DSWD（社会福祉開発省）出国許可申請書の書式
申請書の書式は変更される場合があり、内容の確認のみ使用して下さい。以下の書式を使用した場合に発生じた、いかなる損害、トラブルに関しまして一切の責任を負いかねますのでご了承いただき、ご自身の責任の下ご利用して下さい。
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT TRAVEL CLEARANCE UNIT 389 San Rafael Street, corner Legarda, Manila 734 - 86 - 357 APPLICATION FOR CERTIFICATE OF TRAVEL ABROAD FOR MINORS Name of Minor/s :______________________________________________________ Sex________ Age :______ Date & Place of Birth____________________________________________________ Address : ________________________________________________________________________ Phone No . ______________________________ (Abroad) Phone No . ______________________________ Status of Birth : Legitimate ________________________________ Illegitimate ______________ If adopted or under legal guardianship, please in icate ___________________________________ Special Proceedings No . ____________________________________________________________ Natural Parents : Father-________________________________ Age _______ Occupation _________ Address-________________________________________________________________ Mother-________________________________ Age _______ Occupation _________ Address-________________________________________________________________ Family Income-________________________________________________________________ Other Assets-________________________________________________________________ Travellling Companion:______________________________ Relationship ___________________ Address-________________________________________________________________ Sponsor:_______________________________________________________________________ Address-_______________________________________________________________ Relationship-_______________________________________________________________ Destination:_____________________________________________________________________ Length of Travel (Inclusive Dates) ____________________________________________________ Reason/s for Travel Abroad (include reasons for bringing minor : __________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Reasons why parents of legal guardian cannot accompany minor : _____________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Where dose minor intend to stay during his/her travel and with whom. (please indicate names, complete address and phone number) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ _______________________________ Signature of Applicant |
