Saturday, 19 April 2014 Brussels Belgium


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Medical Examination Form

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advancedDefinition of a Foreign Tourist (Temporary Visitor)


A "foreign tourist" is defined as a person without distinction as to race, gender, language or religion, who is proceeding o the Philippines for a legitimate, nonimmigrant purpose such as sightseeing, sports, health, family reasons, training or study (excluding enrolment in schools for the purpose of obtaining a title or degree), religious pilgrimage, business, cultural and scientific purposes.


exclamationImportant note

Nationals who are subjects of deportation/blacklist orders of the Department and the Bureau of Immigration shall not be admitted to the Philippines. Further inquiries may be addressed to the Visa Division (Telephone numbers: 834-4854, 834-3707, and 834-4810), Department of Foreign Affairs, 2330 Roxas Boulevard, Pasay City or to any Philippine Embassy or Consulate abroad.


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(Former Filipino National, Spouse and Dependents)

  1. Application form (FA Form No.3 -duly filled-out) Click here to download FA Form No. 3
  2. Proof of former Philippine citizenship such as:  1) Certified/Authenticated Copy of Certificate of Birth; and 2) Copy of old Philippine Passport
  3. Proof of how the Belgian citizenship or other foreign citizenship was acquired (i.e. register or certificate of marriage - if married to a Belgian or other foreign national; adoption papers - if applicant was adopted; etc.)
  4. Certificate of Good Moral Conduct
  5. Certificate of Nationality
  6. Medical Examination Form (FA Form No. 11) - (duly filled-out and signed by a General Medical Practitioner Click here to download FA Form No. 11
  7. Laboratory Results and Analysis duly signed and attested by the General Medical Practitioner (Note:  every page of the medical examination results should bear the stamp and signature of the authorized medical practitioner)
  8. Certification from the doctor for medical clearance against AIDS Virus
  9. Evidence of financial assets (e.g. certificate of land titles, bank account records, etc.)
  10. Authenticated copy of marriage contract (if married in the Philippines, document should have been authenticated by the National Statistics Office and Department of Foreign Affairs in Manila, Philippines)
  11. Photocopy of plane ticket or a confirmed booking from a travel agency
  12. Photocopy of applicants Belgian/Luxembourgish Identification card
  13. Photocopy of passport
  14. For dependent applicants, copy of parent's marriage certificate and other documents cited in item nos. 2 and 3 should also submitted.



a.    All required foreign documents that will be submitted to the Philippine Embassy (Consular Section) should be written in English and duly authenticated/legalized by the Ministry of Foreign Affairs of Belgium/Luxembourg.  Thus, if the documents secured by the applicants from their respective municipalities/cities are written in French, Dutch or other foreign language text, an official English translation should likewise be secured.

b.    Other requirements not listed on the above list might be required for submission, if warranted.

c.    Applicants are required to submit three (3) set of application forms (together with the original copy of all corresponding documents required), as cited above.

* In most cases, the Foreign Ministry requires an authentication by its Justice Ministry before it authenticates a document.


Philippine Embassy in Brussels


297 Avenue Moliere, 1050 Brussels

E-mail: [email protected]

E-mail: [email protected]


Trunkline: (+32) 02 340 33 77 to 78
Fax Number: (+32) 02 345 64 25

Consular matters: (+32) 02 340 33 73
Consular matters: (+32) 02 340 33 74

Duty Officer: (+32) 0488 609.177





Consul General, a.h. (Antwerp, Belgium)
Telefax: +323 325 71 16
GSM +324 754 609 32
[email protected]

Consul a.h. (Antwerp, Belgium)
GSM +324 754 228 61
Fax: +323 325 71 16
[email protected]
[email protected]


Consul General a.h. (Grand Duchy of Luxembourg)
Fax No. 352.421.245.555
[email protected]



Appointment_UrgentOperating Hours of the
Consular Section

  • Assessment and processing of applications for consular services is from 9:00 a.m. to 3:00 p.m.
  • Mondays to Fridays (except Belgium & Philippine declared holidays)





Announcements and Links


  • Situational reports on the effects of Typhoon Yolanda can be found at the website of the National Disaster Risk Reduction and Management Council (
  • Republic Act No. 10590 An Act Amending Republic Act No. 9189, entitled "An Act Providing for a System of Overseas Absentee Voting by Qualified Citizens of the Philippines Abroad, Appropriating Funds Therefor and for other Purposes" (Click here)