E Passport Application Form

Download a blank fillable E Passport Application Form 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 E Passport Application Form 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.

ADVERTISEMENT

Republic of the Philippines
Consulate General of the Philippines
Milan, Italy
E-Passport Application Form
PLEASE PROVIDE CORRECT INFORMATION AND DO NOT LEAVE SPACES BLANK / IF POSSIBLE PLEASE AVOID ERASURES
_________________________________________
_________________________________________
Last Name/Apelyido
First Name/Pangalan (Jr. / II / III)
_________________________________________
Middle Name/Gitnang Pangalan
_________________________________________
Place of Birth/Pook ng Kapanganakan
__________/_________________/____________
Day
Month
Year
Date of Birth/ Petsa ng kapanganakan (Ex. 01 January 2000)
Gender / Kasarian :
MALE
FEMALE
Civil Status:
Single
Married
Widow/er
Legally Separated / Annulled
Complete Address in Italy:_________________________________________________________________ Mobile No.:_______________________
Complete Address in the Philippines:_________________________________________________________Contact No.:_______________________
Name of Father: _____________________________________________________________________________ Citizenship: ___________________
First Name
Middle Name
Last Name
Name of Mother: ____________________________________________________________________________ Citizenship: ___________________
First Name
Middle Name
Last Name (before marriage)
Name of Spouse: ____________________________________________________________________________ Citizenship: ___________________
First Name
Middle Name
Last Name
Citizenship Acquired by:
Birth
Election
Marriage
Naturalization
R.A. 9225
Others______________
Are you a holder of a Foreign passport?
Yes
No
Have you ever been issued a Philippine Passport?
Yes
No
If Yes, Latest passport Number:________________________
If Yes, from what country?________________________
Date of Issue:__________________Place of Issue:___________________
Passport No.: ______________________
Reason for application of Philippine Passport:
Date of Issue:__________________Place of Issue:______________
Renewal
New
Reacquisition of PHL Citizenship
Lost
Date of Oath Taking:____________
Occupation___________________________________
Name of Employer____________________________________________
Address of Employer____________________________________________________________________________________________________
In case of accident or death, please notify:
In the Philippines
In Italy
Name:_________________________________________________
Name:_________________________________________________
Address:_______________________________________________
Address:_______________________________________________
_______________________________________________________
_______________________________________________________
Contact No.:_____________________________________________
Contact No.:_____________________________________________
For Minor applicants
Name of Parent/Legal Guardian
Relationship to applicant
I SOLEMNLY SWEAR that 1) I am a Filipino Citizen. 2) The information I provided in this application is true and correct. 3) The supporting
documents attached are authentic. 4) I have not been issued a passport under any other name. 5) I am aware that under the law, I am allowed to
hold only one Philippine Passport at any given time. 6) I am aware that making false statements in passport application, furnishing falsified or
forged documents in support thereof are punishable by law.
________________________________
Signature of Applicant
REMARKS:
FOR STRICT COMPLIANCE: Please print name and affix initials.
OR #: ________________
Processor:
Encoder:
Signing Officer:
Cashier:

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Life
Go
Page of 2