1.18 semztett 177A 4TH STREET, ESPINA VILLAGE, Home addressB. RODRIGUEZ, CEBU CITY, PHILIPPINES 1.20 Hig EAL Hlome/mobife phone number’ +63322388227/+639425230681 119 Abeta ZipCode 6000 a ara E-mail addres jesmar@intrecasia.org 1.22 M6SGIRDE Marital status IB Married OAS Single Het Other(Please specify: S64 Name FE Natoma idk Occopation JU Relations 123 ERR oi oo e Fear * |AMIEC. CABRILES [FILIPINO _|Former Bank Emplo| Wife teltnes Cpouse, JOANNA CABRILES | |FILIPINO Student Daughter chirenperet*t JASMINE CABRILES |FILIPINO ‘Student ‘Daughter separate paper) a Ha a Soeeane | Name AMIE C. CABRILES Mobi phone number *639179183384 inerzee SHPO Contact Relationship with the applicant WIFE 1.25 FW AP EE ETE SLIRIBDE Country or eretory where the applicant is located when applying fr this visa + Jie#F4903, Part 2: Travel Information OD BAwA OMeal Visit 0 Be a Towne) 1 RR. A, BE Nombusiness visit) 1D ALEC Business & Trade(M) 1D AAA Asintroduced taent(R) DARTH As crew member(C) 0 af Transt(a) O FR, OH, RA Asresident diplomat, consal or staff of international organ CT KAIERE As permanent resident(D) OE fe Work 0% 9 Asch in foster eare(Q) 0 SRE TARR TAA eS DSR A Re HAT BAAR AETX | Sew BA Ri Shortterm family visit to SRUGWDRIS MAGA 80 FT Family reanion for over AMEE Malor | Chanese czens or foreigners with Chlncee 180 days with Chinese ckizens or foreigners with] Siyonrvisi | Permanent residence status(Q2)_ Chinese permancat residence sttas(Q1) i . CO RSET. SAGHGA: REALS | O RRR, PIR MAAL 3 Shortterm vst to foreigners working, studying | As sccompanying famiy member af fregners | {in China, or other personal afarsS2) serking stn a Chin (1) | Tag FA Shoreterm wady fortes tam TOT Cy Long-term sty fr oer 150 dayXt) (0 RESBURUAEGR. As journalist for temporary news | Cl JHE RERER DNR IORRREA, As resident jour) coverape(32) CFM BIOther (Please specify); —WR(FUBRZ HAS 3 $F One entry valid for 3 months from the date of ese 22 i121 1D =UK( EER FAL 3-6 41H Two entre valid for 3 to 6 months from the date of issue PaO | 0 seaeee C(1A2R2 A 6-9) Mp entra for 6 moths fom he date sue stentries Cl fae (MENEZ FLA 1 FRO Maltpl entries valid for 1 year from the date 1 Jet GWE Other (Pleat specify): 2.3 RE WAINRIRSG Are you applying for express service? He MOMENTA, AEH. Nae pees service nerd approval of —{ “onl offical, nd ent fe ay app PS DURE PETG Tek tea of Pek on pagel 2s At ETRE FA Expected date of your fist entry into China on this trip (yyyy-mmm-ld) mam aa tomas