Fillable E-Passport Application Form printable pdf download

E-Passport Application Form

Download a blank fillable E-Passport Application Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete E-Passport Application Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

NOT FOR SALE

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF FOREIGN AFFAIRS

Notes:

E- PASSPORT APPLICATION

THIS FORM IS NOT FOR SALE. DO NOT LEAVE ANY SPACES BLANK, INDICATE N/A IF NOT APPLICABLE.

PROVIDING FALSE STATEMENTS IS PUNISHABLE BY LAW (R.A. 8239).

Foreign Service Post:

LAST NAME

PLACE OF BIRTH

FIRST NAME

DATE OF BIRTH

(Ex. 01 January 2012)

MIDDLE NAME

Female

Male

GENDER:

CIVIL STATUS

Single

Married

Annulled

Widow/er

Legally Separated

NAME OF SPOUSE

CITIZENSHIP

(First-Middle-Last Name)

ADDRESS ABROAD

CONTACT # ABROAD

EMAIL ADDRESS

CONTACT # in PHILIPPINES

ADDRESS in PHILIPPINES

OCCUPATION

WORK ADDRESS

CONTACT #

NAME OF FATHER

CITIZENSHIP

(First-Middle-Last Name)

MAIDEN NAME OF MOTHER

CITIZENSHIP

(First-Middle-Last Name)

Birth

Dual Citizenship

Others

Work

Tour

Marriage

Naturalization

Purpose of Travel:

Seafarer

Study

Citizenship Acquired By:

Election

Others

Migration

Business

Have you ever been issued a Philippine Passport?

Yes

Are you a holder of a foreign passport?

Yes

If Yes, Latest Passport Number:

If Yes, from which country?

Date of Issue:

Place of Issue:

This serves as an Affidavit of Loss

This serves as Affidavit of Support and Consent to Travel

Lost Passport Number:

(for Applicants below 18 years old ONLY)

Issued on:

Issued by:

Name of minor's traveling companion:

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 are true and correct; 3) The supporting documents

attached are authentic; 4) I have not been issued a passport under any other name; 5) I am aware that under the law, I am allowed to hold only one

passport at any given time; 6) I am aware that making false statements and furnishing falsified or forged documents are punishable by law.

Signature Over Printed Name of Applicant

EMBASSY/ CONSULATE OF THE REPUBLIC OF THE PHILIPPINES

Encoder:

Signing Officer:

Processor:

Date: __________________________

Received New Passport:

Received Cancelled Passport:

Service No.: _____________________

O.R. No.:________________________