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BI FORM CGAF

CGAF-003-Rev 2

This document may be reproduced and is NOT FOR SALE

CONSOLIDATED GENERAL APPLICATION FORM


FOR STUDENT VISA AND SPECIAL STUDY PERMIT
I. APPLICATION INFORMATION
Present Immigration Status
Attach your 2x2 colored photograph
with white background using
permanent glue in the
photograph box.
The photograph must be taken
within the last three (3) months
from the date of application.
A scanned photograph is not
allowed. A photograph of the
applicant wearing eyewear (i.e.
sunglasses, colored contact lenses,
etc.) or headwear is not acceptable.

Nature of Application
Conversion

Type of Application
Extension

Permit

Student Visa

Special Study Permit

Course/Degree
Number of Months/Year Applied for
Months

School Year

1 Year

Name of School Representative [Last Name, First/Given Name, Middle Name]

School Representative Identification Number

II. APPLICANTS 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. APPLICANTS PERSONAL INFORMATION


Last Name
First/Given Name
Middle Name
Date of Birth [DD-MMM-YYYY e.g. 01 JAN 1990
1990]

Gender
M

Citizenship/Nationality

Height [cm]

Country of Birth
F
Civil Status

Weight [kg]

Contact Number(s) in the Philippines

Single

Married

Annulled

Separated

Widowed

Divorced

Special Security Registration Number (SSRN)


(SSRN

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

Residential Address Abroad


House/Unit No., Street, Subdivision/Village

Barangay, Municipality/City

City, State

Province, Zip Code

Country, Zip Code

IV. GUARDIANS INFORMATION


Name of Guardian [Last
Last Name, First/Given Name, Middle Name]
Relationship with the Applicant

Residential Address in the Philippines


House/Unit No., Street, Subdivision/Village

Barangay, Municipality/City

Province, Zip Code

Country, Zip Code

Contact Number(s) in the Philippines


Landline

Mobile

V. SCHOOLS INFORMATION
Name of School

School Accreditation Number


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

Barangay, Municipality/City

Province, Zip Code

Country, Zip Code

Contact Number(s) in the Philippines


Landline

Mobile
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BI FORM CGAF-003-Rev 2

This document may be reproduced and is NOT FOR SALE

CONSOLIDATED GENERAL APPLICATION FORM


FOR STUDENT VISA AND SPECIAL STUDY PERMIT
Registered Address of School
Room No., Floor No., Building, Street

Barangay, Municipality/City

Province, Zip Code

Country, Zip Code

Contact Number(s) in the Philippines


Landline

Mobile

VI. ACR I-CARD


Alien Certificate of Registration (ACR) Number

DO NOT FILL OUT THIS PORTION


Application Number

Date of Issuance [DD-MMM-YYYY e.g. 01 JAN 1990]

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

Received/Recommended by: ________________________________


Reviewed by: ____________________________________________

Certificate of Residence Number (CRN)

Approved by: ____________________________________________

Immigration Control (IC) No.:

Period of validity [DD-MMM-YYYY e.g. 01 JAN 1990]:


From

Recommending Approval:

Until

Official Receipt Numbers:


a) _____________________________________________
_____________________________________
(Signature over Printed Name)

b) _____________________________________________
c) _____________________________________________

Date Signed: ________________

APPROVED/DISAPPROVED:

JAIME H. MORENTE
Commissioner
Date Signed: ________________

VISA IMPLEMENTATION STAMP

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