Date : __________________________

To :
The Department of Immigration
Ninoy Aquino International Airport
Manila, Philippines
(for the visit of family friends and relatives)
I, ____________________________________, of legal age, Filipino citizen, after having been
duly sworn to in accordance with law, do hereby depose and state that:
1. I am gainfully employed or engaged in business, holding a RESIDENCE VISA in the United
Arab Emirates, with the following pertinent contact, employment and visa information:
Passport No
: _______________________________________________________
Date Issued
: _______________________________________________________
Place Issued
: _______________________________________________________
Residence Visa No
: _______________________________________________________
Date of Expiry
: _______________________________________________________
: _______________________________________________________
Residential Address : _______________________________________________________
Telephone No : _______________________________________________________
Mobile No
: _______________________________________________________
Employer/ Office
: _______________________________________________________
: _______________________________________________________
Telephone No : ________________________________________________________
2. I am sponsoring the visit of ______________________________________, of legal age,
Filipino Citizen, with Philippine Passport bearing no. _____________________, hereinafter
referred as the “subject” who is my ______________________.
3. I guarantee that I shall provide all financial support to pay for the food, accommodations, travel
(including airfare for return to the Philippines, medication & hospitalization) and expenses, debts
and obligations incurred including but not limited Immigration fines and penalties of the subject”.
4. I guarantee that the “subject” shall not be in any way or manner whatsoever a public burden or
ward in the United Arab Emirates (UAE) or any country enroute from or to the Philippines.
5. I guarantee that the “subject” shall not stay in the UAE for a period longer than the number of
days allowed by UAE Immigration authorities; and;
6. I guarantee that the “subject” is visiting the UAE entirely for tourist and recreation purposes
and is not visiting the UAE for: (1) employment (2) to seek employment; (3) to transit via UAE to
another country where deployment of Filipino nationals is restricted or where deployment
requires clearance or endorsement of relevant government departments and agencies in the