Application Form For A Fiji Passport Page 2
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216. IF THIS APPLICATION IS BY A PERSON UNDER 16 YEARS OF AGE, THE FOLLOWING SECTION MUST BE
COMPLETED, BY EITHER PARENT OR LEGAL GUARDIAN.
I, the Parent/Legal guardian of the applicant (forenames) _______________________________________________________________
(Surname) _____________________________________ agree to the issue of a passport valid for all countries for the applicant.
Name of Father: _____________________________________
Signature: _______________________________________
Name of Mother: ____________________________________
Signature: _______________________________________
Legal Guardian: _____________________________________
Signature: _______________________________________
Date of Signature: ___________________________________
Full Address: _________________________________________________________________________________________________
17. Method of Collection: Personal Collection/
18.
Witness: I confirm that I have known the applicant for
years
Post to:
and that he/she signed the certificate (section 14) before me and he/
She fully understood its contents.
____________________________________
Full Name of Witness: ____________________________________
____________________________________
Residential Address: ______________________________________
____________________________________
_______________________________________________________
____________________________________
Position Held: ___________________________________________
____________________________________
Employer/Address: _______________________________________
____________________________________
Signature of Witness: _____________________________________
____________________________________
Date: _______________________________
19. FOR OFFICIAL USE ONLY
VETTING OFFICER:
APPLICATION RECORD CHECK:
Name: ____________________________________
Signature: _________________________________
Date: _____________________________________
Application lodged by: _______________________
VDU OPERATOR – Application Entered
CASHIER
Name: ____________________________________
Name: ________________________________________________
Fees Paid: _________________________________
Signature: _____________________________________________
Revenue Receipt No. ________________________
Date: _________________________________
Signature: _________________________________
Date: _____________________________________
VDU CHECK:
Verified from the Computer Records that the Applicant
Previously held
Fiji Passport No. _____________________________
PASSPORT OFFICER:
Issued on __________________________ and has no
Name: ________________________________________________
Other Foreign passport or watchlisted
Signature: _____________________________________________
Date: ___________________________________
______________________
_______________
VDU Operator
Date
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