Philippines Passport Application For Kuwait
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1
2NEW PPT NO. ___________________
NOT FOR SALE
EMBASSY OF THE PHILIPPINES
DATE __________________________
State of Kuwait
O.R. NO. ________________________
PASSPORT APPLICATION
SERVICE NO. ____________________
FEE ____________________________
FILL-OUT ALL BLANKS, TYPE OR PRINT LEGIBLY, PLEASE READ REQUIREMENTS / INSTRUCTIONS AT THE BACK.
PUNAN O SULATAN ANG MGA PATLANG NG TAMANG KASAGUTAN.
___________________________________
______________________________________
SURNAME (APELIYIDO)
MIDDLE/MAIDEN NAME
(PANGGITNANG APELIYIDO)
Paste one
1.77” X 1.37” or
___________________________________
4.5 cm x 3.5 cm
GIVEN NAME (PANGALAN)
new colored photo
with royal blue
____________________________________
background
Applicant must be in
DATE OF
BIRTH (ARAW NG KAPANGANAKAN)
decent attire.
MALE
FEMALE
(LALAKE)
(BABAE)
__________________________________________
____________
PLACE OF BIRTH
AGE
(POOK NG KAPANGANAKAN)
(EDAD)
Civil Status:
Single (Walang Asawa)
Married (May Asawa)
Widowed (Biyudo/Biyuda)
Annulled/Divorced
Name of Spouse, If Married (Kung may Asawa, Pangalan) __________________________________________________________________
If Divorce or widowed, Name of Previous Spouse (Pangalan ng Hiwalay na Asawa o Namatay na Asawa): ____________________________
Name of Father (Ama): __________________________________________________________ Citizenship:__________________________
Name of Mother (Ina) :___________________________________________________________ Citizenship: _________________________
Kuwait Address (Tirahan sa Kuwait):
________________________________________________________________________________________________________________
House No. Street No.
Block Area
Town/City
State
Zip Code
Telephone No. __________________________
Philippine Address (Tirahan sa Pilipinas)
________________________________________________________________________________________________________________
Number
Street
Town
Province
Telephone No. _________________________
Immigration Status:
Perm. Resident
Tourist
Student
Contract Worker
Business
Seaman
Others
Occupation (Uri ng Trabaho): ________________________________
Office of Employment __________________________________________________________ Telephone No. ________________________
Have you ever been issued a Philippine Passport (Kayo ba ay
Check if you are:
napagkalooban na ng Pasaport) :
Legitimate
Illegitimate
Yes
No
Citizenship acquired by:
If Yes, (Kung oo numero ng pasaport: ____________________
Latest Passport No.: __________________________________
Birth
Election
Naturalization
Marriage
Date of Issue (Araw ng pinagkaloob) _____________________
Place of Issue (Pook ng pinagkaloob) _____________________
Are you Government Employee?
Yes
No
In case of accident or death, please notify (Kung sakaling maaksidente o mamatay ang pinagkalooban, mangyaring ipagbigay alam kay)
Name: _____________________________________
Address (Tirahan) ______________________________________________
Telephone No. ______________________________
______________________________________________
Abroad:
Name: _____________________________________
Address (Tirahan) _____________________________________________
Telephone No. ______________________________
______________________________________________
Employer’s Name (Pangalan ng Amo) ________________________________________________________________________________
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
(LAGDA NG APLIKANTE)
STAPLE OTHER
PHOTO (SAME
AS ABOVE)
Processor: _____________________________________________
Scripter: _______________________________________________
HERE
Signing Officer __________________________________________
Releasing Officer: _______________________________________
Left (Kaliwa)
Right (Kanan)
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