Belize Passport Application (Page 2 of 2) in pdf

FOR OFFICIAL USE ONLY

Form accepted by _______________________

Date _____/_____/_____

NEW PASSPORT NUMBER _______________

(day/month/year)

Documents Submitted

Applicant’s Birth

Applicant’s Previous

Applicant’s

Marriage Certificate

Social Security /

Other Documents

Certificate

passport

nationality certificate

Voter’s ID

e.g. deed poll

No.:

District:

Place of Issue:

Place of issue:

Date of Issue:

Date of issue:

Date of Registration:

Cashier ______________________

RCR Date _____/_____/_____

RCR No.: ________________

Amount: $______________

Counter Supervisor _____________ Data Entry _________________ OIC Approval _____________ Print Operator ___________

QA _________________ Passport Delivered by (Signature) _________________ (Print Name) _____________________________

Passport Received by: (Signature) ________________ (Print Name) _____________________________

Date _____/_____/_____

(day/month/year)

BELIZE PASSPORT APPLICATION INSTRUCTIONS

THIS FORM SHOULD BE CLEARLY WRITTEN IN PRINT WITH BLACK OR BLUE INK.

SECTIONS 1 AND 4 OF THIS FORM MUST BE COMPLETED BY ALL APPLICANTS.

SECTIONS 2 AND 3 MUST BE COMPLETED BY THOSE TO WHOM THEY APPLY.

THE OFFICIAL LANGUAGE IS ENGLISH AND ALL DOCUMENTS SUBMITTED MUST EITHER BE IN ENGLISH OR BE ACCOMPANIED

BY A CERTIFIED ENGLISH TRANSLATION OF THAT DOCUMENT.

Authentication of Application

The application form must be authenticated and sponsored in FORM 3 – A by (GROUP A) a Justice of the Peace, Minister of Religion, Medical

Practitioner, Notary Public, or Attorney at Law.

The application form must be authenticated and sponsored in FORM 3 – B by (GROUP B) a Member of the House of Representatives, Chief Executive

Officer in any Ministry of the Government of Belize, Head of Department of any Department of the Government of Belize, or a Licensed Teacher.

Documents to be Produced

If the applicant is:

a Belizean by birth (born in Belize) - birth certificate from the Registrar General’s office (for those applying for the first time and those replacing

lost, destroyed, or stolen passports); previous passport (for those replacing/renewing available passports.)

a Belizean by descent [born outside Belize to Belizean parent(s) but naturalized - (i) birth certificate from native country and (ii) his/her

naturalization by descent document or other evidence of Belizean nationality.

a Belizean by registration (born outside Belize but has become a citizen through naturalization) - (i) native birth certificate or passport and (ii)

his/her Belize nationality certificate.

a married woman – all of the above that apply plus a marriage certificate (issued by vital statistics or registrar’s office.)

a divorced woman wishing to revert to her maiden name – all of the above that apply plus the divorce certificate.

Photo identification is required from all. This may be in the form of social security card and voter registration cards. Driver’s licenses are not

acceptable.

Two recent photographs - each Recommender is to certify a photograph [(with the following quote “I certify that this is a true likeness of

[insert:] Name of Applicant”)], signed and stamped.

Photo Specifications: Taken within 6 months from application, white background and must be of 2 inches by 2 inches in size

A photocopy of all original documents must be submitted including a copy of the biographic data page of previous passport being renewed/

replaced.

* For the applicant whose previous passport is now unavailable for submission (be it destroyed, lost, or stolen), a statutory declaration attesting to its

particulars and the reasons for its unavailability along with a report from the Police indicating that the incident leading to the unavailability has been

recorded are to be submitted. The statutory declaration, only, is also a requirement for those whose passport is available for presentation but has

become damaged.

A change of name other than by marriage must be substantiated by the production of evidence showing that a bona fide/legal change has been made

for all purposes.

For Belizeans applying abroad at a Belize Foreign Mission

In the case of a person applying abroad at a Belizean Embassy, High Commission, Consulate or Consular Agency, authentication must be by a

i.) Registered Medical Practitioner, ii.) Registered Legal Practitioner or iii.) Registered Minister of Religion and must be accompanied by a sworn and

notarized affidavit signed by the same person certifying the photographs as per G above.

Fees (Effective March 1, 2013)

The charge:

for an ordinary passport (48 pages) - $50.00 for a person of or above the age of 16 years and

$30.00 for a person below the age of 16 years;

to replace a lost, damaged, or stolen passport - $85.00 for a person of or above the age of 16 years and

$55.00 for a person below the age of 16 years;

for an emergency passport (within five (5) working days – $100.00 for a person of or above the age of 16 years and

$60.00 for a person below the age of 16 years;

Expedited Passports (In addition to fees applied in A or B).

24 Hours Service

$200.00

ii.

48 Hours Service

$100.00

iii.

3 -5 Days Service

$50.00

Passports for persons of or above the age of 16 years are valid for ten years and passports for persons below the age of 16 years are valid for five

years.

In the case of persons applying abroad fees and processing time are determined by the Foreign Mission.

All fees are payable in cash.

What to do with the completed form.

The completed form with all necessary documents and fee must be presented personally at the Immigration and Nationality Headquarters, Belmopan,

Passport section of the Immigration Office, Belize City, the Immigration Offices in the district towns of Corozal, Orange Walk, San Pedro, Dangriga, and

Punta Gorda or at the Belize Foreign Mission In Los Angeles, Chicago, New York, Washington D.C., U.S.A., London, U.K., and Taipei, Taiwan.

Application forms may be obtained from any of these offices.