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IRD-A-TAC-2016 Transfer, Amendment/Correction Application
BI application form for transfer, amendment/correction
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: BI FORM NO. IRD-A-TAC-2016
This document may be reproduced and is NOT FOR SALE
APPLICATION FOR TRANSFER, AMENDMENT/
CORRECTION/STAMPING
Last Name
Passport Number (Old)
First/Given Name
Passport Number (New)
Date of Birth [DD-MMM-YYYY e.g. 01 JAN 1990]
Latest Date of Arrival
Citizenship/Nationality
Status of Admission
Flight Number
Application: [please check]
BIBS No.
Residential/Registered Address in the Philippines
Cancellation of old passport
Loss of previous passport
Amendment/Correction
Failed to stamp (encoded)
Failed to stamp (not encoded)*
Contact Numbers in the Philippines
Landline
Mobile
Others
Email Address
*For failed to check
Reason (explain the absence of arrive/departure stamp):
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
_______________________________
Signature over PRINTED NAME of Applicant
or Authorized Representative
IRD STAMP/NOTATION
[DD-MMM-YYYY e.g. 01 JAN 1990]
NO DEROGATORY RECORD STAMP
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