姻状况
Name and ages of Children, if any/ 如 果 有， 请 陈 述 小 孩 的 姓 名 及 年 龄:
Name and address of sponsor/reference in
菲 律 宾 非 移 民 签 证 申 请 表
APPLICATION FOR NON-IMMIGRANT VISA TO THE PHILIPPINES
PHOTO/照片
Telephone No/ 电 话
Occupation/ 职 业: Telephone No/ 电 话
If married name of spouse/ 若已婚，请注明配偶的姓名: Citizenship/ 国 籍:
Father’s Name/ 父 亲 名: Mother’s Name/ 母 亲 名
MALE / 男 FEMALE/女
SINGLE 未
MARRIED 已婚
WIDOWED 丧偶
ame an
a
ress o
sponsor
re
erence
n
菲律宾担保人/联系人的姓名及地址
Latest visa no./上次签证的号码 Type of visa/签证种类 Issued on/签发日期 Issued by
签发地
Latest Entry Date上次入境日期 Latest Exit Date上次离境日期
Duration of last stay in the Philippines/上次在菲停留时间:
Documents submitted in support of application. 为此申请所提交的文件
1. Were you ever refused any kind of Philippine visa before and denied admission into or deported from the Philippine? If yes, state
circumstances您是否曾经被拒签过任何一种菲律宾签证，甚至被拒绝入境或被驱逐出境，如有，请说 明:：
2. Have you ever been arrested or convicted for any offense or crime, even though subject of a pardon, amnesty, or other legal action?
您是否曾经被逮捕或判过刑，包括后来获得了宽恕、豁免或其他类似的法律裁决的情况？ if yes,state circumstances
如有,请说明:
3. Have you ever been afflicted with a communicable disease of public health significance, dangerous physical or mental disorder, or been a
drugabuseroraddict?是否曾患有危害公共健康的传染性疾病，或患过构成危险的体质病变或精神病，是否曾滥用毒品或药品?
是否用毒成瘾？
I understand that I may only enter the Philippines at the Port of Entry designated by the Philippine Immigration Authorities and under the
Passport/Travel Document no./护照/旅行证号码:
Date of Issue/签发日期: Valid until/ 有 效 期 至: Issued by/ 签 发 地:
Destination after the Philippines 离 开 菲 律 宾 以 后 的 目 的 地:Name of traveling companion(for minor applicant) 未成年申请人之偕行人员的姓名
Have you ever been issued a Philippine visa? 你曾经申请过菲律宾签证吗？ If yes, 如有
e
ep
one
o
Purpose of Entry/ 入 境 目 的
Len
th of Sta
/ 停
留
多
久:
Port of Entry/ 入 境 口 岸
MALE / 男 FEMALE/女
SINGLE 未
MARRIED 已婚
WIDOWED 丧偶
DIVORCED / ANNULED
SEPARATED 分
Yes/有 No/没有
Valid passport/travel document 有效的护照/旅行证件
Financial proof财力证明
Air ticket机票
Chinese national ID身份证
Affidavit of Support & Guarantee 担
Invitation Letter 邀请函
Others (specify) 其他（请说明）
Yes是
Yes是 No 否
No 否
Birth Certificate or Household Registry 出生证或户口簿
Yes是 No 否
condition im
osed b
those authorities.
我知道我只能在菲律宾移民局许可的入境口岸进入菲律宾，并会遵守相关机构制定的法律法规。
I solemnl
swear that the fore
oin
statements are true to the best of m
knowled
e
我在此声明，上述信息全部属实，且是我所知之全部。
WARNING: Dru
traffickin
is
unishable under Phili
ine law. 根据菲律宾法律，走私毒品将被判刑。
警告： Tourist are not allowed to en
a
e in an
eddlin
activit
. 游客禁止进行任何兜售叫卖活动。
Violators will be sub
ect to
unishment and de
ortation. 违者将受到处罚并驱逐出境。
Non‐Immigrantvisano. GZ‐MRRV‐__________________________________________undersection9(a)ofthePhilippineimmigration
actof1950,asamended,issuedon_____________________________________andvaliduntil______________________________.
ORNo.:
TravelAgency(ifapplicable)
ServiceNo.: (seal)__________________________________________
Fee:
Remarks,ifany:______________________________________________________________________________________________________
Date/日期:
DO NOT FILL OUT BELOW THIS LINE (FOR OFFICIAL USE ONLY/以 下 内容由 官方 填写)
¥250.00
ConsuloftheRepublicofthePhilippines
PPLICANT’S SIGNATURE申请人签名
MALE / 男 FEMALE/女
SINGLE 未
MARRIED 已婚
WIDOWED 丧偶
DIVORCED / ANNULED
SEPARATED 分
Yes/有 No/没有
Valid passport/travel document 有效的护照/旅行证件
Financial proof财力证明
Air ticket机票
Chinese national ID身份证
Affidavit of Support & Guarantee 担
Invitation Letter 邀请函
Others (specify) 其他（请说明）
Yes是
Yes是 No 否
No 否
Birth Certificate or Household Registry 出生证或户口簿
Yes是 No 否
CONSULATE GENERAL
OF THE REPUBLIC OF THE PHILIPPINES
LOS ANGELES CALIFORNIA
