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  • This Form Is Not For Sale Application For Crew List Visa: Including Master

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    Mandu
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    This document is an application for a crew list visa for entry into the Philippines. It requires information about the vessel, its previous voyage, the voyage to the Philippines, and the succeeding voyage. It also includes an attestation from the local agent and declaration from the captain. An attached list provides details of the foreign crew members, including their names, dates of birth, passport information, birthplaces, titles, and other remarks. The form is submitted to Philippine immigration upon the vessel's arrival at a Philippine port.

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    Original Title

    F.A._Form_No._61_Visa_Crewlist_Form

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    This document is an application for a crew list visa for entry into the Philippines. It requires information about the vessel, its previous voyage, the voyage to the Philippines, and the succeeding voyage. It also includes an attestation from the local agent and declaration from the captain. An attached list provides details of the foreign crew members, including their names, dates of birth, passport information, birthplaces, titles, and other remarks. The form is submitted to Philippine immigration upon the vessel's arrival at a Philippine port.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    13 views8 pages

    This Form Is Not For Sale Application For Crew List Visa: Including Master

    Uploaded by

    Mandu
    This document is an application for a crew list visa for entry into the Philippines. It requires information about the vessel, its previous voyage, the voyage to the Philippines, and the succeeding voyage. It also includes an attestation from the local agent and declaration from the captain. An attached list provides details of the foreign crew members, including their names, dates of birth, passport information, birthplaces, titles, and other remarks. The form is submitted to Philippine immigration upon the vessel's arrival at a Philippine port.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    of 8

    F.A. Form No 61-Rev.

    01
    Embassy of the Republic of the Philippines THIS FORM IS NOT FOR SALE

    APPLICATION FOR CREW LIST VISA

    A. DETAILS OF VESSEL TOTAL CREW


    Vessel Name: including Master:
    Official Number (IMO):
    Flag State / Nationality:
    Vessel Class/Type: FOREIGN CREW
    Name of Owner:

    B. DETAILS OF PREVIOUS VOYAGE


    Please provide the necessary information pertaining to the most recent voyage prior to arrival in the Philippines. [ AFFIX VISA HERE ]
    Country/Port of
    Departure Date Country/Port of Arrival Arrival Date Name of Local Agent/Handler
    Departure

    C. VOYAGE/JOURNEY TO THE PHILIPPINES


    Please provide the necessary information relative to the voyage of the vessel to the Philippines.
    Country/Port of Port of Arrival in the Arrival Date
    Departure Date Name of Local Agent/Handler
    Departure Philippines (PHL)

    G. NOTARIZATION

    D. DETAILS OF SUCCEEDING VOYAGE


    Please provide the necessary information relative to the next country and port of call from the Philippines.

    Port of Departure in the Departure Date


    Country/Port of Arrival Date of Arrival Name of Local Agent/Handler
    Philippines (PHL)

    E. ATTESTATION OF AGENT F. DECLARATION OF CAPTAIN/MASTER

    I hereby certify and confirm that the all information supplied I solemnly declare that the information which I have provided
    in this document and its attachments are true and correct. herein and in the attached crew list is true, accurate and complete
    I further attest that the signature of the Captain/Master of to the best of my knowledge, and that I and my crew will abide by
    the vessel appearing herein is genuine and authentic, and that I am the laws and regulations of the Republic of the Philippines for the
    a duly authorized agent acting for and on behalf of the owners of the duration of our stay.
    vessel.

    Signature Above Printed Name Signature Above Printed Name


    (Local Agent) (Captain/Master of Vessel)

    Page __ of __
    F.A. Form No 61-Rev.01

    Embassy of the Republic of the Philippines THIS FORM IS NOT FOR SALE
    Vessel Name:
    Official Number (IMO):
    Flag/Nationality:
    Date of Arrival:
    (To be delivered to the Immigration Officer by the Commanding Officer of any vessel or aircaft upon arrival at a port in the Philippines) Port of Arrival:
    H. LIST OF FOREIGN CREW MEMBERS

    PASSPORT / TRAVEL BIRTHPLACE (IN


    No. SURNAME GIVEN NAME (INCLUSIVE OF MIDDLENAME) DATE OF BIRTH DOCUMENT NUMBER ISSUING COUNTRY PASSPORT) TITLE / POSITION IN VESSEL REMARKS

    10

    11

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    13

    14

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    17

    18

    19

    20

    21

    22

    23

    24

    25

    Page __ of ___
    F.A. Form No 61-Rev.01

    Embassy of the Republic of the Philippines THIS FORM IS NOT FOR SALE
    Vessel Name:
    Official Number (IMO):
    Flag/Nationality:
    Date of Arrival:
    (To be delivered to the Immigration Officer by the Commanding Officer of any vessel or aircaft upon arrival at a port in the Philippines) Port of Arrival:
    H. LIST OF FOREIGN CREW MEMBERS

    No. SURNAME GIVEN NAME (INCLUSIVE OF MIDDLENAME) DATE OF BIRTH PASSPORT / TRAVEL ISSUING COUNTRY BIRTHPLACE (IN TITLE / POSITION IN VESSEL REMARKS
    DOCUMENT NUMBER PASSPORT)

    10

    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25

    Page __ of __
    F.A. Form No 61-Rev.01

    Embassy of the Republic of the Philippines THIS FORM IS NOT FOR SALE
    Vessel Name:
    Official Number (IMO):
    Flag/Nationality:
    Date of Arrival:
    (To be delivered to the Immigration Officer by the Commanding Officer of any vessel or aircaft upon arrival at a port in the Philippines) Port of Arrival:
    H. LIST OF FOREIGN CREW MEMBERS

    No. SURNAME GIVEN NAME (INCLUSIVE OF MIDDLENAME) DATE OF BIRTH PASSPORT / TRAVEL ISSUING COUNTRY BIRTHPLACE (IN TITLE / POSITION IN VESSEL REMARKS
    DOCUMENT NUMBER PASSPORT)

    26

    27

    28

    29

    30

    31

    32

    33

    34

    35

    36

    37

    38

    39

    40

    41

    42

    43

    44

    45

    46

    47

    48

    49

    50

    Page __ of __
    F.A. Form No 61-Rev.01

    Embassy of the Republic of the Philippines THIS FORM IS NOT FOR SALE
    Vessel Name:
    Official Number (IMO):
    Flag/Nationality:
    Date of Arrival:
    (To be delivered to the Immigration Officer by the Commanding Officer of any vessel or aircaft upon arrival at a port in the Philippines) Port of Arrival:
    H. LIST OF FOREIGN CREW MEMBERS

    No. SURNAME GIVEN NAME (INCLUSIVE OF MIDDLENAME) DATE OF BIRTH PASSPORT / TRAVEL ISSUING COUNTRY BIRTHPLACE (IN TITLE / POSITION IN VESSEL REMARKS
    DOCUMENT NUMBER PASSPORT)

    10

    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25

    Page __ of __
    F.A. Form No 61-Rev.01

    Embassy of the Republic of the Philippines THIS FORM IS NOT FOR SALE
    Vessel Name:
    Official Number (IMO):
    Flag/Nationality:
    Date of Arrival:
    (To be delivered to the Immigration Officer by the Commanding Officer of any vessel or aircaft upon arrival at a port in the Philippines) Port of Arrival:
    H. LIST OF FOREIGN CREW MEMBERS

    No. SURNAME GIVEN NAME (INCLUSIVE OF MIDDLENAME) DATE OF BIRTH PASSPORT / TRAVEL ISSUING COUNTRY BIRTHPLACE (IN TITLE / POSITION IN VESSEL REMARKS
    DOCUMENT NUMBER PASSPORT)

    26

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    35

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    Page __ of __
    F.A. Form No 61-Rev.01

    Embassy of the Republic of the Philippines THIS FORM IS NOT FOR SALE
    Vessel Name:
    Official Number (IMO):
    Flag/Nationality:
    Date of Arrival:
    (To be delivered to the Immigration Officer by the Commanding Officer of any vessel or aircaft upon arrival at a port in the Philippines) Port of Arrival:
    H. LIST OF FOREIGN CREW MEMBERS

    No. SURNAME GIVEN NAME (INCLUSIVE OF MIDDLENAME) DATE OF BIRTH PASSPORT / TRAVEL ISSUING COUNTRY BIRTHPLACE (IN TITLE / POSITION IN VESSEL REMARKS
    DOCUMENT NUMBER PASSPORT)

    51

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    Page __ of __
    F.A. Form No 61-Rev.01

    Embassy of the Republic of the Philippines THIS FORM IS NOT FOR SALE
    Vessel Name:
    Official Number (IMO):
    Flag/Nationality:
    Date of Arrival:
    (To be delivered to the Immigration Officer by the Commanding Officer of any vessel or aircaft upon arrival at a port in the Philippines) Port of Arrival:
    H. LIST OF FOREIGN CREW MEMBERS

    No. SURNAME GIVEN NAME (INCLUSIVE OF MIDDLENAME) DATE OF BIRTH PASSPORT / TRAVEL ISSUING COUNTRY BIRTHPLACE (IN TITLE / POSITION IN VESSEL REMARKS
    DOCUMENT NUMBER PASSPORT)

    76

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    Page __ of __

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