Subic-Clark Freeport Zone

SUBIC-CLARK FREEPORT ZONE

PHILIPPINES

Subic Bay Metropolitan Authority

(6347) 252-4257/Fax: (6347) 252-4203

Clark Development Corporation

(6345) 599-9000 local 647 or 599-2045

REQUEST/APPLICATION FOR SPECIAL SUBIC-CLARK INVESTOR’S VISA

Please check: PRINCIPAL

The undersigned hereby requests for issuance of a Special Subic-Clark Investor’s Visa (SS-CIV) with special multiple entry privileges and with exemptions from exit clearances certificates, re-entry permits and special return certificates pursuant to Memorandum of Agreement and Joint Memorandum No. 01-2009.

FIRST NAME MIDDLE NAME LAST NAME SIGNATURE

Age: ______Sex : ______Height: ______Weight: ______

Built: ______Race: ______Blood Type: ______

Eye Color: ______Hair Color: ______Complexion: ______

Philippine Address/Residence:

______Telephone No:______

Nationality ______Civil Status (Single, Married, Divorced, etc.) ______

Passport No. ______Issued at ______Issued on ______Valid until ______

Place of Birth______Date of Birth______Personal ID No. ______

Employing Locator/Company in Freeport Zone ______

Locators Address ______

______Position/s: ______

Occupation Code: ______Tel. No.: ______

Place of Assignment: ______

E-mail Address: ______Tel. No: ______

DEPENDENTS ACCOMPANYING THE PRINCIPAL IN THE PHILIPPINES

Name Age Sex Nationality

Spouse ______

Children ______

______

______

______

DOCUMENTARY REQUIREMENTS FOR INVESTOR’S VISA:

The following documents in support of these statements are submitted:

1.  Photocopy of passport with the latest arrival visa and updated visa;

2.  Certificate of inward remittance from the Manager of the applicant’s agent bank in the Philippines indicating that the foreign currency was converted to peso currency, rate of exchange and the date it was converted (should the applicant decide to seek assistance from the Bangko Sentral ng Pilipinas for the repatriation of his investment), otherwise; conversion to peso currency is not required;

3.  Written and sworn declaration that the investment shall be within the zone; (NOTARIZED)

4.  Certification of allocation issued by the President/Chairman of the SBF enterprise that it has allocated US$250,000.00 or its equivalent in other foreign currency to a foreign national assigned to render service to the said investor within the zone; (NOTARIZED)

5.  Alien Employment Permit (AEP) issued by the Department of Labor and Employment;

6.  Copy of SBF Certificate of Registration and Certificate of Tax Exemption;

7.  Results of Medical and Psychological Examinations or Medical Certification;

8.  Visa Endorsement fee of $50.00.

NOTE: All documents to be submitted should be filed in a folder.

For Visa Implementation fees & requirements, please inquire with the Bureau of Immigration (BI) Personnel at the same office.