Note: Please accomplish this form in block letters Philippine Embassy
  Strasse?
  Bonn/Berlin, Germany

CERTIFICATE OF REGISTRATION AND IDENTITY

NAME:_______________________________________________________

Last Name First Name Middle Name

CIVIL STATUS: _________ SEX _____________

 

 

DATE OF BIRTH : ____________________ PASSPORT NO.: ________________________

PLACE OF BIRTH: ____________________ DATE ISSUED : ________________________

____________________ PLACE ISSUED : ________________________

HEIGHT:__________ COLOR OF EYES __________________

DISTINGUISHING MARKS ON FACE (If any) _____________________________

PHILIPPINE ADDRESS: FOREIGN ADDRESS:

_________________________________ _________________________________

_________________________________ _________________________________

Telephone No. _____________________ Telephone No. _____________________

BENEFICIARY _____________________________________________

Address _____________________________________________

_____________________________________________

Telephone No. _______________________

DATE OF ARRIVAL IN GERMANY: _____________________________________

AGENCY: EMPLOYER

(Name of Travel/Recruitment Agency responsible (Name of the Employer of the Registrant

for the registrant’s travel abroad, if applicable) abroad, if applicable)

________________________________ _________________________________

________________________________ _________________________________

________________________________ _________________________________

NATURE OF EMPLOYMENT: ___________________________________________

 

____________________________

Signature of Applicant

For official use only:

OFCODE NO.: ______________

CRI CARD NO.:BN__________

DATE ISSUED: _____________

Requirements: 1. Personal appearance

      1. Original passport and photocopies of first two pages
      2. Two passport-size photos