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9G FORM

The document is a Consolidated General Application Form for non-immigrant visas, special work permits, and provisional work permits, excluding student visas. It includes sections for applicant information, travel details, personal information, character references, and petitioner's information. The form requires certification of the truthfulness of the information provided and outlines requirements for claiming the ACR I-Card.

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Wyc Funtrip
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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34 views2 pages

9G FORM

The document is a Consolidated General Application Form for non-immigrant visas, special work permits, and provisional work permits, excluding student visas. It includes sections for applicant information, travel details, personal information, character references, and petitioner's information. The form requires certification of the truthfulness of the information provided and outlines requirements for claiming the ACR I-Card.

Uploaded by

Wyc Funtrip
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BI FORM CGAF

CGAF-002-Rev 3 This document may be reproduced and is NOT FOR SALE


CONSOLIDATED GENERAL APPLICATION FORM
FOR NON-IMMIGRANT
IMMIGRANT VIS
VISA,, SPECIAL WORK PERMIT AND
PROVISIONAL WORK PERMIT [EXCEPT STUDENT VISA AND SSP]
I. APPLICATION INFORMATION
Present Immigration Status
9A TOURIST VISA
Nature of Application
Conversion Extension Inclusion Permit
Type of Visa/Permit Application
9G WORKING VISA
Number of Months/Years Applied For
3 Months 1 Year 2 Years 3 Years
Method of Application
Personal Authorized Representative
BI Accreditation Number
TA-2021-004
Name of Authorized Representative [Last Name, First/Given Name, Middle Name]
BORBON, MORIELLE GADDI
Position in the Company/Institution
LIAISON OFFICER

II. APPLICANT’S TRAVEL INFORMATION


Passport Number Date of Latest Arrival [DD-MMM-YYYY
[DD e.g. 01 JAN 1990]

Expiry Date/Valid Until [DD-MMM-YYYY e.g. 01 JAN 1990] Flight Number

Place of Issuance Last Day of Authorized Stay [DD-MMM-YYYY


[DD e.g. 01 JAN 1990]

III. APPLICANT’S PERSONAL INFORMATION


Last Name

First/Given Name

Middle Name

Other Name(s)/Alias(es)
1

2
Date of Birth [DD-MMM-YYYY e.g. 01 JAN 1990]] Gender Country of Birth
M F
Citizenship/Nationality Civil Status
Single Married Annulled

Height [cm] Weight [kg] Separated Widowed Divorced


Profession/Occupation

Contact Number(s) in the Philippines Email Address


Landline

Mobile
Residential Address in the Philippines Residential Address Abroad
House/Unit No., Street, Subdivision/Village House/Unit No., Street, Subdivision/Village

Barangay, Municipality/City City, State


CHINA
Province, Zip Code Country, Zip Code

Name of Spouse [Last Name,, First/Given Name, Middle Name]

Other Name(s)/Alias(es)
1 N/A
2 N/A
Name(s) of Child(ren) and Date(s) of Birth [Last Name, First/Given Name, Middle Name]
1 N/A
Date of Birth [DD-MMM-YYYY e.g. 01 JAN 1990]
N/A
Last Name, First/Given Name, Middle Name
2 N/A
Date of Birth [DD-MMM-YYYY e.g. 01 JAN 1990]
N/A
Note: If the applicant has more than two (2) children, u
use BI Form 2014-00-005 Rev 0

APPLICANT’S ACR I
I-CARD CLAIM STUB
Applicant’s Name [Last
Last Name, First/Given Name, Middle Name (Please leave a box after each name)]

ACR Number Visa Type 9G WORKING VISA

[IF THE ACR I-CARD


CARD IS CLAIMED BY AN AUTHORIZED REPRESENTATIVE, PLEASE SEE REVERSE SIDE FOR INSTRUCTIONS.]
Page 1 of 2
BI FORM CGAF-002-Rev 3 This document may be reproduced and is NOT FOR SALE
CONSOLIDATED GENERAL APPLICATION FORM
FOR NON-IMMIGRANT VISA, SPECIAL WORK PERMIT AND
PROVISIONAL WORK PERMIT[EXCEPT STUDENT VISA AND SSP]
Character References in the Philippines
Last Name, First/Given Name, Middle Name
1 MALIWAT, SARAH JANE LEANO
Residential Address in the Philippines
House/Unit No., Street, Subdivision/Village Contact Number(s) in the Philippines
Landline
517 L. FRANCISCO ST.
Barangay, Municipality/City N/A
BRGY 100 Mobile
Province, Zip Code
09171803758
PASAY CITY
Last Name, First/Given Name, Middle Name
2 SENO, ROCHELLE MARIE CARLOS
Residential Address in the Philippines
House/Unit No., Street, Subdivision/Village Contact Number(s) in the Philippines
217 P. LOPEZ ST. Landline
Barangay, Municipality/City N/A
BRGY 99
Mobile
Province, Zip Code
PASAY CITY 09176755669
IV. PETITIONER’S INFORMATION
Name of Institution

Registration Number

Nature of Institution
Commercial Religious Others [Please specify] ____________________________________________________________
Registered Address in the Philippines
House/Unit No., Street, Subdivision/Village Contact Number(s) in the Philippines
Landline
Barangay, Municipality/City

Mobile
Province, Zip Code

V. APPLICANT’S OTHER INFORMATION


Position in the Organization Expiration of Contract [DD-MMM-YYYY e.g. 01 JAN 1990]

Alien Employment Permit (AEP) Number Actual Monthly Gross Salary in Philippine Currency

AEP Expiry Date/Valid Until [DD-MMM-YYYY e.g. 01 JAN 1990]

DO NOT FILL OUT THIS PORTION


VI. ACR I-Card
Application Number
Alien Certificate of Registration (ACR) Number
N/A
Date of Issuance [DD-MMM-YYYY e.g. 01 JAN 1990]
N/A Received/Recommended by: _______________________________
Expiry Date/Valid Until [DD-MMM-YYYY e.g. 01 JAN 1990]
Reviewed by: ___________________________________________
N/A
Certificate of Residence Number (CRN) Approved by: ___________________________________________
N/A

CERTIFICATION
I/We certify that: (1) All the information in the application is truthful, complete and correct; (2) All documents
are authentic and were legally obtained from the corresponding government agencies or private entities; (3) I/We
understand that my/our application may be summarily denied if: (a) Any statement is false; (b) Any document
submitted is falsified; or (c) I/We fail to comply with all the BI requirements without prejudice to whatever action the
BI may take; and (4) I/We have not filed this or any similar application before any office of the Bureau.

____________________ ______________________________________ _____________________________________


Date [DD-MMM-YYYY Petitioner’s Signature over Printed Name Applicant’s Signature over Printed Name
e.g. 01 JAN 1990]

ACR I-CARD WILL ONLY BE RELEASED UPON COMPLIANCE/SUBMISSION OF THE FF:


Name of Representative _________________________________ 1. Photocopy of passport bio-page of the ACR I-Card holder
2. Valid ID of either parent claiming the ACR I-Card, if applicant is a minor
Accredited Travel Agency/Law Office _______________________
3.Photocopy of the BI-Accreditation ID card, if claimed by a travel agent or law firm
BI Accreditation No. _____________________________________ 4.Special Power of Attorney (SPA), if claimed by an authorized representative other than the
parent or BI accredited entity
Contact No. ___________________________________________

Residential /Office Address _______________________________ ACR I-Card Holder: _________________________ Claimant:_____________________


Signature over PRINTED NAME Signature
Signature_____________________________________________
[Please call (+632) 525-7557 to check the status of your application]

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