Form 3 - B - Declaration Of Recommeder For Belize Passport Application

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Form 3 - B
[Regulation 7(1)]
DECLARATION OF RECOMMENDER
FOR BELIZE PASSPORT APPPLICATION
FOR PERSONS 16 YEARS AND OVER
I, (Mr., Mrs., Miss) ________________________________ of ___________________________
[print full name of Recommender]
[insert full address]
______________________________________________________________________________
and currently employed as ______________________ hereby declare/certify that I have been
[profession]
acquainted with the applicant (Mr., Mrs., Miss) _______________________________________
[print full name of Applicant]
for the past ______________ through (Specify relationship) ____________________________
[number of years]
_____________________________________________________________________________;
[Group B – Member of the House of Representatives, Chief Executive Officer in any Ministry of the Government, Head of Department
of any Department of the Government of Belize, or a Licensed Teacher.]
and that the information provided in his/her Belize passport application is true and correct to the
best of my knowledge, information and belief.
Signature of Recommender: ______________________
Date:
______/_______/________
[day / month / year]
Mobile: _____________________
Tel Office/Work:
_____________________
Email:
_____________________

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