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SPECIAL RESIDENT RETIREE'S VISA APPLICATION
(Form PRA-RSC-2007-001)


* Required Fields.

Principal Spouse Dependent below 21

Without Pension With Pension

The Philippines Outside the Philippines

Email *
Password *
Confirm Password *

Last Name *
First Name *
Middle Name
Citizenship *
Alias (Also Known As)
Home Country *
Address in Home Country (No Post Office Box or Hotel please) *
Telephone *
Mobile
Fax
Gender *
Male Female
Date of Birth *
Place of Birth *
Religion
Civil Status *
Single Married Separated Widow
Height (in cm)
Weight (in kg)
Name of Spouse (Last, First Middle)
Spouse SRRV Application No.

Passport Number *
Place of Issue *
Date of Issue *
Expiration Date *

Contact Information in the Philippines

Address in the PHILIPPINES (No Post Office Box or Hotel please)
Telephone
Mobile
Fax

Please write NA if not applicable

Degrees Obtained

Undergraduate *

School *
Post Graduate

School

Present or Former Occupation or Business *
Field of Expertise *

Last, First, Middle Name of Children below 21 years old SRRV Application No.

Add more child

1.

1.


1.Have set up 2.Plan to set up 3.None
Company Name
Address
Capital Investment (in US$ )
% of Ownership

Products or Services

Upload Picture in .jpg or .gif only (Passport size photo taken not more than 6 mos. ago.) *
PRA Head Office
29/F Citibank Tower, Paseo de Roxas, Makati City, 1227 Philippines

:
Required Documents

Original documents must be presented to PRA office upon arrival to the Philippines. All applicants below 35 years old shall not be accepted.

  1. Passport
  2. Marriage Contract (Below are alternative requirements in lieu of the Marriage Certificate)
    • Family Register/Domicile (for Koreans & Japanese)
    • Household Register (for Taiwanese)
    • Certificate of Relationship (for P.R.O.C. Chinese)
    • Koseki Tohon (for Japanese)
    • Birth certificate for minor child.
  3. Medical Examination Clearance duly authenticated by the Philippine Embassy or Consular Office (If secured abroad, with English translation)
  4. Police Clearance secured from the country of origin, duly authenticated by the Philippine Embassy or Consular Office (with English translation)
  5. Proof of Dollar Remittance to any PRA Accredited Banks
  6. For those who selected the "With Pension" option, Certification of Retirement Benefits issued by the concerned government and/or private entity authenticated by the Philippine Embassy or Consular Office is needed.