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PHILIPPINE RETIREMENT AUTHORITY
This form is to be filled-out by SRRV retiree-members who are requesting to be exempted from the Travel Ban and be allowed entry to the Philippines (per IATF Resolution No 98, S. 2021 dated 04 February 2021)
* Indicates required question
Name (shown in Passport Bio-page)
Your answer
Nationality
Your answer
SRRV Status
Principal
Dependent (Spouse)
Dependent (Child)
SRRV No.
*
Your answer
PRA ID Validity
Your answer
Passport No.
*
Your answer
Passport Validity
*
MM
/
DD
/
YYYY
Reason/s for return to the Philippines
Your answer
Current Location Outside the Philippines
*
Your answer
Permanent Address in the Philippines
Your answer
Contact Information
Your answer
Representative Complete ( Name, Company, Email, Contact Numbers)
Your answer
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