IOM 02/2024(PA)

Application for a British Passport

The power to issue Isle of Man variant British passports is derived from the Royal Prerogative. The Isle of Man
Passport Office may issue an Isle of Man variant British Passport to a British national resident in the Isle of
Man at the time the application is made; or a person who was born in the Isle of Man and who is resident in
the United Kingdom at the time the application is made; or a person with respect to whom His Excellency the
Lieutenant Governor considers there are exceptional grounds for him to use discretion in issuing a passport,
for example a person born overseas to parents who were Isle of Man born, and were serving in the RAF or
Navy at the time the child was born and the child was then brought up in the Isle of Man and went to
University in the United Kingdom. British citizens resident in the United Kingdom must apply to HM Passport
Office unless they were born on the Isle of Man. Any applicant resident overseas must apply through
www.gov.uk/overseas-passports. Please complete this form clearly in black biro.
Your application may be delayed if you do not enclose; the necessary supporting documents; photographs
that do not meet the internationally agreed standards; or the correct fee. Please ensure you read the
Guidance Notes IOM 01/2024(GN) viewable at https://www.gov.im/categories/travel-traffic-and-
motoring/passports/ Downloadable documents section on the right hand side.

LBC/SBC Approved Received

DVA REQ:
MC/DP/DP
NAT/REG CERT
DVA:
LS01

Other Notes:

Section 1 What type of application are you making? Put a cross (X) in the relevant boxes
Passport
on the Temporary
Passport
Renewal Replacement express Passport
on the
First time application (Due to loss, service 12 Month
standard
application (Including damage or (suspended Validity
service
changes) theft) from 18 (24 working
August hours)
2023)
Adult
Child

Section 2 Who is the passport for? Please complete this form clearly in block capitals
Title 
Surname

First and middle names

Maiden or all previous names (surname first)

Current UK/IOM Delivery Address - If your residential address is different to the delivery address, please
explain why in Section 6




Postcode

Date of Birth (DD/MM/YYYY) Sex
-- Male  Female 
Place of Birth

Country of Birth

Contact number (we may need to contact you urgently)

Email address (you do not have to fill in your email address in capital letters)


Section 3 Complete this section if the applicant named in section 2 has been granted a certificate of
Registration or Naturalisation (see Guidance Notes for clarification)
Certificate Number Date of Issue (DD/MM/YYYY) Place of Issue
 -- 
Reference Number (this will appear on your certificate) and Section of British Nationality Act (this will appear
on your certificate)
 

Section 4 Have you had or been included on any sort of passport before?
4a) Has the applicant named in Section 2 had any sort of passport (British or otherwise) or been included in
any passport before?
Yes  (Go to 4B below) No  (Continue to Section 5)
4b) Complete the details below- including any non-British passport details.
You must send us all un-cancelled passports with the application.

Passport Number 1 Passport Number 2 Passport Number 3

  
Date of Expiry (DD/MM/YYYY) Date of Expiry (DD/MM/YYYY) Date of Expiry (DD/MM/YYYY)
        
Issuing Authority Issuing Authority Issuing Authority
  
Section 5 Parents’ Details

Complete this section if any of the below apply to the applicant named in Section 2;
1) Born after 31st December 1982
2) Born outside of the UK, Isle of Man or Channel Islands
3) First adult British passport
4) Replacement British passport that has been lost, stolen or damaged.

Father or Parent 1 Mother or Parent 2

Surname: Surname:
 
Forenames: Forenames:
 
Date of Birth: Date of Birth:
     
Place of birth: Place of birth:
 
Country of birth: Country of birth:
 
Nationality at time of applicant’s birth: Nationality at time of applicant’s birth:
 
British passport number: British passport number:
 
Date of Issue: Date of Issue:
     
Date of marriage or civil partnership to the father or second parent of the person named in section 2 (if
this applies)
  

Section 6 Other information (please see guidance notes)

Section 7 This section must be completed by the Countersignatory if the
photograph requires countersigning (Please refer to the guidance notes)

On the back of only one of the two photos, the Countersignatory must write “I certify that this is a true
likeness of…” giving the full name and title of the applicant named in section 2. The Countersignatory must
sign and date this endorsement.

• I (insert your full name)……………………………………………………………………………… certify that the applicant

(or, in the case of a child application, the parent/guardian whose signature appears in the declaration) has
been known personally to me for …………………… years as a (insert capacity in which known e.g. friend,
colleague) …………………………………… and that to the best of my knowledge and belief, the facts stated in
this application are correct.
• I understand my passport records may be checked to confirm my countersignature.
• I understand that making an untrue statement for the purposes or procuring a passport is a criminal
offence.
• I have countersigned this form after it has been completed, signed and dated by the applicant (or in the
case of a child, their parent/guardian).
• I am not related to the applicant (or in the case of a child, their parent/guardian). This includes partners,
in-laws and step-parents.

Profession: 

Name of organisation:

Address:


 Postcode: 

Daytime contact number (we may need to contact you): +

Alternative contact number/email address:


You must hold a valid British/Irish passport (Irish passport holders must include a copy of their passport Bio
page):
British or Irish passport number: 
Passport Expiry Date: 
Relationship to applicant: 
Signed: ………………………………………………….…………………………………. Date: …………………………………..
Section 8 Declaration-Data will be processed in accordance with the Data Protection
Act 2018 and the GDPR and LED Implementing Regulations 2018. Privacy Notices can be found
at www.gov.im/passports. (Data Protection Officer: [email protected])

Caution: I understand that it is a criminal offence under the Isle of Man Forgery Act 1952 to make an untrue
statement for the purposes of obtaining a passport and the passport fee and any service fee is non-refundable
should the application be refused, failed or withdrawn.
1) I understand my existing passport will be cancelled at the time of submitting this application, and once
cancelled is no longer valid for travel outside of the common travel area.
2) I declare that I do not have an application for a British passport currently in progress with the United
Kingdom’s HM Passport Office.
3) I declare that I am 16 years or over (or will be within three weeks) and that:
4) I am resident in the Isle of Man at the time of making this application, or I was born in the Isle of Man and
am now resident in the United Kingdom at the time of making this application;
5) If the application is to replace a lost passport, I will return the lost passport to the Isle of Man Passport
Office if it comes into my possession.
6) I do not owe any money to the United Kingdom Government for repatriation or similar relief;
6) I have stated in section 6 whether the person named in section 2 was born of a surrogacy arrangement;
8) I, or the person named in section 2 of this application (if different), am a British national and have not lost
or given up my British nationality status;
9) I, or the person named in section 2 of this application (if different), am in the Isle of Man or United
Kingdom and this application does not break the terms of any court order to which I am subject;
10) The information I have given in this application is to the best of my knowledge, true;
11) If the application is for a child I have parental responsibility over, I have enclosed all court orders that
relate to the child’s residence, contact or removal from the Isle of Man and/or United Kingdom;
12) I, or the person named in section 2 of this application (if different), understand that by voluntarily
applying for a British passport, I may lose my citizenship of another country; and
13) I have read both the guidance notes and the caution above and fully understand the consequences of my
actions in applying for a British passport.
This must be filled in by the applicant named in Section 2. If under 16, their parent or guardian
must fill this in instead.

Signature: …………………………………………………………………… Date: ………………………………

Full name (if signing on behalf of a child): …………………………………………………………………….

Relationship to child: ………………………………

PLEASE ENSURE YOU ALSO SIGN IN SECTION 9, IF APPLICABLE

Section 9 Signature: This must be completed by ALL APPLICANTS AGED 12 AND OVER.

ALL APPLICANTS AGED 12 AND OVER