Bahamas Passport Application Form

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BAHAMAS PASSPORT APPLICATION FORM
(To be completed in BOLD CAPS and Black or Blue Ink)
(For Official Use Only)
Application ID: ____________________
Ordinary/Regular
Child
Frequent Traveler
Certificate of Identity
Diplomatic
Official
p
p
p
p
p
p
First Time
Renewal
Damaged/Lost/Stolen
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1. PERSONAL DETAILS:
Mr.
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Mrs.
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Ms.
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Miss.
p
Dr.
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Other ________________________
Surname
First Name
Middle Name(s)
Date of Birth
Maiden Surname
Place and Country of Birth
(DD/MM/YYYY)
Height
Colour of Eyes
Colour of Hair
Nationality
___________ ft. ___________ ins.
Visible Identification Marks (Please note in detail)
National Insurance No.
Sex
Male
Female
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2. CONTACT DETAILS:
Present Address (Apt. No., P O Box, Street, City State & Country)
Permanent Address (Apt. No., P O Box, Street, City State & Country)
Telephone (Home & Work)
Email (Optional)
3. EMPLOYMENT DETAILS:
Occupation
Employer Name, Address, and Telephone ( If applicable)
4. FAMILY DETAILS:
Father’s Full Name (underline surname)
Country of Birth
Nationality
Date of Birth
(DD/MM/YYYY)
Mother’s Full Name (underline surname)
Country of Birth
Nationality
Date of Birth
(DD/MM/YYYY)
Spouse’s Full Name (underline surname)
Country of Birth
Nationality
Date of Birth
(DD/MM/YYYY)
Person to contact in case of an emergency
Name:
Address:
Relationship:
Telephone:
5. PASSPORT DETAILS
:
(only for previous passport holders)
Passport Number
Bearer’s name at time of issue of previous passport
Status of Passport
Date Lost/Stolen
Place (Island/State/County/Province) &
(DD/MM/YYYY)
Expired
Pages Full
Name Change
Country where lost/stolen
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Damaged
Stolen
Lost
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Has loss been
Yes
No
Police Station & Date of Report
Police Report
Yes
No
Reported to Police?
p
p
Submitted
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