Special Working Visa

TIEZA application form for special working visa

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TOURISM INFRASTRUCTURE AND ENTERPRISE ZONE AUTHORITY
8th Flr., 142 Amorsolo St., Legaspi Village, Makati City 1229
Website: www.tieza.com.ph
E – mail: tez.secretariat@gmail.com
Tel no.: (+632) 4639936 ; (+632) 5519556

Application no.______________

TIEZA WORKING VISA APPLICATION FORM

Attach your 2x2 colored photograph
with white background using
permanent glue in the permanent
photograph box.

DIRECTION:

1. Fill out the form properly and completely
2. Mark the box with “X” or “N/A” if not applicable. Do not leave any blank spaces
3. Write legibly on the application form
4. Application form with any erasure or alteration will not be accepted
5. Application form must be notarized upon submission
6. Requirements must be completely attached with the application form

The photograph must be taken within
the last three months from the date
of application.
A scanned photograph is not allowed.
A photograph of the applicant
wearing eyewear or headwear is not
acceptable

TYPE OF APPLICATION
_______ NEW

________ EXTENSION

METHOD OF APPLICATION
_______ PERSONAL

________ AUTHORIZED REPRESENTATIVE

*For application filed by an authorized representative
Name:
_________________________________________________________________________________________________________
Address:

_________________________________________________________________________________________________________

Contact Information:

Mobile/Landline:

______________________________

E-mail:

________________________________________

APPLICANT’S TRAVEL INFORMATION
NATIONALITY

PASSPORT NO.

DATE OF ISSUE (dd/mm/yyyy)

DATE OF EXPIRY (dd/mm/yyyy)

PLACE OF ISSUE
DATE OF LATEST ARRIVAL

CARRIER NUMBER

(dd/mm/yyyy)

PERSONAL INFORMATION
LAST NAME

FIRST NAME

ALIAS

DATE OF BIRTH (DD/MM/YYYY)

COUNTRY OF BIRTH

NATIONALITY

MAIDEN NAME
SEX

STATUS

HOME COUNTRY ADDRESS

PHILIPPINE ADDRESS
NAME OF TEZ OR RTE

AGE

HEIGHT (cm)

WEIGHT (kg)

CONTACT NO. (HOME COUNTRY)
E-MAIL ADDRESS

DESIGNATION/REGISTRATION NO.

CONTACT NO.

(PHILIPPINES)

ALIEN EMPLOYMENT NO.

Last three years of residence
Period of Stay (mm/yyyy-mm/yyyy)
1.____________________________

Address
_____________________________________

______

2.____________________________

_____________________________________

______

3.____________________________

____________________________________

______________

FOR VISA EXTENSION
DATE OF VISA ISSUANCE (dd/mm/yyyy)

DATE OF VISA EXPIRY (dd/mm/yyyy)

NO. OF MONTHS REQUESTED FOR EXTENSION

I hereby certify that these are true and correct statements including those of my spouse and unmarried children below eighteen (18) years of age
living in my household to the best of my knowledge.
____________________________________
Applicant’s Signature over Printed Name

______________________
Date

SUBSCRIBED AND SWORN to before me this _______ day of ___________, affiant exhibiting to me his/her government issued identification card.
Doc. No ________
Page No. _______
Series No. ______
Book No. _______

Notary Public

Application and Documents Reviewed by:
_________________________
Name of Verifier

________________________
Signature

___________________
Date

Comments / Remarks:
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________

REQUIREMENTS FOR SPECIAL WORKING VISA

1.
2.
3.
4.
5.
6.
7.
8.
9.

Duly accomplished and notarized TIEZA SWV Application Form
Curriculum Vitae / Resume
12 pcs 2 x 2 ID picture with blue background
Passport and Photocopy of Passport with latest arrival
Birth Certificate Birth Certificate duly authenticated by the Philippine Embassy
Alien Employment Permit from DOLE (AEP or SWP from BI whichever is applicable)
Certification of Employment of the Applicant issued by the President, Chairman of the company
that the applicant is an employee of a TIEZA Designated TEZ or Registered Tourism Enterprise
NBI Clearance or Police Clearance
Medical Certification that the applicant is in good medical and psychological condition or results
of medical and psychological examinations (psychological examination is not required for
dependent children below 18 years old)by Philippine government accredited hospital / clinic or by a
private hospital duly notarized