Transcription of PASSPORT APPLICATION FORM
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PASSPORT APPLICATION FORM
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 ( 8239). LAST NAME / APELYIDO FIRST NAME / PANGALAN ( ) 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.
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.
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