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PMEI - Passport Application Form

This document is an application for an e-passport from the Department of Foreign Affairs in Manila. It requests personal information such as name, date and place of birth, citizenship, contact details, occupation, and purpose of travel. It also asks if the applicant has ever held a foreign or Philippine passport before. For minors, it requires an affidavit of support and consent for travel from their companion. The document serves as an affidavit of loss if the applicant's passport has been lost.

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65 views2 pages

PMEI - Passport Application Form

This document is an application for an e-passport from the Department of Foreign Affairs in Manila. It requests personal information such as name, date and place of birth, citizenship, contact details, occupation, and purpose of travel. It also asks if the applicant has ever held a foreign or Philippine passport before. For minors, it requires an affidavit of support and consent for travel from their companion. The document serves as an affidavit of loss if the applicant's passport has been lost.

Uploaded by

phone2hire
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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DEPARTMENT OF FOREIGN AFFAIRS

MANILA
E-PASSPORT APPLICATION

PLEASE PROVIDE CORRECT INFORMATION AND DO NOT LEAVE SPACES BLANK

LAST NAME/APELYIDO MIDDLE NAME (GITNANG PANGALAN

FIRST NAME/PANGALAN (JR./II/III) PLACE OF BIRTH/POOK NG KAPANG

DATE OF BIRTH/(Ex. 01-January-2000) GENDER/KASARIAN


PETSA NG KAPANGANAKAN

Civil status: SINGLE MARRIED WIDOW/ER LEGALLY SEPARATED

Name of Wife/Husband:
First Name Middle Name Last Na
Citizenship:
Complete Address:

Tel. No. (home): Mobile No.:

Present Occupation: Tel. No. (office):

Company Name & Address:

E-mail Address:

Name of Father:
First Name Middle Name Last Na
Citizenship:
Maiden/single
Name of Mother:
First Name Middle Name Last Na
Citizenship:
Citizenship Acquired by:
Birth Election Marriage Naturalization
R.A. 9225 Others (specify)
Purpose of Travel
Tour Seaman Business Migration
Study Work Others (specify)

Are you a holder of a foreign passport? yes no


if yes, from what country?

Have you ever been issued a yes no If yes, latest passport no:
Philippine passport? Date issued:
Place issued:

This serves as Affidavit of Support and Consent to Travel


(for applicants below 18 years old ONLY)
Name of minor's traveling companion:
Companion's relationship:
Address/Contact Number:

This serves as Affidavit of Loss


Loss Passport Number Issued on:
Lost due to: Issued by:
DRAFT ONLY

ITNANG PANGALAN)

POOK NG KAPANGANAKAN

AN

ANNULED

Last Name

Last Name

Last Name

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