INDIVIDUAL INFORMATION SHEET

EPISCOPAL COMMISSION ON YOUTH

CATHOLIC BISHOPS’ CONFERENCE OF THE PHILIPPINES
National Secretariat for Youth Apostolate, 3/F CBCP Building, 470 General Luna Street, Intramuros, Manila
Telephone: 02 5279567 Telefax: 02 5279566 Email Address for WYD2011: ecy.wydgrps@gmail.com

Instructions:
• Refer to your Group Leader for information on how to accomplish this form.
• Accomplish this form legibly (in block letters), truthfully and completely, keeping in mind that this is a
legal document that will be used for your visa application.
File No: • Submit together with complete requirements as scheduled.

c F or E CY-NS YA o nly d
Origin/Setting (diocese, organization, school, community) Name of WYD2011 Group
CHECKLIST OF REQUIREMEN TS
A. PASSPORT DETAILS £ IFS (original)
Day Month Year
£ VIS (original and 2
photocopies)
1. Passport Number 2. Date of Issue 3. Date of Expiration 4. Place of Issue
£ PSP (2 photocopies of the
biopage, all stamped pages of
B. PERSONAL INFORMATION the passport valid until 01
£Fr £Mr £Br March 2012 or beyond, and
£Sr £Ms valid visas in expired
1. Title 2. Family Name 3. First Name 4. Middle Name 5. Nickname passport/s)
Day Month Year Place Country £ GRT (original and 1
photocopy)
£ ALN (2 photocopies)
6. Date of Birth 7. Place and Country of Birth 8. Current Nationality £ BCT (original and 1
photocopy)
£ ITN (original and 1
9. Civil Status 10. Email Address 11. Home Phone Number 12. Mobile Phone Number photocopy)
£ ERP (original and 1
photocopy)
13. Home Address £ FIN (original and 1
photocopy, or 2 photocopies)
C. CURRENT OCCUPATION (Please tick applicable box/es and provide details in the appropriate column/s.) £ TIC (2 photocopies)
£ Employed/Self-Employed £ Student £ ATL (original and 1
photocopy)
£ PIX recently taken, white
background (3 pieces)
1.1 Name of Employer/Business 2.1 Name of School
£ Visa Facilitation Fee
P1,800.00, OR#

Received by:
1.2 Address of Employer/Business 2.2 Address of School
NSYA Staff Date

1.3 Your Current Position 2.3 Your Current Course -----------------------------------------

SG LoC: £1£ 2£3£4

1.4 Period of Employment (Date Started – Current) 2.4 Year Level

NSYA Staff Date
-----------------------------------------
1.5 Character Reference – Work 2.5 Character Reference – School
AST1: £1£ 2£3£4

1.6 Character Reference’s Position 2.6 Character Reference’s Position Signature Date
-----------------------------------------

AST2: £1£ 2£3£4

1.7 Character Reference’s Contact No. 2.7 Character Reference’s Contact No.
Signature Date
D. CHURCH MINISTRY -----------------------------------------
£ Priest £ Nun £ Youth Minister £ Catechist £ Others, specify:
AVG: £1£ 2£3£4
1. Ministry Involvement

Signatures Date
-----------------------------------------
2. Name of Church, Institution, Community, Organization 3. Period of Involvement (Date Started – Current/Date Ended)
Visa Application Date:

Status: £ A £D

4. Complete address of Church, Institution, Community, Organization

5. Character Reference – Church Ministry 6. Character Reference’s Responsibility 7. Character Reference’s Contact No.
 E. WORLD YOUTH DAY DETAILS (Please tick applicable box/es.)
1. Please narrate briefly the reason/s why you wish to join the WYD2011. If space is not enough, use additional sheets.

2. Attendance to past World Youth Day International Celebrations (Provide name of the Group/Sub-Group which you joined.)
£ others before WYD95
£ 1995 Manila £ 2002 Toronto
£ 1997 Paris £ 2005 Cologne
£ 2000 Rome £ 2008 Sydney

3. Financial Resources : My cost of travel to Spain and participation in the WYD2011 are assured through:
£ My personal resources
£ Sponsorship (relatives, individual benefactors and personal friends):
£ Fund-raising, solicitation, and other similar activities; name of institution:
The person/s or institution/s you have listed will have to provide proofs of ability to support your trip. Please use additional sheets if space is not enough, i.e.
there is more than one person or institution that will help you raise funds.

F. FAMILY COMPOSITION

1. Father’s Full Name 2. Complete Address 3. Age 4. Occupation

5. Mother’s Full Name 6. Complete Address 7. Age 8. Occupation

9. If married, Full name of Spouse 10. Complete Address 11. Age 12. Occupation

Name/s of Sibling/s, if Single, or Child/ren, if Married

Write down the names according to age. Kindly use additional sheets if the space below is not enough.
Full Name Complete Address Civil Status Age Occupation
1.
2.
3.
4.
5.

G. RELATIVES AND/OR FRIENDS RESIDING IN ANY OF THE SCHENGEN STATES

List down the name/s of your relative/s and/or friend/s residing in any of the Schengen States: Austria, Belgium, Denmark, Finland, France, Germany, Greece, Iceland,
Italy, Luxembourg, Netherlands, Norway, Poland, Portugal, Spain, Sweden and Switzerland. Provide complete address/es and contact number/s. Use additional sheet/s
if the space below is not enough.
Full Name Complete Address Relationship to You Contact Number/s
1.
2.
3.

a. Do you plan to spend additional days with your relative/s and/or friend/s listed above after the WYD2011 in Madrid? £ Yes £ No
Do you plan to spend additional days in Spain or in any of the Schengen States after the WYD2011 in Madrid? £ Yes £ No
If you answered Yes to any of the questions above, please provide complete itinerary.

b. Have you visited any of the Schengen States? £ Yes £ No

If Yes, which Schengen State/s and in what year/s?

DECLARATION
I hereby state that all information contained here are true, correct and complete. I also allow the ECY to use these data for
transmission, as needed, to the Consulate of Spain in the Philippines and to all entities involved in the organization of the WYD2011.

Printed Name Signature Date Place