Passport Application
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1
2REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF FOREIGN AFFAIRS
MANILA
PASSPORT APPLICATION
FOR DFA USE ONLY
PPT. NO.
FILL-OUT ALL BLANKS, TYPE OR PRINT LEGIBLY, PLEASE READ REQUIREMENTS / INSTRUCTIONS AT THE BACK.
LAST NAME
MIDDLE NAME
Paste one
4.5 cm x 3.5 cm
new colored photo
FIRST NAME
with plain, white
background
MALE
FEMALE
Applicant must be in
decent attire.
DATE OF BIRTH
PLACE OF BIRTH
AGE
Civil Status:
Single
Married
Widow/er
Separated
Name of Spouse ________________________________________
Complete Address in the Philippines ___________________________________________________________________________________
Present Occupation _______________________________________
Office Address ________________________________________
Purpose of Travel:
Tourist
Business
Immigrant
Study
Contract Worker
Seaman
Others _____________________
Destination: _______________________________________________________________________________________________________
Name of Father __________________________________________
Citizenship __________________________________________
Name of Mother __________________________________________
Citizenship __________________________________________
Check if you are:
Have you ever been issued a Philippine Passport:
Yes
No
Legitimate
Illegitimate
If Yes, Latest Passport No.:__________________
Citizenship acquired by:
Date of Issue: _____________________________
Place of Issue:______________________________
Birth
Election
Naturalization
Marriage
For Minor Applicants:
Name of travelling companion: ____________________________________________________________________________
Relationship: __________________________________________________________________________________________
___________________________________________
Signature of Parent/Guardian
I SOLEMNLY SWEAR that the above attached photograph is mine, that I have never been issued a passport under
another name, that the statements made on this Application Form are true and the attached supporting documents are authentic.
SIGNATURE OF APPLICANT
Paste photo here.
REMARKS:
FOR STRICT COMPLIANCE: Please print name and affix initials.
1.
Verified __________________________________________
2.
Processor ________________________________________
3.
Issuance Officer ___________________________________
4.
Photo Attachment __________________________________
5.
Scripter _________________________________________
Paste photo here.
6.
Laminating Clerk __________________________________
Left
Right
7.
Signing Officer ____________________________________
Thumbmark
Thumbmark
8.
Releasing Clerk ___________________________________
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