Fillable Dutch Passport Application (Page 5 of 7) in pdf

Dutch Passport Application Page 5

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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.

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Release of Liability for Passport Mailing

DISCLAIMER:

The Netherlands Embassy/Consulate is not responsible for the loss or damages of a

passport once it has been mailed to the applicant, making use of the provided self-

addressed, pre-paid/stamped envelope.

……………………………………………………………(the APPLICANT)

wishes to have his/her passport mailed to him/her. The APPLICANT consents and

agrees to the following:

I, the APPLICANT, understand that the Netherlands Embassy/Consulate is NOT

responsible for the loss or damage of my passport once it has been mailed while

making use of the self-addressed, pre-paid/stamped envelope I have provided.

I, hereby declare that I am assuming all risks of damages or loss of any kind of my

passport once it has been mailed. Furthermore, I understand that the

embassy/consulate shall not be responsible or liable for any consequential loss or

damage caused to me, the Applicant, due to loss of my passport and supporting

documents once it has been mailed by their office making use of the envelope

provided by me.

.……………………………………

……………………..

APPLICANT (signature)

(date)

Dutch Passport Application Page 5

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