epublic of Philippines
BUREAU OF IMMIGRATION

DISEMBARKATION CARD
(For Arriving Passengers)

 
여기는 적을 필요 없음

SURNAME/FAMILY NAME                      FIRST NAME                                       MIDDLE NAME
          Hong                                               Gildong

1.□ MALE (남자)                           BIRTHDAY (MM/DD/YY) 
2.□ FEMALE (여자)                                 05/21/1976

COUNTRY OF BIRTH
(출생지) KOREA

CITIZENSHIP (시민권)
KOREAN

OCCUPATION (직업)
STUDENT

ADDRESS ABROAD (NO.STREET.TOWNCITY.STATECOUNTRY. ZIP CODE)
(한국주소)    

ADDRESS IN THE PHILIPPINES (NO.STREET.TOWNCITY.PROVINCE)
(필리핀 현지주소)  마닐라- Manila Hotel / 세부- Waterfront Hotel

PASSPORT NUMBER
(여권번호)

PLACE OF ISSUE
(여권 발행지)
PUSAN, KOREA

DATE OF ISSUE(MM/DD/YY)
(여권발행일) 
02/25/1999

MAIN PURPOSE OF TRAVEL (CHECK APPROPRIATE BOX) (방문목적)

1.□ HOLIDAY (PLEASURE)           3.□ CONVENTION     5.□ OTHERS
2.□ VISIT FRIENDS/RELATIVES     4.□ BUSINESS    

NUMBER OF VISITS TO PHILIPPINES  (방문회수)
□1               □2          □3

TRAVELING PACKAGE TOUR?(패키지 관광여부)
1□ YES     2□ NO

SIGNATURE OF PASSENGER
본인 사인

AIRPORT OF ORIGN(출발지 공항)

FLIGHT NO. (편명)
PR 417

이 이하는 적을 필요 없음
FOR PHILIPPINE OVERSEAS CONTRACT WORKERS/ BALIKBAYAU USE ONLY

OCW  ID NO.

REASONS FOR RETURNING TO RP.
1. □ CONTRACT TERMINATED
2. □ VACATION/ ONLEAVE
3. □ HEALTH
4. □ OTHER'S (SPECIFY)

DATA OF LAST DEPARTURE
                        (MM/DD/YY)

WARNING

DEATH TO DRUG TRAFFICKERS
UNDER PHILIPPINE LAW (RA 7659)