FA Form NO.

2 (Revised 1981)
Embassy of the Republic of the Philippines
State of Kuwait
Post
APPLICATION FOR NON-IMMIGRANT VISA (Applicant's Photograph
with Signature)
Surname First Name Middle Name

ABECIA CHALIE EXCHAURE

Date of Birth day/month/year
Sex: Male [ ]
12/01/1986 Female [ ✔]

Place of Birth Citizenship

CAGAYAN DE ORO CITY FILIPINO

Civil Status If married, state the name and address of Spouse
[✔ ] Single [ ]Separated
[ ] Married [ ] Divorced
[ ] Widowed
Telephone No:
Applicant's Address and Telephone No. Since

San Juan 2, Lapasan, Cagayan de Oro City birth

Occupation Since
OFW 2017
Name and Ages of Child/Children
Cherry Abecia : 18 yrs old
Jay A. Gagnan : 16 yrs old
Stephanie Jane Abecia : 10 yrs old
Father's Name Mother's Name
JULIO C. ABECIA CONSISA ABECIA
Description of Travel Document
Type No. Date of Issue Issued By Valid Until
Passport P7850327B 13 OCT 2021 DFA Cagayan de Oro 12 OCT 2031
Other persons traveling to the Philippines with the Applicant under the same Travel Document or under separate
travel document

Port of Entry Purpose of Entry Length of Stay

WORK 2 YRS
Address in the Philippines

San Juan 2, Lapasan, Cagayan de Oro City

Reference in the Philippines

Name:

Address / Telephone No.

Destination after the Philippines