SEOUL, REPUBLIC EMBASSY OF THE PHILIPPINES REGISTRATION FORM/ EMBASSY ID Requirements: 1. Original passport with photocopy of front page 2, ‘Two (2) recent 1" x 1" Photos OF SOUTH KOREA LAST NAME FIRST NAME (Recent 1” x1" MIDDLE NAME photo) DATE OF BIRTH 0, SEX MM/YYVY) mye) PLACE OF BIRTH OCCUPATION CIVIL STATUS NAME OF SPOUSE ADDRESS IN SOUTH KOREA PHONE NO. EMAIL ADDRESS ADDRESS IN THE PHILIPPINES CONTACT PERSON IN THE PHILIPPINES (IN CASE OF EMERGENCY) CONTACT PERSON IN SOUTH KOREA (IN CASE OF EMERGENCY) _ NAME: NAME: - “ADDRESS: PHONE NO.: PHONENO. RELATIONSHIP: ~~) RELATIONSHIP: Thereby certify that the above statements are tru Date of Application ID RECEIVED BY: Signature over Printed Name _ 1e, correct, and to the best of my knowledge. Signature over Printed Name Date Registration No: Remarks: Signing Officer: