CHECKLIST FOR UNITED KINGDOM TUBERCULOSIS DETECTION PROGRAMME

IOM MANILA HEALTH CENTRE

TYPE OF VISA: Settlement and Dependents

APPLICANT’S NAME: Edgar Alcantara Pangilinan MOBILE NO: 09283395313
COMPLETE PH HOME ADDRESS: 378 Tanawan Bustos Bulacan EMAIL ADDRESS: tugaykyanon@gmail.com
( * address preferred to reflect on the certificate)

UK ADDRESS INCLUDING ZIP CODE: United Kingdom UK PHONE NUMBER:

( * address preferred to reflect on the certificate. ( * N/A if not available) N/A
If UK address is not available, you may use
United Kingdom as a default address on the certificate) NAME OF SPONSOR:
Sarah Jane A. Nieves

* Note: Please print out a copy of this checklist and bring along with your compiled requirements and printed forms (per applicant) on your
medical examination appointment date.

REQUIREMENTS
PLEASE BRING ONLY IF APPLICABLE
Reference: IOM MHC_UKTB Requirements and Fees
Original and valid passport Pertinent medical reports / results
* Passport details will reflect on the certificate. * TB medical history or undergoing TB treatment or had any
pulmonary disease/s in the past
Photocopy of the passport’s Bio Page

One (1) Government-issued ID

* For the building security at the Ground Flr. PRINTED FILLED OUT CHECKLIST

Pregnancy Declaration Form

* Download the fillable and printable forms here:
ADDITIONAL REQUIREMENTS FOR 0-18 YRS. OLD IOM MHC UKTB Pregnancy Declaration Form

Original PSA Birth Certificate

Kindly read advance copy of consent which can be found here:
Photocopy of PSA Birth Certificate UKTB Detection Programme Consent Form

School ID for the current school year if available * The forms shared in advance will be signed during your UKTB
Appointment.

Other relevant links related to your medical examination:

MINOR APPLICANTS TO BE ACCOMPANIED BY A GUARDIAN
IOM MHC_UKTB Requirements and Fees
Letter of Authorization IOM MHC_COVID19 Operational Guidelines
* From the parent sponsoring the visa application (signed) IOM MHC Location with Map

Scan Copy of the Parent’s Passport

Guardian’s 2 Valid Government-issued IDs

MANILA HEALTH CENTRE

INTERNATIONAL ORGANIZATION FOR MIGRATION - THE UNITED NATIONS MIGRATION AGENCY
15F TRAFALGAR PLAZA, 105 H.V. DELA COSTA STREET, MAKATI CITY, PHILIPPINES 1227