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E Passport Application

1) The document is a Philippine passport application form that requests information such as the applicant's name, date and place of birth, citizenship, purpose of travel, and parental consent for minors. 2) The form includes an affidavit where the applicant swears that the information provided is true and correct, supporting documents are authentic, they have not been issued another passport, and are aware making false statements is punishable by law. 3) Sections are included for information on any previously held passports, lost passports, and processing notes.

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162 views

E Passport Application

1) The document is a Philippine passport application form that requests information such as the applicant's name, date and place of birth, citizenship, purpose of travel, and parental consent for minors. 2) The form includes an affidavit where the applicant swears that the information provided is true and correct, supporting documents are authentic, they have not been issued another passport, and are aware making false statements is punishable by law. 3) Sections are included for information on any previously held passports, lost passports, and processing notes.

Uploaded by

ck_deneb
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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THE REPUBLIC OF THE PHILIPPINES EPASSPORT APPLICATION FORM Please provide information and do not leave any space

blank. Last Name First Name Apelyido Pangalan (Jr./II/III) Middle Name Place of Birth Gitnang Pangalan Pook ng Kapanganakan Month Day Year Date of Birth Buwan Araw Taon Gender / Kasarian Araw ng Kapanganakan Civil Status Single Name of Husband or Wife Complete Address in KSA Present Occupation Work Address Email Address Name of Father Maiden / Single Name of Mother First Name First Name Middle Name Middle Name Last Name CITIZENSHIP Last Name CITIZENSHIP
Purpose of Travel: Tour Work Business Seaman Others (specify):

NOT FOR SALE

Male / Lalake Female / Babae Annulled

Married First Name

Widow/Widower Middle Name

Legally Separated Last Name

Citizenship Telephone No. Mobile No. Telephone No.

Citizenship acquired by Birth Election Marriage RA9225 Others (specify)

Migration

Study

Naturalization

Are you a holder of a Philippine Passport? Yes No If Yes, latest Passport No.__________________________ Date and Place of Issue ____________________________
This serves as an AFFIDAVIT OF SUPPORT AND CONSENT TO

Are you a holder of a Foreign Passport? Yes No If Yes, from what country ______________________________ This serves as an AFFIDAVIT OF LOSS Lost passport number Issued on Issued to Date Lost Lost due to Signature of Parent Or Legal Guardian

TRAVEL (for applicants below 18 years old ONLY) Name of Minors Travelling Companion

Relationship: Address / Tel No. Signature of Parent Or Legal Guardian

I DO SOLEMNLY SWEAR that: 1) I am a Filipino citizen. 2.) The information I provided in this application is true and correct. 3) The supporting documents I have attached are authentic. 4) I have not been issued a passport under any other name. 5) I am aware that under the law, I am allowed to hold only one passport at any given time. 6) I am aware that making false statements in this passport application and furnishing falsified or forged documents in support of this application are punishable by law. SIGNATURE OF APPLICANT

REMARKS FOR STRICT COMPLIANCE PROCESSOR Received cancelled ppt FOR ADMIN USE ONLY PLS PRINT NAME AND AFFIX INITIALS ENCODER Received new passport

SIGNING OFFICER

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