application for special clark investor's visa - Clark Freeport Zone
application for special clark investor's visa - Clark Freeport Zone application for special clark investor's visa - Clark Freeport Zone
Clark Development CorporationCUSTOMER SERVICEDEPARTMENTClark Special Economic ZoneClark Field, Pampanga(045) 599-9000 local 641 to 644(045) 599-20452x2colored pictureAPPLICATION FOR SPECIAL CLARK INVESTOR’S VISA (SCIV)Please check: PRINCIPAL DEPENDENTNew ApplicationRenewal/ExtensionNameFirst Name Middle Initial Last NameAge Sex (please check): Male FemalePermanent Address/Telephone No.Philippine Address(Residence)NationalityBirthplaceBirthdatePassport No.Issued OnCivil Status (Single, Married, etc.)Issued atValid UntilName of Locator/Company in Clark SpecialEconomic Zone, Philippines (CSEZ)AddressFirst time in the Philippines? Yes NoIf no, please provide information on yourentry into the Philippines before:Date Kind of Visa Length of StayArrival Date : Departure Date :Kind of Visa : Expiration Date :Have you ever been deported from the Philippines before? Yes NoIf yes, why?Date of returnPort of Arrival
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<strong>Clark</strong> Development CorporationCUSTOMER SERVICEDEPARTMENT<strong>Clark</strong> Special Economic <strong>Zone</strong><strong>Clark</strong> Field, Pampanga(045) 599-9000 local 641 to 644(045) 599-20452x2colored pictureAPPLICATION FOR SPECIAL CLARK INVESTOR’S VISA (SCIV)Please check: PRINCIPAL DEPENDENTNew ApplicationRenewal/ExtensionNameFirst Name Middle Initial Last NameAge Sex (please check): Male FemalePermanent Address/Telephone No.Philippine Address(Residence)NationalityBirthplaceBirthdatePassport No.Issued OnCivil Status (Single, Married, etc.)Issued atValid UntilName of Locator/Company in <strong>Clark</strong> SpecialEconomic <strong>Zone</strong>, Philippines (CSEZ)AddressFirst time in the Philippines? Yes NoIf no, please provide in<strong>for</strong>mation on yourentry into the Philippines be<strong>for</strong>e:Date Kind of Visa Length of StayArrival Date : Departure Date :Kind of Visa : Expiration Date :Have you ever been deported from the Philippines be<strong>for</strong>e? Yes NoIf yes, why?Date of returnPort of Arrival
<strong>Clark</strong> Development CorporationCUSTOMER SERVICEDEPARTMENT<strong>Clark</strong> Special Economic <strong>Zone</strong><strong>Clark</strong> Field, Pampanga(045) 599-9000 local 641 to 644(045) 599-20452x2colored pictureAPPLICATION FOR SPECIAL CLARK WORKING VISA (SCWV)Please check: PRINCIPAL DEPENDENTNew ApplicationRenewal/ExtensionNameFirst Name Middle Initial Last NameAge Sex (please check): Male FemalePermanent Address/Telephone No.Philippine Address(Residence)NationalityBirthplaceBirthdatePassport No.Issued OnCivil Status (Single, Married, etc.)Issued atValid UntilEmploying Company Abroad, if anyCompany AddressTelephone/Fax No.Position/FunctionEmploying Locator/Company in <strong>Clark</strong> SpecialEconomic <strong>Zone</strong>, PhilippinesLocator’s AddressTelephone/Fax No.Position/FunctionLength of time of employment/stay in the PhilippinesCompensation/Salary to be received (in US$ or Peso)First time in the Philippines? Yes NoIf no, please provide in<strong>for</strong>mation on your previous entry into the Philippines:Date Kind of Visa Length of StayHave you ever been deported from the Philippines be<strong>for</strong>e? Yes NoIf yes, why?Arrival DatePort of ArrivalKind of VisaDepartureVessel NameExpiration Date
<strong>Clark</strong> Development CorporationCUSTOMER SERVICE DEPARTMENT<strong>Clark</strong> Special Economic <strong>Zone</strong><strong>Clark</strong> Field, Pampanga(045) 599-9000 local 641 to 644, (045) 599-2045APPLICATION FOR SPECIAL CLARK WORKING VISA (SCWV)DEPENDENTS ACCOMPANYING THE PRINCIPAL IN THE PHILIPPINESName Age Sex NationalitySpouseChildrenFOR NEW APPLICATION, the following documents [original] in support of these statements are submitted:a) Letter request to CDC-CSD (include names of accompanying dependents, if any)b) Passportb) Contract of Employment entered into by locator <strong>for</strong> applicant’s services;c) Alien Employment Permit (AEP) issued by the Department of Labor and Employment Region III;d) Affidavit of Support/Guarantee executed by an authorized officer of the locator;e) National Bureau of Investigation Clearance ;f) Copy of Passport with the latest arrival <strong>visa</strong> and updated <strong>visa</strong>, if any;g) Certificate of Registration issued by CDCh) Permit to Operate issued by CDCg) Application and Visa processing feesRequirements <strong>for</strong> dependents accompanying the SCWV applicantb) Birth and/or Marriage Certificates <strong>for</strong> dependents and/or spouse;c) NBI Clearance <strong>for</strong> dependents who are 18 yrs old and above;FOR RENEWAL/EXTENSION, the following documents [original] are submitted in compliance with therequirements:a) Letter request <strong>for</strong> renewal/extension to CDC-CSDb) Extended Contract of Employmentb) Extended Alien Employment Permitc) Copy of Passport with latest arrival <strong>visa</strong> and updated <strong>visa</strong>, if anye) Affidavit of Support/Guarantee executed by a authorized officer of the locatorf) Application and Visa Processing Feej) Permit to Operate issued by CDCA fee of US$_____________ or its Peso equivalent at current exchange rates will be charged upon issuance of <strong>visa</strong>Children of applicant 18 years of age and above shall file separate <strong>application</strong>s .A notarial fee <strong>for</strong> each SCWV certificate is imposed.CDC reserves the right to impose additional requirements it deems necessary to process this <strong>application</strong>Date of ApplicationApplicant’s Signature over Printed NameSubscribed and sworn to be<strong>for</strong>e me this ______ day of ________________, ________, affiant exhibiting to mehis/her passport no. _________________________ issued at__________________________________________________________ on ___________________________.
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