Organization : Philippine Retirement Authority
Type of Facility : Medical Examination For SRRV Applicants
Country: Philippines
Website : http://www.pra.gov.ph/
Download Form : https://www.statusin.org/uploads/7201-Medical_Certificate_Form_DFA_2008.pdf
Medical Examination For SRRV Applicants:
SRRV Application No.____
Place passport size photo here not taken more than 6 months ago
Related : Philippine Retirement Authority Special Resident Retiree’s Visa SRRV Online Application : www.statusin.org/7116.html
Place:
Date:
At the request of the Philippine Retirement Authority
I certify that on the above date I examined
Name:
Age:
Sex:
Citizenship:
And that under the Philippine Immigration Regulations the applicant should be classified as follows: (Encircle the appropriate class
Class A:
Dangerous Contagious Disease:
Chancroid, Gonorrhea, Granuloma Inquinale, Leprosy (Infectious), Lymphogranuloma Venareum, Syphilis (Infectious Stage), and Tuberculosis (Active)
Serious Mental Disorder:
Mental retardation (Mental Deficiency), Insanity, Previous Occurrence of one or more attacks of Insanity, Anti-Social Personality, Mental Defects, Epilepsy, Sexual Deviation, Narcotic Drug Addiction, Chronic Alcoholism
Class B:
If Not Class “A”:
Persons having physical defects, disease or disability serious in degree or permanent in nature that will impair their ability to earn a living as to make them likely to be a public charge
Class C:
Minor Conditions
Medical Records:
1. Pertinent Medical History:
2. Significant Physical Examination:
3. Chest X-ray report: (for ages 11 years & above) Present recent x-ray film (14×17 inches)
4. Laboratory examination: (attach laboratory reports)
a. Blood Serology : RPR/VDRL (Ages: 15 yrs. and above)
b. Urinalysis : (Age: 1 yr. and above)
c. Stool (Ova and Parasite) : (Age: 1 yr. and above)
d. Other examination(s), if necessary ( ) Not physically and mentally defective or diseased
Examining Physician / License No.:
Signature :
Date:
Name Of Clinic Or Hospital:
Address:
Special Resident Retiree’s Visa Benefits :
** Once you are an SRRV Visa holder, it opens the door to vast opportunities and benefits.
These include :
1. Option to Retire Permanently
You may live, work and study in the Philippines
2. Multiple Entry Privileges
You may travel outside the Philippines and re-enter anytime
3. Exemptions from :
** Income tax over your pension and annuities;
** Exit and re-entry permits of the Bureau of Immigration;
** Annual registration requirement of the Bureau of Immigration;
** Customs Duties and Taxes with regard to the importation of household goods and personal effects up to US$7,000.00;
** Travel tax, if you stay in the Philippines is less than one year from the last entry date; and
** I-Card
** As an SRR Visa holder, the PRA can assist you in obtaining basic documents from other government agencies.
These include, but are not limited to :
** Alien Employment Permit
** Driver’s License
** Tax Exemption/Extension Certificate
** Tax Identification Number
** National Bureau of Investigation (NBI) Clearance
About Us :
The Philippine Retirement Authority (PRA) is a government owned and controlled corporation created by virtue of Executive Order No. 1037, signed by former President Ferdinand E. Marcos on 04 July 1985. On 31 August 2001, through Executive Order No. 26, the control and supervision of PRA was transferred to the Board of Investments (BOI) – Department of Trade and Industry from the Office of the President.
PRA is mandated to attract foreign nationals and former Filipino citizens to invest, reside and retire in the Philippines with the end-view of accelerating the socio-economic development of the country, contributing to the foreign currency reserve of the economy and by providing them the best quality of life in the most attractive package.