Date

Embassy of Switzerland
24/F BDO Equitable Tower
8751 Paseo de Roxas
1226 Makati, Metro Manila
Philippines

Declaration and Confirmation of the Relationship of name (citizen or permit holder) and
name (Philippine passport holder xxxxxxxx)

Dear Sir /Madam,

We, name and name, declare that we are in an exclusive relationship since date. We have
had constant communication since date. (You may add other information about your
relationship.)

Details of the partner Details of the partner

living in Switzerland travelling to Switzerland
Name
Sex
Date of birth
Place of birth
Nationality
Civil status
Home address

We spent the following periods together before the entry restrictions were introduced:
(Sample below. Change the dates and place accordingly.)
1. From xxx to xxx in Philippines
2. From xxx to xxx,
From xxx to xxx, and
From xxx to xxx in Switzerland
3. From xxx to xxx in yyy
4. From xxx to xxx in yyy

Attached herewith are airline tickets, visa, copies of passports with entry and departure
stamps, payment details on hotel reservations, social media exchanges, and photos. We
confirm that all stated information and attachments are true. (You may add other proof.)

With best regards,

Name of partner in CH Name of partner in PH

Address Address
Telephone number Telephone number
Email Email