Passport Application Form - Philippines Department Of Foreign Affairs
ADVERTISEMENT
1REPUBLIC OF THE PHILIPPINES
NOT FOR SALE
DEPARTMENT OF FOREIGN AFFAIRS
MANILA
MACHINE READABLE PASSPORT APPLICATION
DDL-DCFG-EPE Rev. September, 2007
PLEASE PROVIDE CORRECT INFORMATION AND DO NOT LEAVE SPACES BLANK.
__________________________________________
LAST NAME / APELYIDO
Paste one
4.5 cm x 3.5 cm
new colored
__________________________________________ ____________________________________
photo
FIRST NAME / PANGALAN (Jr. / II / III)
DATE OF BIRTH (Ex. 01-January-2000)
with
ROYAL BLUE
background.
__________________________________________ ____________________________________
MIDDLE NAME / GITNANG PANGALAN
PLACE OF BIRTH / POOK NG KAPANGANAKAN
GENDER / KASARIAN:
MALE
FEMALE
Maiden or Single Name of Wife /
Civil Status: ___________ Name of Husband
____________________________________________________
(If applicable)
First Name
Middle Name
Last Name
Complete Mailing Address _____________________________________________________________Tel. No.____________
Present Occupation _____________________ Country of Destination____________________ Mobile No.________________
Office Address_______________________________________________________________________ Tel. No.___________
Name of Father___________________________________________________________________ Citizenship ____________
First Name
Middle Name
Last Name
Maiden / Single Name of Mother_____________________________________________________ Citizenship ____________
First Name
Middle Name
Last Name
Tour
Business
Migration
Citizenship acquired by:
Birth
Election
Marriage
Purpose of Travel:
Naturalization
R.A. 9225
Others________________
Stud
Work
Others
y
Are you a holder of a foreign passport?
Have you ever been issued a Philippine Passport?
Yes
No
Yes
No
If Yes, from what country?
If Yes, Latest Passport Number: ________________________
__________________________________________
Date of Issue: _______________Place of Issue_____________
This serves as Affidavit of Support and Consent to Travel
This serves as Affidavit of Loss
(for applicants below 18 years old ONLY)
Lost Passport Number: ____________________________________________
Name of minor’s traveling companion: ___________________________
Issued on: _______________________Issued by: _______________________
Companion’s Relationship: ____________________________________
Date lost: _______________________________________________________
Address / Contact number: _____________________________________
Lost due to: _____________________________________________________
______________________________________
_______________________________________
Signature of Parent or Legal Guardian
Signature of Applicant
I SOLEMNLY SWEAR that 1) I am a Filipino citizen. 2) The information I provided in this application is true and correct. 3) The
supporting documents attached are authentic. 4) I have not been issued a passport under any other name. 5) The attached photograph is mine.
6) I am aware that under the law, I am allowed to hold only one Philippine passport at any given time. 7) I am aware that making false
statements in passport application, furnishing falsified or forged documents in support thereof are punishable by law.
________________________________
Take care not to perforate
SIGNATURE OF APPLICANT
the photograph
REMARKS:
Place
Two (2)
Photos
in a pouch
then staple
here
.
Left
Right
Thumb Mark
Thumb Mark
FOR STRICT COMPLIANCE: Please print name and affix initials
Processor __________________________________________________ Signing Officer _________________________________________________________
RECEIVED NEW PASSPORT:
RECEIVED CANCELLED PASSPORT:
For inquiries, please call (02) 556-0000 or visit
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal