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Please write your family name above

Date received by Consulate

The application for a first U.S. passport, for persons over 18, born overseas to a

U.S. citizen parent or parents

Read this checklist very carefully and check the boxes as you follow the instructions.

 Download and print

Application for a U.S. Passport Form DS-11

(from ):

first passport application, printed on two sheets of paper leaving the reverse page blank. Print only

the actual form pages (pages 5 and 6), not the instructions. Fill out the form but DO NOT sign it.

 Obtain one U.S. size passport photo of yourself: 2″x2″ (5cm x 5cm), with white background

as per

our passport photo

guidance. Attach the photo to the DS-11 form.

 From the Dutch city hall, obtain the International Version of your birth certificate. See sample

(PDF

575KB). If you were not born in the Netherlands, obtain the foreign birth certificate. If an

international version is not available, also obtain a sworn translation into English.

 Evidence of U.S. Citizenship of your Parent(s)

– their U.S. Passport

– their U.S. Certificate of Naturalization/Certificate of Citizenship

If your parents have not previously been issued one of the above:

– their U.S. Birth certificate

– their Consular Report of Birth Abroad

Further evidence may be required to establish that your parent was a U.S. citizen at the time of

your birth if his/her claim has not been previously established.

 Evidence of Parents’ Marriage: Certified copy of your parents’ marriage certificate issued by

the appropriate governmental authority. Religious records are not acceptable.

 Evidence of Termination of your Parent’s Previous Marriages ( if applicable): Certified

copy of divorce decree/death certificate etc.

 Evidence of Change of Name; If you and/or your parents have changed names through

marriage, court order, etc, submit an original or certified copy of the relevant documents.

 Evidence of Physical Presence in the United States of U.S. Citizen Parent(s); Documentary

evidence of periods of physical presence in the United States of your U.S. citizen parent(s) prior to

your birth, including periods of physical presence outside the United States when the parent served

in the U.S. armed forces or were employed by other U.S. government agencies (if applicable).

Please consult the

Table of Transmission Requirements

for physical presence requirements

applicable at the time of your birth.

 Your Identifying Documents: Your current and expired foreign passports. It may also be

necessary for your mother or father to accompany you to the Embassy to identify you. If your

parents are unable to attend, you should submit a progression of identifying documents of yourself

from childhood to the present (e.g. medical records, baptism certificate, school year books, student

I.D. card, old passports, old driver’s license, etc).

 Evidence of Parentage, Legitimation or Financial Support: Credible and substantial

10.

evidence of blood relationship between yourself and your U.S. parent(s) must be submitted with

your application. If you were born out-of-wedlock, please consult the

Table of Transmission

Requirements

for the legitimation laws and financial support requirements that may be applicable

at the time of your birth.



Affidavit of Parentage Completed by your U.S. Citizen Parent(s)

(PDF, 5 pages): Your U.S.

11.

citizen parent should accompany you to the Embassy to sign the affidavit under oath. If your

U.s. Passport Application Checklist Template - U.s. Embassy And Consulate In The Netherlands

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