F.A. Form No.

2-A
(Revised 1981)

Foreign Service of the Philippines

PHILIPPINE CONSULATE GENERAL
Geneva, Switzerland

APPLICATION FOR NON-IMMIGRANT VISA

____________________________, 20___

Classification _______________________ No._________

Surname/Nom Name/Prenom Middle Name

Date of Birth Place of Birth

(Photograph)
Sex Civil
Male Female Status Single Widowed/wer Separated
Married Divorced Note: Attach photo (or
photos if other persons are
travelling on same
Citizenship Occupation visa/passport).

Present Address Telephone Number Next Port of Destination

Purpose of Entry Date of Entry in the Philippines Length of Intended Stay

Reference in the Philippines, If Any, and Address

Type of Travel Document Number Date of Issue Valid Until

The following persons, who are included in my travel document, are

accompanying me to the Philippines:

1. _____________________________________________
2. _____________________________________________ Signature: ______________________________________
3. _____________________________________________
4. _____________________________________________
Date: ___________________________

PLEASE DO NOT FILL OUT BELOW THIS LINE

(For Official Use Only)

Visa No. __________granted on _________________________20___ as non-immigrant under

Section 9( ) of the Philippine Immigration Act of 1940, valid until ______________________, 20____.

Visa includes: _______________________________________________________________________

Consular Notations: __________________________________________________________________

____________________________________
Consul of the Republic of the Philippines
Fee : ____________
O.R. No : ____________
Service No.: ____________
Date : ____________