Republic of the Philippines

DEPARTMENT OF FOREIGN AFFAIRS

PASSPORT APPLICATION FORM

JVBL-APCE-LVJZ-PPT-DO Rev. July 2012

THIS APPLICATION FORM IS NOT FOR SALE. PLEASE DO NOT LEAVE ANY SPACES BLANK, INDICATE N/A IF NOT APPLICABLE. PROVIDING FALSE
STATEMENTS IN PASSPORT APPLICATIONS IS PUNISHABLE BY LAW (R.A. 8239).




LAST NAME / APELYIDO FIRST NAME / PANGALAN (Jr./II/III)


MIDDLE NAME / GITNANG PANGALAN PLACE OF BIRTH / POOK NG KAPANGANAKAN


/ /
Month Day Year
DATE OF BIRTH / PETSA NG KAPANGANAKAN
(Ex.: March 8, 2010)
GENDER / KASARIAN MALE FEMALE

Civil Status: Single Married Widow/er Legally Separated Annulled

Complete Address:
Present Occupation:
Work Address:

Tel. No.:_
Mobile No.:_
Tel. No.:_
E-mail Address:
Name of Wife / Husband:
Name of Father:
Maiden / Single name of Mother:
Citizenship:
Citizenship:
Citizenship:

Citizenship Acquired By:
Birth Election Marriage Naturalization R.A. 9225 Others
Are you a holder of a foreign passport? Yes No
If Yes, from what country?
Have you ever been issued a Philippine Passport? Yes No
If Yes, latest Passport Number?
Date of issue: Place of issue:
(For applicants below 18 years old ONLY)
Name of minors travelling companion:
Companions relationship: Contact Number:

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 am aware that under the law, I am allowed to hold only one
Philippine passport at any given time. 5) I am aware that making false statements in passport application, furnishing falsified or
forged documents in support thereof are punishable by law.

Signature of Applicant or Legal Guardian (for minor applicants)


FOR USE OF THE DEPARTMENT OF FOREIGN AFFAIRS ONLY. PLEASE DO NOT WRITE BELOW THIS LINE.


REMARKS:

Processor: Encoder: Signing Officer: Transmission Officer:
RECEIVED CANCELLED PASSPORT: RECEIVED NEW PASSPORT:
FOR ADMINISTRATIVE USE ONLY:
For more details please visit
http://www.philippineembassy-
usa.org/philippines-dc/consular-services-
dc/

REQUIREMENTS FOR FIRST TIME PASSPORT APPLICANTS
Personal appearance Confirmed appointment No need to sumit a passport si!e p"oto
#ul$ accomplis"ed application form% may be downloaded from the DFA website, www.dfa.gov.ph
&irt" Certificate (BC) in Security Paper (SECPA) issued by the National Statistics Office (NSO) or Certified True Copy (CTC) of
BC issued by the Local Civil e!istrar (LC) " duly authenticated by NSO# Transcribed BC fro$ the LC is re%uired &hen entries
in NSO BC are blurred or unreadable# eport of Birth duly authenticated by NSO is re%uired if born abroad#
'alid picture I#s and supportin( documents to pro)e identit$ (please refer to the List of Acceptable '(s " Supportin!
(ocu$ents belo&)
In Case of No &irt" Record*
If orn in or after +,-. /0anuar$ +1 +,-. or after2*
Apply for the delayed re!istration of birth at the local civil re!istry office located at the place of birth of applicant
Sub$it authenticated Birth Certificate fro$ NSO and supportin! public docu$ent)s upon the discretion of the processor or
Consular Officer* &ith correct date and place of birth (i.e. Form137, Voters Registration Record, a!tismal "ertificate with readable
dry seal or #"$F % &$A "ertificate with !hoto and readable dry seal, for $'slima!!licants(
If orn efore +,-. and elo3/#ecemer 4+1 +,5, and elo32*
Certificate of Non+availability of Birth ecord fro$NSO
Notari,ed -oint Birth Affidavit of T&o (isinterested Persons
Any public docu$ent &ith correct full na$e* date and place of birth (i.e. a!tismal "ertificate with readable dry seal or #"$F %
&$A "ertificate with !hoto and readable dry seal, for $'slim a!!licants(
Additional Re6uirements
For married 3omen*
.arria!e Contract (.C) in Security Paper issued by NSO or ori!inal and photocopy of the Certified True Copy of .C issued by
the Local Civil e!istrar and duly authenticated by NSO# Transcribed .C fro$ the LC is re%uired &hen entries in NSO .C are
blurred or unreadable# eport of .arria!e duly authenticated by NSO is re%uired if $arried abroad#
For spouse of forei(n national*
.arria!e Contract (.C) in Security Paper issued by NSO or Certified True Copy of .C issued by the Local Civil e!istrar and
duly authenticated by NSO# Transcribed .C fro$ the LC is re%uired &hen entries in NSO .C are blurred or unreadable#
eport of .arria!e duly authenticated by NSO is re%uired if $arried abroad#
Ori!inal and photocopy of Co$$ission of /ilipinos Overseas (C/O) 0uidance and Counselin! Certificate of Attendance
(re)'ired for first time a!!licants or renewal of !ass!ort to be 'sed for the first time the s'rname of the h'sband(
Aliens 3"o ac6uired Filipino citi!ens"ip or applicants 3it" foreign-sounding family names /e7(7 LIM1 C8O1 S91 LEE1
SAMA#I1 SIN:81 etc72*
Bureau of '$$i!ration 'dentification Certificate
Certificate of Naturali,ation
Election of /ilipino Citi,enship ) Oath of Alle!iance
'/ NECESSA1*
.arria!e Certificate of parents (duly authenticated by NSO)
NSO Birth Certificate of applicant2s brother or sister
Applicants 3"o a)ailed of Dual Citizenship or Election of Philippine Citizenship under RA ,;;-*
'dentification Certificate
Oath of Alle!iance
Order of Approval
eport of Birth (for those born abroad)
If applicant is a #OST sc"olar* (sa$e !eneral re%uire$ents stated above)
Secure a certification or clearance fro$(OST
For Minor Applicants /elo3+< $ears old)
Confir$ed appoint$ent (e3cept for 4 year old and belo&) Ori!inal &irt" Certificate (BC) of $inor in Security Paper issued by NSO or Certified True Copy of BC issued by the LC "
Personal appearance of the $inor applicant duly authenticated by NSO# Transcribed BC fro$ the LC is re%uired &hen entries in NSO BC are blurred or unreadable#
Personal appearance of either parent* NSO .arria!e Contract and proper '( ) valid passport of parents (if $inor is a le!iti$ate eport of Birth duly authenticated by NSO is re%uired if $inor &as born abroad#
child) ) Personal appearance of $other and proper '( ) valid passport of $other (if $inor is an ille!iti$ate child) (ocu$ent of identity &ith photo* if $inor is 5+46 years old (for first ti$e " rene&al applicant) such as School '#(# or /or$
Ori!inal and photocopy of valid passport of the person travelin! &ith the $inor 476 &ith readable dry seal# /or $inor applicants &ho never attended school* a Notari,ed Affidavit of E3planation e3ecuted by
Notari,ed Affidavit of Support and Consent to travel fro$either parent (if $inor is a le!iti$ate child) ) fro$$other (if $inor is either parent (if $inor is a le!iti$ate child) ) by $other (if $inor is an ille!iti$ate child) detailin! the reasons &hy the child
an ille!iti$ate child) is not in school* is re%uired
Additional Re6uirements
If minor is not tra)elin( 3it" eit"er parent or alone*
Personal appearance of the $other is re%uired if $inor applicant is an ille!iti$ate child#
Affidavit of Support and Consent (ASC) e3ecuted by either parent indicatin! the na$e of the travelin! co$panion and
relationship to the $inor# 'f $inor &ill be travelin! alone* ASC $ust be e3ecuted by either parent* statin! that his)her child &ill be
travelin! alone# 'f $inor is ille!iti$ate* $other should e3ecute the ASC#
Ori!inal and photocopy of (S8( Clearance# There is no need to secure a (S8( Clearance if the $inor travelin! abroad has
parents &ho are in the /orei!n Service or livin! abroad or are i$$i!rants* provided he ) she is holdin! a valid pass such as a
dependent2s visa ) pass ) identification card or per$anent resident visa ) pass ) identification ca rd &hich serves as proof that he
) she is livin! &ith parents abroad#
If ot" parents are aroad*
Affidavit of Support and Consent (ASC) e3ecuted by either parent indicatin! the na$e of the travelin! co$panion (authenticated
by the nearest Philippine E$bassy or Consulate 0eneral)# 'f $inor is ille!iti$ate* $other should e3ecute the ASC#
Special Po&er of Attorney (SPA) &ith an attached photocopy of either parent2s valid passport (authenticated by the nearest
Philippine E$bassy or Consulate 0eneral) authori,in! a representative in assistin! the child to apply for a passport# 'f $inor is
ille!iti$ate* $other should e3ecute the SPA#
Ori!inal and photocopy of (S8( Clearance# There is no need to secure a (S8( Clearance if the $inor travelin! abroad has
parents &ho are in the /orei!n Service or livin! abroad or are i$$i!rants* provided he ) she is holdin! a valid pass such as a
dependent2s visa ) pass ) identification card or per$anent resident visa ) pass ) identification card &hich serves as proof that he
) she is livin! &ith parents abroad#
Proper '( of the duly authori,ed representative (Please refer to List of Acceptable '(s)
If minor is le(itimated $ suse6uent marria(e of parents*
Authenticated Birth Certificate fro$NSO &ith annotation re!ardin! ne&status as le!iti$ated and the full na$e of the child
If minor is ille(itimate ut ac=no3led(ed $ fat"er*
Birth certificate fro$NSOreflectin! surna$e of father &ith Affidavit of Ac9no&led!e$ent and Consent to use surna$e of father
Orp"aned minor applicant*
Authenticated (eath Certificates of parents fro$NSO
Court order a&ardin! !uardianship of the orphaned $inor applicant or substitute parental authority under Article :4; ":4< of
the /a$ily Code
(S8( Clearance
Aandoned minor applicant*
Court order a&ardin! !uardianship of the abandoned $inor applicant or substitute parental authority
(S8( Travel Clearance
Foundlin(*
Certificate of foundlin! authenticated by NSO
(S8( Clearance
Passport of the person &ho found the applicant
Letter of authority or endorse$ent fro$(S8( for the issuance of passport
Le(all$ adopted*
Ori!inal and Certified True Copy (CTC) of NSO Birth Certificate before adoption
Ori!inal and Certified True Copy (CTC) of the NSO a$ended Birth Certificate after adoption
Certified True Copy (CTC) of the Court (ecision or Order on Adoption and Certificate of /inality
(S8( clearance for $inor applicant* if travelin! &ith the person other than the adoptin! parents
*n case the a!!licant is for ado!tion by foreign !arents+
Certified True Copy of the Court (ecree of Abandon$ent of Child
NSO(eath Certificate of the child2s parents or the (eed of =oluntary Co$$it$ent e3ecuted after the birth of the child
Endorse$ent of child to the 'ntercountry Adoption Board by the (S8(
Authenticated Birth or /oundlin! Certificate
Minor applicant 3"ose parents are annulled > di)orced*
Court order a&ardin! !uardianship of the $inor applicant or substitute parental authority
(S8( Travel Clearance
NSO.arria!e Certificate &ith annotation on nullity or annul$ent decree
Minor applicant 3"ose mot"er is li=e3ise a minor*
Personal appearance of $other and $aternal !randparent)s
NSOBirth Certificate of $inor applicant and $other
Affidavit of Support and Consent e3ecuted by the $aternal !randparent)s indicatin! the na$e of the travelin! co$panion
(S8( Clearance if $inor &ill be travelin! &ith the person other than the $aternal !randparent)s
Proof of identity of $other and $aternal !randparent)s (Please refer to List of Acceptable '(s)
For Muslim applicants (sa$e !eneral re%uire$ents stated above)
For late re(istered Muslimapplicants*
Certificate of Tribal Affiliation fro$the National Co$$ission on .usli$/ilipinos (NC./)
For con)erts 3"o 3ould li=e to use t"eir Muslimname*
Annotated Birth Certificate (BC) in Security Paper (SECPA) issued by NSO bearin! the .usli$na$e
NC./ ) O.A Certificate of Conversion
REQUIREMENTS FOR RENE?AL OF PASSPORT
Personal appearance Confirmed Appointment #ul$ accomplis"ed application form% may be downloaded fromthe DFA website, www.dfa.gov.ph No need to sumit a passport si!e p"oto
Most recent e@pirin( or e@pired passport 'alid picture I#s and supportin( documents to pro)e identit$7 (Please refer to List of Acceptable '(s and List of Supportin! (ocu$ents)
&ro3n Passport or passports issued prior to .+ Ma$ +,,-*
Brin! ori!inal bro&n passport and photocopy of passport pa!es 4*:*7*; and last pa!e
&irt" Certificate in Security Paper issued by NSO or Certified True Copy of BC issued by the Local Civil e!istrar and duly
authenticated by NSO* to deter$ine co$plete $iddle na$e# Transcribed Birth Certificate fro$the LC is re%uired &hen entries in
NSO Birth Certificate are blurred or unreadable# eport of Birth duly authenticated by NSO if born abroad
:reen Passport or passports issued after .+ Ma$ +,,-*
Brin! ori!inal !reen passport and photocopy of first and last pa!e of passport
Mac"ine Readale Passport /MRP2 issued in t"e $ear ;..A*
Brin! ori!inal passport and photocopy of first and last pa!e of passport
&irt" Certificate (BC) in Security Paper (SECPA) issued by the National Statistics Office (NSO) or Certified True Copy
(CTC) of BC issued by the Local Civil e!istrar (LC) to deter$ine co$plete place of birth# Transcribed Birth Certificate fro$
the LC is re%uired &hen entries in NSO Birth Certificate are blurred or unreadable
Old cancelled passport $ay also be presented in the absence of an NSO Birth Certificate
Electronic Passport /EBpassport2
Brin! ori!inal e+passport and photocopy of first (data pa!e) and last pa!e of passport
For married 3omen 3"o 3ould li=e to use t"eir married surname*
.arria!e Contract (.C) in Security Paper issued by NSO or Certified True Copy of .C issued by the Local Civil e!istrar and
duly authenticated by NSO# Transcribed .arria!e Contract fro$ the LC is re%uired &hen entries in NSO .arria!e Contract are
blurred or unreadable# eport of .arria!e duly authenticated by NSO if $arried abroad
For spouse of forei(n national 3"o 3ould li=e touse t"eir married surname*
.arria!e Contract (.C) in Security Paper issued by NSO or Certified True Copy of .C issued by the Local Civil e!istrar and
duly authenticated by NSO# Transcribed .arria!e Contract fro$ the LC is re%uired &hen entries in NSO .arria!e Contract are
blurred or unreadable# eport of .arria!e duly authenticated by NSO if $arried abroad
Ori!inal and photocopy of Co$$ission of /ilipino Overseas (C/O) 0uidance and Counselin! Certificate of Attendance (re)'ired
for first time a!!licants or renewal of !ass!ort to be 'sed for the first time the s'rname of the h'sband(
For married 3omen 3"o 3ould li=e to re)ert to t"eir maiden name*
&irt" Certificate (BC) in Security Paper (SECPA) issued by NSO or Certified True Copy of BC issued by the Local Civil e!istrar
and duly authenticated by NSO# Transcribed Birth Certificate fro$ the LC is re%uired &hen entries in NSO Birth Certificate are
blurred or unreadable# eport of Birth duly authenticated by NSO is re%uired if born abroad
If already widowed+ (eath Certificate in Security Paper (SECPA) issued by NSO of the deceased husband
If marriage is annulled+ Certified True Copy of annotated NSO .arria!e Contract and Court Order effectin! the annul$ent#
If divorced+ Certified True Copy of the (ivorce (ecree duly authenticated by the Philippine E$bassy or Consulate &here the
divorce &as obtained or by the concerned forei!n diplo$atic or consular $ission in the Philippines# Ori!inal and CTC of Phil#
Court reco!nition of forei!n divorce decree $ust also be present and the NSO .C &ith the annotation of the (ivorce (ecree#
For minor applicants* re%uire$ents for first ti$e $inor applicants are still prescribed* in addition to the passport of
$inor#
For MuslimApplicants (sa$e !eneral re%uire$ents stated above)
For con)erts 3"o 3ould li=e to use t"eir Muslimname*
Annotated Birth Certificate (BC) in Security Paper (SECPA) issued by NSO bearin! the .usli$na$e
National Co$$ission on .usli$/ilipinos (NC./) or Office on .usli$Affairs (O.A) Certificate of Conversion
Aliens 3"o ac6uired Filipino citi!ens"ip or applicants 3it" foreign-sounding family names /e7(7 LIM1 C8O1 S91 LEE1
SAMA#I1 SIN:81 etc72*
Bureau of '$$i!ration 'dentification Certificate '/ NECESSA1*
Certificate of Naturali,ation NSO .arria!e Certificate of parents
Election of /ilipino Citi,enship ) Oath of Alle!iance NSO Birth Certificate of applicant or applicant2s brother ) sister
Applicants 3"o a)ailed of Dual Citizenship or Electionof Philippine Citizenship under RA ,;;-*
'dentification Certificate
Oath of Alle!iance
Order of Approval
eport of Birth (for those born abroad)
If applicant is a #OST Sc"olar (sa$e !eneral re%uire$ents stated above)>
Secure a certification or clearance fro$(OST
REQUIREMENTS FOR REPLACEMENT OF LOST PASSPORTS
Personal appearance Confirmed Appointment No need to sumit a passport si!e p"oto
#ul$ accomplis"ed application form% may be downloaded from the DFA website, www.dfa.gov.ph
LIST OF ACCEPTA&LE I#S /At least + of t"e follo3in(2*
:o)ernmentBissued I#s such as di!iti,ed SSS '(* (river2s License* 0S'S E+card* PC '(* 'BP '(* O88A '(* di!iti,ed B' '(*
Senior Citi,en2s '(# Ot"er acceptale picture I#s include old Colle!e '(* Alu$ni '(* or old E$ploy$ent '(s

LIST OF SUPPORTIN:#OCUMENTS /At least 4 of t"e follo3in(2*
=oter2s '(
NSO.arria!e Contract
Land Title
Sea$an2s Boo9
Ele$entary or ?i!h School /or$476 or Transcript of ecords &ith readable dry seal
0overn$ent Service ecord
NB' Clearance
Police Clearance
Baran!ay Clearance
Old docu$ents issued at least one year prior to date of application that sho& correct na$e* date and place of birth* picture
and si!nature of applicant such as> NSO Birth Certificate of child)children* SSS+E4 /or$ or .icrofil$ed copy of SSS+E4 /or$*
'nco$e Ta3 eturn* =oter2s Certification* List of =oters a nd =oter2s e!istration ecord (for ne&ly issued =* please attach
receipt)* School 1earboo9* or Co$$unity Ta3 Certificate
In case passport 3as lost and cannot e found*
Sub$it Notari!ed Affida)it of Loss (&ith detailed e3planation on &hen* &here and ho& passport !ot lost)#
'f the lost passport is still valid* sub$it Police Report7
Photocopy of first pa!e of lost passport (if available)
,here will be a 1-day clearing period !rior to the !rocessing of a!!lication for re!lacement of a lost -alid !ass!ort.
In case passport 3as alread$ declared lost $ t"e applicant ut e)entuall$ 3as found and returned to "im>"er*
Notari!ed Affida)it of Retrie)al (&ith detailed e3planation on &hen* &here and ho& passport &as found)
Ori!inal and photocopy of first and last pa!e of passport
In case of mutilated or dama(ed passports*
Notari!ed Affida)it of Mutilation (&ith detailed e3planation on &hen* &here and ho&passport !ot $utilated or da$a!ed)
Ori!inal and photocopy of first and last pa!e of $utilated or da$a!ed passport
In case applicant 3as issued a Tra)el #ocument*
Ori!inal Travel (ocu$ent
Notari!ed Affida)it of E@planation Re(ardin( Issuance of Tra)el #ocument (&ith detailed e3planation on &hen* &here and
&hy applicant &as issued a travel docu$ent)
Ori!inal and photocopy of first and last pa!e of cancelled passport (if passport is still in the possession of the applicant)
REMIN#ERS Passport shall be released to an i$$ediate fa$ily $e$ber only &ith proper authori,ation letter# Passport of a $inor
Personal appearance is re%uired for all applicants applicant shall be released to parents only or to an authori,ed representative &ith Special Po&er of Attorney " Affidavit
Confir$ed appoint$ent is re%uired for all applicants e3cept senior citi,ens* infants " $inors belo& 4 year old and O/8s# /or of Support and Consent#
O/8s* sufficient proof $ust be sub$itted such as valid e$ploy$ent contract or OEC# Passports unclai$ed after < $onths &ill be cancelled per (epart$ent Order No# 76+@7#
Earrin!s " contact lenses are not allo&ed durin! data capturin!# S$ilin! &ith visible teeth is also not allo&ed# Chec9 all data in the received e+passport upon release#
Chec9 all data in the co$puter $onitor " in the Enrol$ent Certificate before si!nin!# Nu$ber of processin! days $ay vary dependin! on the location of the e!ional Consular Office &here the application &as
Only i$$ediate fa$ily $e$bers are allo&ed to !et the passport in behalf of the applicant# '$$ediate fa$ily $e$bers include filed#
father* $other* brother* sister* spouse and children of le!al a!e# The (epart$ent $ay re%uire additional supportin! docu$ents as $ay be necessary* especially for applicants &ith dual
citi,enship and &ith forei!n+soundin! fa$ily na$es to prove citi,enship#
PASSPORT FEES*
Re(ular Processin( (4A &or9in! days) > PBA@#@@
E@pedited Processin( (6 &or9in! days)> P4*:@@#@@
For Replacement of a lost )alid passport> Additional fee of P:@@#@@ for a lost valid .P).P or P7A@#@@ for a lost valid e+
passport
Appl$ for $our passport earl$1 prepare re6uirements efore appointment date1 nonBOF? and Metro ManilaBased
applicants s"ould secure an appointment 3"en appl$in( for a passport1 t"ose in pro)inces can appl$ at t"e nearest
Re(ional Consular Office or durin( Moile Passport Ser)ice /MPS21 OF?s can appl$ at t"e Passport E@tension Office
located at t"e POEA in Orti(as1 do not deal 3it" fi@ers1 a)ail of t"e passport deli)er$ ser)ice C ta=e (ood care of $our
passport7 For comments1 complaints C assistance1 please contact t"e Pulic Assistance Center or t"e Passport
#irectorDs Office7
REQUIREMENTS ARE BASED FROM R.A.8239 OR THE PHILIPPINE PASSPORT ACT OF 1996 AND ITS IMPLEMENTING RULES AND REGULATIONS.