Anda di halaman 1dari 3

APPLICATION FOR CITIZENSHIP RETENTION AND RE-ACQUISITION AND

ISSUANCE OF IDENTIFICATION CERTIFICATE under REPUBLIC ACT NO. 9225




REQUIREMENTS:
Duly accomplished application form, with one photocopy
Original and photocopy of Birth Certificate in National Statistics Office (NSO) Security Paper
Original and photocopy of Marriage Certificate (for married female applicant)
Two (2) recent passport-size photographs (colored)
Fee of 50 per applicant (for applications by mail, payment shall be in the form of Mandat
Cash payable to Ambassade des Philippines) and additional fee for Derivative Citizenship for
qualified dependents (see below)
Original and photocopy (data page) of foreign passport
Original and photocopy (back and front) of Identity Card (Carte dIdentit)
Original and photocopy of Certificate of Naturalization or other documents to prove
naturalization in a foreign country with official English translation
Original and photocopy (data page and last page) of recent Philippine passport
Foreign Documents should have official English translations

DEPENDENTS FOR DERIVATIVE CITIZENSHIP
Original and photocopy of foreign passport
Original and photocopy of Birth Certificate (or Acte de Naissance Copie Integrale for those
born in France)
One (1) recent passport-size photograph (colored) for each qualified dependent
Fee of 25 for each qualified dependent child

BI-REGISTERED APPLICANTS
Original and photocopy of Alien Certificate of Registration (ACR)
Original and photocopy of Immigrant Certificate of Residence (ICR) or Certificate of
Residence for Temporary Visitors (CRTV)

INSTRUCTIONS
Application form must be duly accomplished, signed, and photocopied. Incomplete
information on the application form may cause delay/inaction in the processing of
application.
All requirements should be submitted with the duly accomplished application form. All your
original documents will be returned to you as soon as verified by the processor.
If the documents are complete and satisfactory, the applicant will be informed of the
schedule for taking the Oath of Allegiance, in which personal appearance is required.
After taking your Oath, you will be given the original Order approving your application,
your Identification Certificate, and your signed Oath of Allegiance. As you will be given
only one copy, it is advised that you keep these documents safely.
Passport applications are processed and paid for separately and may take one to
two months to issue.








EMBASSY OF THE PHILIPPINES Tel No. +331.44.14.57.00
4 Hameau de Boulainvilliers Fax No. +331.46.47.56.00
75016 Paris, France E-mail: ambaphilparis@wanadoo.fr

VERIFIED PETITION FOR CITIZENSHIP RETENTION AND RE-ACQUISITION AND
ISSUANCE OF IDENTIFICATION CERTIFICATE under REPUBLIC ACT NO. 9225





Passport-size photo


COLORED background taken
within the last six (6) months,
without eyeglasses, clearly
showing the full front view of the
face of the applicant

Please paste



Passport-size photo


COLORED background taken
within the last six (6) months,
without eyeglasses, clearly
showing the full front view of the
face of the applicant

Please paste



Before accomplishing this Form, please read carefully and follow the instructions. Print all information legibly
and avoid erasures. Do not leave any space blank. Indicate N/A if not applicable. Mark appropriate boxes with an
X.


I, ____________________________________, of legal age, a/an ________________________citizen and a
resident of __________________________________________________________, after having been duly
sworn to in accordance with law, hereby declare under oath the following:

I. PERSONAL INFORMATION:
Date of Birth (dd-mm-yyyy): __________________________ 3. Place of Birth: ______________________________
Civil Status: 5. Gender:
Single Married Male
Widow/er Divorced Female
Others
Present Occupation : __________________________________________________________________________________
Complete Address in the Philippines: (house no., street, town or city, zip code) ___________________________________
______________________________________________________________________________________________
Complete Mailing Address : ____________________________________________________________________________
Home Telephone No: _________________________________ Work/Mobile Phone No: ___________________________
E-mail Address/Fax No: ________________________________________________________________________________
Name of Spouse : __________________________________________ Nationality of Spouse ________________________
Name of Applicants Father: _____________________________________ Birthdate (dd-mm-yyyy): __________________
Fathers Citizenship at the time of applicants birth: __________________________________________________________
Name of Applicants Mother: ____________________________________ Birthdate (dd-mm-yyyy): ___________________
Mothers Citizenship at the time of applicants birth: _________________________________________________________

I am a former natural-born Philippine Citizen and the following is my current immigration status:

II. IMMIGRATION STATUS
Current Foreign Citizenship : ____________________________________________________________________________
Mode of Acquisition of Foreign Citizenship : ________________________________________________________________
Date of Acquisition of Foreign Citizenship: _________________________________________________________________
Foreign Passport No.: __________________________________________________________________________________
Place Issued : _____________________________________ Date Issued (dd-mm-yyyy): ___________________________
Previous Philippine Passport no.: _________________________________________________________________________
Place of Issue :_____________________________________ Date of Issue (dd-mm-yyyy):__________________________


III. DERIVATIVE CITIZNSHIP
NAME, PLACE AND DATE OF BIRTH OF UNMARRIED CHILDREN BELOW 18 INCLUDED AS DEPENDENTS
IN THIS PETITION:

Name Place of Birth Date of Birth
1 ________________________________ ______________________________ _____________________
2 ________________________________ ______________________________ _____________________
3 ________________________________ ______________________________ _____________________
4 ________________________________ ______________________________ _____________________



One Passport-size photo


COLORED background taken
within last six (6) months,
without eyeglasses, clearly
showing the full front view of the
face of dependent child no. 1

Please paste



One Passport-size photo


COLORED background taken
within last six (6) months,
without eyeglasses, clearly
showing the full front view of the
face of dependent child no. 2

Please paste


One Passport-size photo


COLORED background taken
within last six (6) months,
without eyeglasses, clearly
showing the full front view of the
face of dependent child no. 3

Please paste


One Passport-size photo


COLORED background taken
within last six (6) months,
without eyeglasses, clearly
showing the full front view of the
face of dependent child no. 4

Please paste

Name: Name: Name: Name:

I am freely and voluntarily filing this petition to re-acquire/retain my Philippine Citizenship, knowing fully well its
concomitant rights and obligations.

This Petition with the Bureau is being filed in accordance with Republic Act No. 9225 and its implementing rules and
regulations.


CERTIFICATION

I hereby certify under oath that all the information in this general application form composing of two pages
including the page on which this Certification is written are true and correct information about myself as an applicant.
I further warrant that I have complied with all the requirements with respect to my application and that I submitted
duly certified copies of documents issued under the official seal of the officer having legal custody of their originals in
the Philippines and foreign documents duly authenticated by the consular/embassy official in the foreign service of the
Philippines in the foreign country, in compliance with the requirements of the Bureau of Immigration. I understand
that my application will not be processed by the Bureau if it finds any statement herein to be false, if any document
submitted is found to have been falsified, or if I fail to comply with any of the requirements of the Bureau of
Immigration with respect to my application / petition without prejudice to whatever action (s) the Bureau of
Immigration shall take in accordance with applicable laws of the Republic of the Philippines.


Date executed : ______________________________

Place executed : _____________________________



__________________________________________
(Applicants Signature over Printed Name)