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Form No. 3 – ENGLISH
REGULAR PASSPORT APPLICATION FORM (MINOR)
DEPARTMENT OF FOREIGN AFFAIRS THIS FORM IS NOT FOR SALE
Office of Consular Affairs Last Revision: 07 October 2017
Minors are those below eighteen (18) years of age or those over but are unable to
fully take care of themselves or protect themselves from abuse, neglect, cruelty,
exploitation or discrimination because of a physical or mental disability or
condition (RA No. 7610)
INSTRUCTIONS: Please PRINT entries legibly using black or blue ink only. Supply the necessary information and indicate “N/A” for
entries with no answers. Tick (√) boxes as appropriate.
CAPTURE SITE PRE-PROCESSING (Do not write on this part)
APPOINTMENT VERIFICATION:
PASSPORT APPLICANT’S INFORMATION
5. DATE OF BIRTH (ex. 01 Jan 2017)
D D M M M Y Y Y Y
6. PLACE OF BIRTH
(For born in the PHL: Municipality/City & Province
For born outside the PHL: Country)
7a.HOW DID THE APPLICANT ACQUIRE PHL CITIZENSHIP?
BY BIRTH BY NATURALIZATION BY RECOGNITION BY DERIVATIVE CITIZENSHIP (RA No. 9225)
7b. HAS THE APPLICANT EVER BEEN ISSUED A REGULAR PHILIPPINE PASSPORT?
YES NO IF YES, PLEASE PROVIDE PASSPORT NO.:
8. STATUS OF BIRTH LEGITIMATE
ILLEGITIMATE
9. DISTINGUISHING MARKS ON FACE:
10. IS THE APPLICANT CURRENTLY THE SUBJECT OF AN ADOPTION PROCESS OR PARTIALLY/FULLY IN THE CARE OF AN
ORPHANAGE? YES NO IF YES, PLEASE PROVIDE PERTINENT DOCUMENTS.
11. IS THERE ANY COURT ORDER OR LEGAL ARRANGEMENTS PERTAINING TO THE CHILD?
YES, THERE IS. NONE THAT I KNOW OF. IF YES, PLEASE PROVIDE PERTINENT DOCUMENTS.
APPLICANT’S CONTACT DETAILS
12. MOBILE PHONE OF PARENT/GUARDIAN:
13. WORK PHONE OF PARENT/GUARDIAN:
14. PERSONAL E-MAIL OF PARENT/GUARDIAN:
16. WHERE DO YOU WISH YOUR PASSPORT TO BE DELIVERED? PRESENT ADDRESS HOME ADDRESS
Site: XXXXXXX
Date/Time: Day, DDMon YYYY/0000HR
Booking Reference no.:0123456789101112