ANNEX B.
2
DOJ 47(A)2 VISA CHECKLIST
APPLICATION FOR THE CHANGE OF ADMISSION STATUS
SPONSOR:___________________________________________________________________
PEZA RECOMMENDATION DATED:______________________________________________
NAME POSITION* NATIONALITY PASSPORT EXPIRY
MM DD YY
1.__________________________ ________________ _____________ ______________
2.__________________________ ________________ _____________ ______________
3.__________________________ ________________ _____________ ______________
4.__________________________ ________________ _____________ ______________
*Indicate age of dependent child/ren
ENTRY VISA VALID UNTIL
DATE OF ARRIVAL 9 [a] E.O.408 OTHERS
MM DD YY MM DD YY MM DD YY MM DD YY
1.____________________ [ ] _____________ [ ] _____________ [ ] ____________
2.____________________ [ ] _____________ [ ] _____________ [ ] ____________
3.____________________ [ ] _____________ [ ] _____________ [ ] ____________
4.____________________ [ ] _____________ [ ] _____________ [ ] ____________
SECRETARYS CERTIFICATE DATED:____________________________________________
CONTRACT OF EMPLOYMENT/APPOINMENT DATED:______________________________
DURATION OF [ ] EMPLOYMENT [ ] APPOINMENT [ ] ASSIGNMENT [ ] STUDIES
FROM UNTIL A B C D E
MM DD YY MM DD YY
1.____________________________ _______________________ [ ] [ ] [ ] [ ] [ ]
2.____________________________ _______________________ [ ] [ ] [ ] [ ] [ ]
3.____________________________ _______________________ [ ] [ ] [ ] [ ] [ ]
4.____________________________ _______________________ [ ] [ ] [ ] [ ] [ ]
A. Expiry date of employment as approved by the BOI
B. As requested
C. Until his successor shall have been duly elected and qualified
D. With request for multiple entry privileges
E. With request for exemption from payment of immigration and registration fees
PEZA REGISTRATION NO: _______________________________________
NOTARIZED APPLICATION FORMS DATED: _______________________________________
[ ] MARRIAGE CONTRACT [ ] BIRTH CERTIFICATE(S) (for dependent child/ren)
[ ] AFFIDAVIT OF SUPPORT
CONTACT PERSON:__________________________ TEL. NO:_________________________
VERIFIED BY: __________________________ DATE: _________________________