Renewal Regular Passport Application Form (Adult)
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2Form No. 2 – ENGLISH
RENEWAL REGULAR PASSPORT APPLICATION FORM (Adult)
DEPARTMENT OF FOREIGN AFFAIRS
THIS FORM IS NOT FOR SALE
Office of Consular Affairs
Last Revision: 07 October 2017
INSTRUCTIONS: Please PRINT entries legibly using black or blue
Site: XXXXXXX
Date/Time: Day, DDMon YYYY/0000HR
ink only. Supply the necessary information and indicate “N/A” for
Booking Reference no.:0123456789101112
entries with no answers. Tick (√) boxes as appropriate.
CAPTURE SITE PRE-PROCESSING (Do not write on this part)
APPOINTMENT VERIFICATION:
REMARKS:
PASSPORT APPLICANT’S INFORMATION
1.LAST NAME
2. FIRST NAME
3. MIDDLE NAME or MAIDEN LAST NAME
4. SEX
5. DATE OF BIRTH
6. PLACE OF BIRTH
(ex. 01 Jan 2017)
(For born in the PHL: Municipality/City & Province
MALE
For born outside the PHL: Country)
FEMALE
D D
M M M
Y Y Y Y
7.
8a.
8b. DID YOU EVER LOSE YOUR PH CITIZENSHIP?
CIVIL STATUS
HOW
DID
YOU
ACQUIRE
PHL
YES
NO
SINGLE
CITIZENSHIP?
8c.ARE YOU CURRENTLY A CITIZEN OF ANOTHER
BY BIRTH
MARRIED
COUNTRY?
YES
NO
8d.IF YES, FROM WHAT COUNTRY?
WIDOW/ER
BY NATURALIZATION
NULLIFIED /
BY RE-ACQUISITION (RA no. 9225)
8e. HAVE YOU SERVED IN ANY FOREIGN
MILITARY?
YES
NO
ANNULLED
BY ELECTION
IF Yes, what country?
DIVORCED
BY LEGISLATION
APPLICANT’S CONTACT INFORMATION
9a. PRESENT ADDRESS:
9b. HOME ADDRESS:
10. WHERE DO YOU WISH YOUR PASSPORT TO BE DELIVERED?
PRESENT ADDRESS
HOME ADDRESS
11. TELEPHONE/MOBILE NUMBER:
12. e-MAIL ADDRESS:
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