Fillable Dutch Passport Application (Page 4 of 7) in pdf

Dutch Passport Application Page 4

Download a blank fillable Dutch Passport Application in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Dutch Passport Application with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Declaration of consent for email correspondence

If you would like to receive all correspondence regarding your travel document application by email,

you must give your explicit consent. You can do this by completing and signing the declaration below.

Your details

Initials and last name: .............................................................................................................

Postal address:

.............................................................................................................

Email address:

…………………………………………………………………………………….....................................

I hereby declare that all correspondence regarding the above travel document application should be

sent to the email address supplied and that I can be readily contacted at this email address.

Please tick the following check box:

I agree to receive the correspondence regarding my travel document application by email

☐

only.

Signed

Place:

……………………………………………………………........................

Date:

……………………………………………………………........................

Your signature:

…………………………………………………………………....................

Please be aware that the use of email is subject to security risks. You should be aware of these risks if

you choose to have correspondence regarding your travel document application sent by email. The

Ministry of Foreign Affairs cannot guarantee the reliability of sending or receiving messages by email,

or the confidentiality and integrity of email correspondence via the internet and therefore accepts no

responsibility for any email messages which are subject to delay in delivery or which fail to reach you.

All email messages received are processed in accordance with Dutch legislation on privacy and

security. If you believe the risks to be too great, correspondence regarding your application can be

sent by conventional mail or via the Netherlands diplomatic mission abroad. In this case please be

aware that it may take longer to send and receive relevant correspondence.

Dutch Passport Application Page 4

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