Bahamas Passport Application Form Page 2
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2BAHAMAS PASSPORT APPLICATION FORM
(To be completed in BOLD CAPS and Black or Blue Ink)
6. ADDITIONAL DETAILS:
Applicant a Citizen of the Bahamas by:
Document Number
Birth
Registration
Naturalization
Date of Document Issue
Place of Document Issue
(DD/MM/YYYY)
p
p
p
What other names have you used? (list all alias)
Applicant a Citizen of the Bahamas by:
Marriage
Adoption
Poll Deed
1 ____________________________________
2 ____________________________________
p
p
p
Other: _____________________________
3 ____________________________________
4 ____________________________________
7. TO BE COMPLETED IF PERSONS BORN ABROAD:
Mother is a Citizen of the Bahamas by:
Document Number
Birth
Registration
Naturalization
Place of Document Issue
Date of Document Issue
(DD/MM/YYYY)
p
p
p
Document Number
Father is a Citizen of the Bahamas by:
Birth
Registration
Naturalization
Place of Document Issue
Date of Document Issue
(DD/MM/YYYY)
p
p
p
If applicant’s birth was registered at a Bahamian Consulate abroad, state the city
Registration Certificate Number
where the Consulate is located.
Date of Registration
(DD/MM/YYYY)
8. TO BE COMPLETED IF CHILD IS UNDER AGE 18:
Full Name (mother, if unmarried, either parent, if married or legal guardian)
Relationship to Child
Present Address (including country)
I hereby give my consent for (name of applicant) to be
issued a passport
Signature
Date
(DD/MM/YYYY)
9. DECLARATION OF APPLICANT:
I, the undersigned, hereby apply for the issue of a passport. I declare that the information given in this application is correct to the best of my
knowledge and belief, that I have the status of Bahamian citizen, and that I have not renounced citizenship of The Bahamas. I further declare that:
p
I have not previously held or applied for a passport of any description.
p
All previous passports granted to me have been surrendered, other than passport of document No. ____________________________
which is now attached, and that I have submitted no other application for a passport since the attached passport or travel document
was issued to me.
Signature:__________________________________________________________
Date:_____________________________________
10. COUNTERSIGNATURE
:
(Required for First Time and Lost or Stolen Applications only)
Full Name (please print)
Profession
OFFICE STAMP
Present Address (including country)
I certify that the applicant has been known personally to me for _____________ years and that
to the best of my knowledge and belief the facts stated on this form are correct. I am a citizen of
_________________________ and I was born at ____________________________________
Signature
Date
(DD/MM/YYYY)
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