| 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