Republic of the Philippines

Department of Justice
Bureau of Immigration
Manila
CITIZENSHIP RETENTION AND RE-ACQUISITION
(Under R.A. 9225)
NAME:_________________________________________________________________
Nationality:_____________________________________________________________
Checklist of Requirements
1. Notarized Application Form
2. Notarized Petition for Retention or Re-acquisition of Philippine Citizenship
3. Notarized Oath of Allegiance
4. 3 pieces 2 x 2 colored picture over white background (front left and right
side views)
5. Proof of Payment of application fee (original Official Receipts)
Php2,500.00/applicant
6. Birth Certificate
a. Original NSO-Authenticated copy in SECURITY PAPER (SECPA)
(if born in the Philippines)
b. Report of Birth (if born abroad)
7. Photocopy of foreign passport
8. Photocopy of Certificate of Naturalization or other documents to prove
naturalization in a foreign country
9. Additional requirements for BI registered applicants
a. Original Alien Certificate of Registration (ACR)
b. Original Immigrant Certificate of Residence (ICR)
10. Two (2 pieces self-addresses stamped envelope (legal size)
OTHERS: File in a long folder.

Republic of the Philippines

City of _______________ ) S.S.

OATH OF ALLEGIANCE

I, ______________________________________________ solemnly
swear (or affirm) that I will support and defend the Constitution of the Republic of
the Philippines and obey the laws and legal orders promulgated by the duly
constituted authorities of the Philippines, and I hereby declare that I recognize
and accept the supreme authority of the Philippines and will maintain true faith
and allegiance thereto, and that I impose this obligation upon myself voluntarily
without reservation or purpose of evasion.

Affiant
SUBCRIBED AND SWORN TO, before me, this ____ day of __________
200__ in the City of_________________________________, Philippines, with
Passport No. ____________________ issued on ______________________ at
_______________________________.

ADMINISTERING OFFICER

Republic of the Philippines

Department of Justice
BUREAU OF IMMIGRATION
Intramuros, Manila
APPLICATION FORM
CITIZENSHIP RETENTION AND RE-ACQUISITION
(under R.A. 9225)

Indicate N/A if not applicable. Do not leave any space blank. Print all information.
Print legibly. Mark appropriate Boxes
with Check
I. Personal Data:
FULL NAME: _______________________________________________________________________________
Birth date:
Civil Status
Nationality
Mode by which Philippine citizenship was acquired:
By birth
By Marriage
By Election
By Adoption
By Naturalization
Others, specify:___________________
Mode by which Foreign citizenship was acquired:
Date Acquired:_____________________
By Birth in a Foreign Country
By Marriage
Born of an Alien Parent
By Derivative Naturalization
By Naturalization
Others, specify:__________________
Philippine Address:________________________________________________________________________
________________________________________ Telephone No.:__________________
Address Outside the Philippines:______________________________________________________________
________________________________________ Mobile No.:_____________________
E-mail Address:___________________________________________________________________________
Name of Spouse:_________________________________________ Nationality:_____________________
Fathers Name:__________________________________________
Birthdate:_______________________
Fathers Nationality at the time of Petitioners Birth:______________________________________________
Mothers Maiden Name:___________________________________ Birthdate:_______________________
Mothers Nationality at the time of Petitioners Birth:_____________________________________________
II. Immigration Status
Date of Latest Arrival:____________________________________
Validity:_______________________
Status of Admission Upon Entry:_____________________________________________________________
Passport No.:___________________________________________
Validity:_______________________
A.C.R. No.:____________________________________________
Date of Issue:___________________
I. C. R. No.:____________________________________________
Date of Issue:___________________

Re-entry Permit No.:_____________________________________

III. Name of Person (s) Included as Dependent(s) in this Petition.
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

Date of Issue:___________________

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