Dear all,

Please use the sample as your guide and follow the help tips to fill-in the mandatory fields with asterisk (*)

Please have the following documents

at hand before starting the on-line
application: 1. Passport
2. Contract

Select English
language for your
application form
HELP TIPS in completing the mandatory
fields*

Personal Details

❖ Family name: as per passport

❖ Name at birth: Middle name as per passport

❖ First name: as per passport

❖ Entering dates: please enter dates in the field

w/ the following format: dd.mm.yyyy

❖ Place of birth: copy from the passport

❖ Marital Status: for married please complete the

spouse/dependent’s details
please complete the
date (dd.mm.yyyy)

NO NEED TO BE FILLED

NO NEED TO BE FILLED

Do no enter special characters ( e.g.: period (.)

or comma (,) in these fields.

❖ Place of birth: enter the city or province only

❖ Entering dates: please enter dates in the field w/

the following format: dd.mm.yyyy

❖ Place of residence: enter the city or province only

❖ Family name of mother: married name of mother

❖ If parent/s are DECEASED: enter DECEASED in

the field of place of residence

❖ If parent/s are UNKNOWN: enter UNKNOWN in

the field of parent/s details

Occupation

❖ Occupation learned: Medical/paramedical

profession

❖ Further information where applicable: NURSE

NO NEED TO BE FILLED NO NEED TO BE FILLED
 Current address and contact details

Do no enter special characters ( e.g.: period (.)

or comma (,) in these fields.
NO NEED TO BE FILLED

❖ House number: if not available, enter NA

❖ Town/City: enter the city or province only

❖ Tel/Mobile number: enter your valid contact

number

❖ Email: enter your valid email address, you can

enter special character such as @ _
DO NOT TICK

Identification papers

❖ Type of travel document: Ordinary Passport or

Passport

❖ Travel document number: copy your passport no.

❖ Date of Issue: copy the details from the passport

❖ Valid until: copy the details from the passport

❖ Issued by: DFA

❖ Issued in: copy the details from the passport,

enter the branch/office only of DFA

Travel data and purpose

❖ Purpose of stay in the Federal Republic of Germany:

Employment

❖ If applicable, intended employment: Refer to

contract and copy as per “designation of activity”
as illustrated below

DO NOT TICK

Add 15 days on the visa Deduct 1 day from the date

appointment date and enter the following year
(Ex: Visa Appointment date is which is 2021
03.03.2020 + 15 days = 18.03.2020
 Reference
Do no enter special characters ( . , ß ö ü ä)
Replace letters: ss for β; oe for ö ; ue for ü; ae for ä

❖ Type of referemce: Educational establishment/company/organization

❖ Name of the educational establishment, company or organization: copy the
details from the contract
❖ Organization place of business, town/city: copy the details from the contract
❖ Organization’s place of business, country: Germany or Deutschland
❖ Organization’s objectives/area of activity: Medicine
❖ Family name of contact person: copy the details from the contract
❖ First name of contact person: copy the details from the contract
❖ Street: copy the details from the contract or pre-approval
❖ House number: copy the details from the contract or pre-approval
❖ Postal code: copy the details from the contract or pre-approval
❖ Town/city: copy the details from the contract or pre-approval
NO NEED TO BE FILLED NO NEED TO BE FILLED NO NEED TO BE FILLED ❖ Telephone/mobile number: copy the details from the contract
❖ Email: Copy the details from the contract, this is the employer’s email
address, you can enter special character such as @ _

NO NEED TO BE FILLED NO NEED TO BE FILLED NO NEED TO BE FILLED

Street

Post code
House number
Town/city

Employer’s Representative, contact

number and email

Means of support and details regarding stay

❖ What are means of support in the Federal Republic of Germany? Employment

❖ Has a formal declaration of commitment been completed? NO

❖ How will you be accommodated? Refer to contract if Single room or Shared

Enter the address

of the employer

❖ Do you have health insurance (for longer stay) for the Federal Republic of
Refer to contract if Enter city/province only Germany? YES
single room or shared & enter PHILIPIINES

Tick YES
 DO NOT TICK

In order to print your visa application, press the button and open the generated PDF file

Printing includes (total of 7 pages):

❖ the application form (please remember to sign this form)

Place/Date: Makati City, Date of Visa Appointment

❖ Instruction according to Section 54 (2) 8 in conjunction with Section 53 of the Residence Act
please sign the instruction

Place/Date: Makati City, Date of Visa Appointment

❖ Barcodes with your VIDEX-encrypted data