2014年 13(Quota) フィリピンクオータ永住権 必要事項
GENERAL INSTRUCTION
To avoid summary dismissal/delay in the processing of your application/petition,
please be advised of the following:
1. This Consolidated General Application Form (CGAF) is written in the English language. Enter legibly all the information
required into the appropriate spaces on the form. If information required is not applicable with your application, please write
“N/A” therein. Do not leave any item blank. The Bureau will not act on application forms that are accomplished incorrectly. All
entries must be in CAPITAL LETTERS. Your answers must be in English and must use English characters only. Letters like
ñ, é, ü, and ç are not recognized by the system. For instance, please enter names like “Muñoz” and “Sémonin” as “Munoz”
and “Semonin”, respectively.
2. All sworn statements or affidavits must be duly notarized.
3. Documents executed outside the Philippines must be authenticated by the Philippine Embassy/Consular Officials of the
Philippine foreign service at the place of issuance or nearest to it, with English translation, if written in other foreign language.
4. The CGAF must be accomplished in duplicate [two (2) copies].
5. Required documents for visa application shall be attached on the right-hand side portion of the applicant’s folder while required
documents for ACR I-Card application on the left-hand side portion.
6. All documents required for submission must be arranged in the order as listed hereunder, otherwise your application or petition
cannot be processed immediately.
7. The original valid Passport of applicant must be submitted to the frontline officer of the Central Receiving Unit for scanning.
Thereafter it shall be returned.
– more at the back-
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CHECKLIST OF DOCUMENTARY REQUIREMENTS
FOR APPLICATIONS FOR CONVERSION TO QUOTA IMMIGRANT
(Section 13)
1. [ ] Request Letter statingthat all documents submitted were legally obtained from the corresponding
government agencies and that the applicant:
a. is in possession of a valid passport (or equivalent document) and visa the time he/she files his/her
application;
b. does not belong to any class of excludible or deportable foreign nationals enumerated under Sections 29
and 37 of the Philippine Immigration Act of 1940;
c. possesses the qualifications, skill, scientific, educational or technical knowledge which will advance and be
beneficial to the national interest of the Philippines or has sufficient capital for a viable and sustainable
investment in the Philippines;
2. [ ] Duly accomplished and notarized Consolidated General Application Form (BI form No. RADJR-2012-01);
3. [ ] Photocopy of the applicant’s Passport showing its biodata page, admission and authorized stay;
4. [ ] Proof of applicant’s special qualifications like academic degrees, awards, certificates of recognition, and
other documents attesting to applicant’s special qualifications, skills or knowledge, or proof of financial capacity
or investment, including but not limited to:
a. [ ] Bank certification of inward remittance amounting to at least US $50,000.00 or equivalent in other
foreign currency.
b. [ ] Documents evidencing ownership / purchase of a condominium. Condominium unit(s) acquired within
four (4) years prior to filing the Quota Immigrant Visa may be considered.
c. [ ] Documents showing ownership of or investment in an existing corporation, business, enterprise or
business concern. Shares of stock or other equivalent proof of ownershipin a corporation or concern
acquired within four (4) years prior of filing the application may be considered.
In cases (b) and (c) above, applicant shall show the proof that the amount he/she invested was inwardly
remittedor came from foreign sources.
5. [ ] Original copy of stamp issued by the Bureau of Quarantine appearing in applicant’s passport or travel
document, and a certification from a government health institution that applicant is physically and mentally fit;
6. [ ] Original copy of Bureau of Immigration (BI) Clearance Certificate;
7. [ ] Original copy of National Intelligence Coordinating Agency (NICA) Clearance;
8. [ ] Original copy of Clearance from the Law Enforcement Agency of the Applicant’s country of origin or
residence, provided, that this requirement may be waived if the applicant has stayed in the Philippines for more
than two (2) years; and
9. [ ] Original copy of National Bureau of Investigation (NBI) Clearance.
INSTRUCTIONS TO PROPERLY ACCOMPLISH THE CONSOLIDATED GENERAL APPLICATION FORM (CGAF)
(BI FORM RADJR-2012-01)
IMMIGRANT VISA APPLICANTS
I. APPLICATION INFORMATION
A. Nature of Application –
A. Nature of Application –
1. Conversion – Check the box beside “Conversion” if your application
is for a change of visa other than your existing visa. For example, from
Temporary Visitor’s Visa (TVV) to Quota Visa or Permanent Resident Visa.
2. Amendment – Check the box beside “Amendment” if your applica-
tion is for the change of the probationary status of your immigrant visa to
permanent status.
B. Type of Visa Application –
1. Immigrant Visa Applied For – Write the speci c type of immigrant
visa you are applying for conversion or amendment.
2. Present Immigration Status – Write the type of your current valid
visa.
3. Last Day of Authorized Stay – Write the expiration date or last day
of authorized stay of your current valid visa in month, day, year (MM-DD-
YYYY) format.
C. Photograph – Attached your 2” x 2” colored photograph with white
background using permanent glue in the photograph box. The photo-
graph must be taken within the last six (6) months to re ect your current
appearance. Scanned photographs are not allowed.
D. Method of Application –
1. Personal – Check the box beside “Personal” if you are personally
ling your application.
2. Authorized Representative – Check the box beside “Authorized
Representative” if you are ling your application through a BI-accredited
travel agency or law rm. If you are ling your application personally,
write “N/A” in the spaces in this portion.
a. Accreditation Number – Write the accreditation number assigned
by the BI to the accredited travel agency or law rm.
b. Name of Authorized Representative – Write the name of the
BI-accredited liaisono cer or employee of the travel agency or law rm
that shall transact with the BI for and in your behalf.
II. APPLICANT’S PERSONAL INFORMATION
A. Name of Applicant –
1. Last Name/Surname – Write your last name or surname as written in
your current valid passport.
2. First Name/Given Name – Write your rst name or given name as
written in your current valid passport.
3. Middle Name – Write your middle name, if any, as written in your
current valid passport. If you do not have a middle name, please write
“N/A” in the space provided.
4. Other Names/Aliases – Write your other names, alias or aliases, if
any, that you use or indicated in your other documents submitted in
support of your application.
B. Date of Birth – Write your date of birth in month, day, year (MM-DD-
YYYY) format.
C. Country of Birth – Write the country where you were born as
indicated in your current valid passport.
D. Citizenship/Nationality – Write the country where you are currently
a citizen or national.
E. Gender – Check the appropriate box, either “Male” or “Female”.
F. Height – Write your present height in centimeters (1 foot = 30.48
centimeters).
G. Weight – Write your present weight in kilograms (1 pound = 0.4535
kilograms).
H. Civil Status – Check the appropriate box beside your present applica-
ble civil status
I. Spouse/Wife/Husband – Write the Family Name/Surname, First
Name/Given Name and Middle Name of your wife or husband, as the
case may be. If you do not have, write “N/A” in the space provided.
J. Name of Children and Dates of Birth – Write the full name of your
children and their dates of birth in month, day, year (MM-DD-YYYY)
format. You may use additional sheets of paper if necessary. If you do not
have any, write “N/A” in the spaces provided.
K. Complete Address –
1. Philippine Address – Write your complete address in the Philip-
pines, indicating the house/building number, street, subdivision, baran-
gay, city or municipality, province and zip code.
2. Foreign Address – Write your complete address in your country of
residence abroad or nationality, indicating the house/building number,
street, subdivision, barangay, city or municipality, province and zip code.
3. Contact Number – Write your contact number in the Philippines,
either landline phone or mobile phone.
L. Character Reference in the Philippines – Write the full name of one
(1) person in the Philippines who knows you personally and can attest to
your character, with his/her complete address and contact number.
III. APPLICANT’S TRAVEL INFORMATION
A. Passport Number – Write the passport number as written in the
bio-page of your current valid passport.
B. Place of Issue – Write the city and country where your current valid
passport was issued.
C. Expiry Date/Valid Until – Write the expiration or “valid until” date
indicated in the bio-page or amendment page in your current valid
passport in month, day, year(MM-DD-YYYY) format.
D. Date of Last Arrival – Write the date of your latest arrival into the
Philippines as stamped in your passport in month, day, year (MM-DD-
YYYY) format.
E. Flight Number – Write the accurate ight number of your latest
arrival into the Philippines as stamped in your passport.
IV. PETITIONER’S INFORMATION
A. Name of Petitioner – Write the name of your petitioner. If no
petitioner is necessary for your application, write “N/A” in the space
provided.
B. Registered Address of Petitioner – Write your complete address in
the Philippines of your petitioner, indicating the house/building number,
street, subdivision, barangay, city or municipality, province, zip code and
contact number, if applicable, otherwise, write “N/A” in the space
provided.
V. ACR I- CARD
A. ACR Number – Write your ACR Number as written in your current
valid I-Card, if you have been already issued an ACR I-Card. If not, write
“N/A” in the space provided.
B. Issued Date – Write the date when your current valid ACR I-Card was
issued in month, day, year (MM-DD-YYYY) format.
C. Valid Until – Write the date until when your current ACR I-Card is
valid in month, day, year (MM-DD-YYYY) format.
D. Certi cate of Residence Number – Write your CRN as written in
your current valid ACR I-Card, if you have been already issued an ACR
I-Card. If not, write “N/A” in the space provided.
E. Are you planning to leave the country within 30 days upon
issuance of your ACR I-Card? – Check the box beside “YES” if your
answer is in the a rmative, other check the box beside “NO”.
VI. CERTIFICATION
A. Contents of the Certi cation – You must rst carefully read and
understand the statements stated in the Certi cation. In addition to the
summary denial of your application, you can be criminally prosecuted if
it is established that you knowingly made any false statement or
representation under oath in your CGAF, and upon conviction thereof,
you shall be ned or imprisoned, or both, as well as be subject to depor-
tation, upon completion of service of sentence, if you are a foreigner.
B. Signature and Date – You and your petitioner, if applicable, shall
a x your respective customary signatures in the space provided and
write the date when you accomplished and signed the CGAF.
C. Notarial Requirement – Your CGAF must be subscribed or sworn to
under oath before a Notary Public or an o cer duly authorized to admin-
ister oath.