Passport Application Form For Embassy Of Philippines In France printable pdf download

EMBASSY OF THE PHILIPPINES

INSTRUCTIONS TO THE APPLICANT:

Paris, France

Please accomplish COMPLETELY AND LEGIBLY. Print

clearly in BLOCK letters and READ THE INSTRUCTIONS

V0707 Not for SALE

PASSPORT APPLICATION FORM

CAREFULLY at the back of this page.

(Pursuant to TVGB-BLC Rev. August 2004)

For Embassy Use Only (Please do not fill up):

 WITH SV

 LOST

 BAK

 DISC

 FOR MAILING

Passport Number: ___________________________

Date of Issue:

___________________________

Surname of Applicant:

Place of Birth:

Passport-size photo of

applicant with

_________________________________________

_______________________________________________

DARK/ROYAL BLUE

Gender:

BACKGROUND, taken

First Name:

Male

within the last six (6)



Female

months from the date of



_________________________________________

Civil Status

this application. Applicant

Single

must be in decent attire



Middle name:

Married to _________________________

with collar, without any



Widow / Widower

accessories (no eyeglasses,



_________________________________________

Legally separated or Divorced

headgear, earrings, etc.).



Address in France/Monaco/Portugal:

Contact details (landline and mobile numbers):

Occupation:

Name of Employer:

Address of Employer:

Contact Number of Employer:

Address in the Philippines:

Full Name of Father:

Citizenship of Father:

Full Name of Mother:

Citizenship of Mother:

Date of First Entry into France/Monaco/Portugal

Have you ever been issued a Philippine passport?  Yes

 No

If yes, please provide the details as follows:

____________________________________________________

Do you have a work permit or a residence card?

Passport Number: _______________________________________

 Yes

 No

Date of Issue: ___________________________________________

If yes: Date of Issue: __________________________________

Place of Issue: __________________________________________

Place of Issue: ______________________________________

Validity period:  1 Year

 10 years

 Others

Educational Attainment:

How Acquired:  Regroupement Familiale

Elementary



 Marriage to French/Portuguese/Monegasque Citizen

Highschool



 Amnesty

 Applied for Legalization

College, Major in: ________________________________



 Employment

 Others _________________________

Master/PhD in: ___________________________________



Not applicable



Have you acquired foreign citizenship?

Please put a check mark on the item if you are:

 Yes

 No

Legitimate



If yes: what nationality? _______________________________

Illegitimate



Date of Issue: _______________________________________

Philippine citizenship was acquired by:

Place of Issue: ______________________________________

 Birth  Election  Naturalization  R.A. 9225

(Dual Citizenship Law)

Persons to contact in the Philippines in case of emergency

Name

Relationship

Address

Contact Numbers

Persons to contact in France/Monaco/Portugal in case of emergency

Name

Relationship

Address

Contact Numbers

I solemnly swear that the photograph attached to this Application Form is mine, that I have never been issued a passport under

another name, that the statements made on this Application Form are true and correct and that the attached supporting documents are

authentic.

I understand that perjury is punishable by law and that under Section 19(b)(1) of the Philippine Passport Act of 1996 (Republic

Act No. 8239), any intentional false statement I make in this Application Form is punishable by a fine of not less than P15,000.00 nor more

than P60,000.00 and imprisonment of not less than 3 years nor more than 10 years.

_______________________________________________

Left

Right

Paste two (2) additional

Printed Name and Signature of Applicant

Thumbmark

photos here. Photos should

be the same as above.

If the Applicant is a minor, signature is affixed by:  Father

 Mother

 Others ____________________________________

Please do not write below this line. For Embassy use only.

Service No:

Consular Remarks:

Processed by:

Date:

Fee Paid:

Verified by:

Date:

OR No.:

PTR: ABC

AMC

NBI

BAPTCERT

ID

VRR

CP

PR

Date Paid:

PARIS PE

MOBILE/OUTREACH IN:

Passport Application Form For Embassy Of Philippines In France

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