Application For A Vanuatu Passport
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1T
HIS APPLICATION SHOULD BE SUBMITTED WITH
Two (2) recent, identical passport photos
(less than 6
months old). The Identity Witness must write the
applicant’s full name on the back of one photo, and sign
and date the back of the photo.
Original Vanuatu birth certificate
Previous Vanuatu Passport
The appropriate fee (VT) for the service required:
APPLICATION for a VANUATU PASSPORT
Normal 7,000 (up to 21 days processing time)
Express 10,000 (up to 14 days processing time)
PARTICULARS OF APPLICANT
Urgent 15,000 ( up to 3 days processing)
Original birth and citizenship certificate(s) as
Have you had a Vanuatu
Has your passport been
If passport lost or stolen,
specified in the Citizenship Declaration section
Y
/ N
YES / NO
ES
O
provide a police report.
passport before
Lost or Stolen
(Circle one)
(Circle one)
Signature or Thumbprint of
P
D
S
L
ASSPORT
ATE OF
ERVICE
EVEL
passport holder to be inside box
(C
)
IRCLE ONE
N
:
T
DD
/
MM
/
YYYY
O
RAVEL
N
/P
RIORITY
ORMAL
F
AMILY
N
AME
G
IVEN
N
/
AME
S
D
M
ATE OF
ELANESIAN
G
M / F
ENDER
N
/
B
DD/MM/YYYY
AME
S
IRTH
(
)
CIRCLE ONE
O
N
THER
AME AT
N
/
B
I
F
G
AME
S
IRTH
F DIFFERENT FROM
AMILY AND
IVEN NAMES ABOVE
C
D
:
I declare that I am a citizen of Vanuatu and no other country
ITIZENSHIP
ECLARATION
(Tick one of the options as applicable)
Born after 30 July 1980, with at least one parent that was a Vanuatu citizen at the time of birth.
(Provide EITHER original birth certificate showing
at least one parent of indigenous ni-Vanuatu ancestry, OR original birth certificate showing at least one parent who is a Vanuatu citizen, and proof of the
parent’s citizenship (e.g. citizenship certificate).
Born on or before 30 July 1980 and of indigenous ni-Vanuatu ancestry.
(Provide an original birth certificate showing at least one ni-Vanuatu parent).
Citizen by naturalisation granted by the Citizenship Commission after 30 July 1980.
(Provide both an original birth certificate and Vanuatu citizenship
certificate). List previous nationality/ies and passport details below.
Previous Nationality/ies.________________________________________________
Passport No.
aa aaaaaaaaaaaaa
Place of Issue
aaaa
aaaaaa
Issue Date
aaa
aa
Expiry Date
Country /Town or City
DD/MM/YYYY
cccDD/MM/YYYYcca
M
D
V.N.P.F
ARITAL
RIVING
S
M
D
INGLE
ARRIED
IVORCED
S
L
N
.
.
N
TATUS
ICENCE
O
O
P
C
E
LACE
OUNTRY
YE
B
B
C
OF
IRTH
OF
IRTH
OLOUR
O
/
M
/
CCUPATION
ARKS
H
EIGHT
CM
P
S
ROFESSION
CARS
P
A
C
18
RESENT
DDRESS
ONSENT TO ISSUE A PASSPORT TO A PERSON UNDER
YEARS OF AGE
(Parent or Guardian to complete this section and sign the Application Declaration below)
_________________________________________________________
Child’s Name
Herecccccaaa
aaaa
I consent to a passport being issued to
My relationship to the child is:
Mother / Father / Guardian
(Circle one)
___________________________________________________
:aa
My name is
Family and Given Name of Person Giving
Consentaaaaa
_____________________P
N
._____________________
HONE
O
I
W
D
DENTITY
ITNESS
ETAILS
My Date of Birth is:
DD / MM / YYYY
F
N
:
F
G
_______
ULL
AME
AAAAAA
AMILY AND
IVEN
NAMESAAAAA
APPLICATION DECLARATION
A
:___________________________________________
DDRESS
I declare that all particulars in this application are true in all respects. I understand
that if I make a false or misleading statement, orally or in writing, in connection
with this Vanuatu passport application I can, by law, be fined up to VT5,000,000
_____________________________________________________________
and imprisoned for up to 5 years or both.
P
N
.:
P
N
.:
_
HONE
O
IIIIIIIIIIIIIIIIIIIIIIIIIIII
ASSPORT
O
IIIF
APPLICABLEI
D
________________S
_________________________________
ATE
IGNATURE
W
D
O
U
O
I declare that:
ITNESS
ECLARATION
FFICE
SE
NLY
I have known the applicant for at least one year, and the information
on this form is correct to the best of my knowledge. The person in
the passport photo is the applicant named on this form.
S
/
________________________
IGNATURE
THUMBPRINT OF WITNESS
Application form New Fees
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