Philippine - Based Filipino Emigrant Registration Form

CFO registration form for Filipino emigrant

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INFORMATION SHEET FOR FILIPINO EMIGRANTS

PHOTO

INSTRUCTIONS : Please PRINT letters in the spaces provided.

Please CHECK ( ) appropriate box(es).

(FOR CFO USE ONLY)
CFO No. / Emigrant No.
OR #
GCC Form #
Issue Date [ mm-dd-yyyy ]
Category
Reg. Date [ mm-dd-yyyy ]
Verifier

PERSONAL DATA
Last Name

Suffix

First Name
Middle Name
If married, please state mother's maiden name
DATE OF BIRTH [ mm-dd-yyyy ]

AGE

SEX
Male

CIVIL STATUS
Female

Divorced

Single

Married

Widow(er)

Separated

PLACE OF BIRTH

Outside of the Philippines

Town / City
Province
ADDRESS & CONTACT NUMBERS IN THE PHILIPPINES
House No. / Street / Barangay
Town / City
Province
Telephone Number

Zip Code
Cellphone Number

E-mail Address
ADDRESS & CONTACT NUMBERS (Country of Destination)
House No. / Street
City / State
Country
Telephone Number

Zip Code
Cellphone Number

PASSPORT NUMBER

DATE OF ISSUE [ mm-dd-yyyy ]

VISA NUMBER

DATE OF ISSUE [ mm-dd-yyyy ]

Revised as of January 2008

THIS FORM IS NOT FOR SALE

HIGHEST EDUCATIONAL ATTAINMENT
Elementary Level

Vocational Level

Post Graduate Level

Not of schooling age

Elementary Graduate

Vocational Graduate

Post Graduate

( Below 7 yrs old )

High School Level

College Level

No Formal Education

High School Graduate

College Graduate

Others

If vocational / college / post graduate, state course

ECONOMIC STATUS

Employed

Self-employed

Unemployed

If employed / self-employed, state profession / occupation / business

If unemployed, check appropriate box
Housewife

Student

Retiree

Out-of-school youth

Minor (Below 7 yrs old)

Not reporting any occupation

DATA OF NEAREST FAMILY MEMBER IN THE PHILIPPINES
Last Name

Suffix

First Name
Middle Name

Relationship

House No. / Street / Barangay
Town / City
Province
Telephone Number

Zip Code
Cellphone Number

E-mail Address

PETITIONER'S DATA
Last Name

Suffix

First Name
Middle Name

Relationship

Age

ADDRESS & CONTACT NUMBERS ABROAD
House No. / Street
City / State
Country
Zip Code

E-mail Address

Telephone Number

Cellphone Number

CITIZENSHIP

YEAR OF MIGRATION [ yyyy ]

OCCUPATION

CERTIFICATION
I hereby certify under penalty of law to the truth and correctness of
the statement and that this form was accomplished by me
personally or under my personal direction.

SIGNATURE ABOVE PRINTED NAME

Revised as of January 2008

THIS FORM IS NOT FOR SALE