Belize Passport Application printable pdf download

ORM

OMMONWEALTH OF

OMINICA

APPLICATION FOR A PASSPORT

[IMPORTANT: Print in block letters]

(Surname)

(Maiden Name)

(First Name)

(Second Name)

(Third Name)

Indicate whether

FOR OFFICIAL USE ONLY

applicant is

[

] Under 16 years

[

] 16 and above

Passport No.: _________________________________

Date of Issue: _________________________________

IMPORTANT: Read instructions carefully before completing the Form. Note: Amendments cannot be made to Passports.

INSTRUCTIONS ON HOW TO COMPLETE FORM

Males (married or single, 16 years and above): Complete

G. Photographs

Sections 1, 2, 7 and 8, and if applicable, Section 4.

Two copies of a recent Coloured photograph of the applicant

must be included with the application. These photographs must

Females (spinsters/unmarried, 16 years and above): Complete

be taken full face with head uncovered, and the photographs must

Sections 1, 2, 7 and 8, and if applicable, Section 4.

not be mounted. The size of the photographs must be 2½ inches

by 2 inches. The photographs must be printed on normal thin

Married Women (including widows and women whose

photographic paper and must not be glazed on the reverse side.

marriages have been dissolved): Complete Sections 1, 2, 3, 7

and 8 and if applicable, Section 4.

H. The fee for the Passport is $100.00 for adults for ten (10) years

and $50.00 for children under 16 years of age, for five years.

Children (males and females under 16 years of age): Children

under 16 years of age may be included in the passport of their

Documents to be produced

parent or adoptive parent without extra charge. This can be

(a) An original and a certified copy of all documents must be

done ONLY when the parent is applying for his /or own passport

produced. Birth Certificates must be in the new

by entering the child’s/children’s particulars in Section 5 of

computerized format issued by the Registry.

the parent’s Application Form.

(b) Applicants should produce Birth Certificate, Certificate of

An application for a passport for a child must be made by or

Naturalization or Registration as a citizen of Dominica,

with the notarized consent of the parent or adoptive parent by

Adoption Certificate and previous passport as the case may

completing Sections 1, 2, 6, 7, 8 and if applicable Section 4 of

require.

the Application Form.

Signing the form: The applicant must sign Section 8.

marriages have been dissolved) should produce documents

specified above, together with Marriage Certificate, Decree

Recommender: Section 9 should be completed by the person

Absolute or Certificate of Annulment.

(the recommender) verifying the declaration who must be a

member of Parliament, a Mayor or City Councillor or Village

(d) An application for a passport for a child under the age of

Council Chairperson, Justice of the Peace, Minister of Religion,

16 years or an application to include a child under the age

Staff Nurse and above, Medical or Legal Practitioner,

of 16 years on the passport of a parent or adoptive parent

Established Civil Servant (Executive Officer and above), Senior

must be supported by the Birth Certificate of the child.

Bank Official, Police Officer of the rank of Sergeant and above,

Qualified Teacher and above, Custom Officer Grade 1 and above,

NOTE:- Where an Order or direction has been made by the High

Principal Prison Officer and above, business manager or any

Court or in Chambers or by a Magistrate regarding the custody of a

person of similar standing personally acquainted with the

child, such Order must be produced and the nature of the direction

applicant.

stated.

The recommender must be a citizen of the Commonwealth of

Change of Name: If the applicant has changed his or her name, the

Dominica who knows the applicant for two (2) years or more,

deed poll recording the change or other evidence showing how and

but must not be a member of the applicant’s immediate family.

when it was changed must also be submitted.

The recommender is also required to endorse the reverse side

Persons born outside the Commonwealth of Dominica as constituted

of one copy of the photograph with the words:

on 3

November, 1978, and all persons claiming Citizenship by

descent, naturalisation or registration, must complete Section 4B and

“I certify that this is a true likeness of Mr., Mrs. or Miss

produce documentary evidence in support of the statement made therein,

e.g. Birth Certificate of descent (father/mother), naturalisation or

........................................” and add his signature.

registration document, or other evidence of citizenship

Belize Passport Application

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