PLEASE PROVIDE CORRECT INFORMATION AND DO NOT LEAVE SPACES BLANK PLEASE PROVIDE CORRECT INFORMATION AND DO NOT

LEAVE SPACES BLANK PLEASE PROVIDE CORRECT INFORMA TION AND DO NOT LEAVE SPACES BLANK LAST NAME / APELYIDO LAST NAME APELYIDO LAST NAME / /APELYIDO LAST NAME / APELYIDO MIDDLE NAME / GITNANG PANGALAN MIDDLE NAME GITNANG PANGALAN MIDDLE NAME / /GITNANG PANGALAN MIDDLE NAME / GITNANG PANGALAN / / // // MONTH DAY YEAR / / MONTH DAY YEAR MONTH BIRTH / ARAW NG KAPANGANAKAN DAY YEAR DATE OF MONTH BIRTH ARAW NG KAPANGANAKAN DAY YEAR DATEOF BIRTH / /ARAW NG KAPANGANAKAN OF DATE DATE OF BIRTH / ARAW NG KAPANGANAKAN E-PASSPORT APPLICATION FORM E-PASSPORT APPLICATION FORM E-PASSPORT APPLICATION F ORM E-PASSPORT APPLICATION FORM PLEASE PROVIDE CORRECT INFORMATION AND DO NOT LE AVE SPACES BLANK FIRST NAME / PANGALAN (JR./II/III) FIRST NAME PANGALAN (JR./II/III) FIRST NAME / /PANGALAN (JR./II/III) FIRST NAME / PANGALAN (JR./II/III) PLACE OF BIRTH / POOK NG KAPANGANAKAN PLACE OF BIRTH POOK NG KAPANGANAKAN PLACE OF BIRTH / /POOK NG K APANGANAKAN PLACE OF BIRTH / POOK NG KAPANGANAKAN GENDER/KASARIAN : _____MALE __ _____ FEMALE GENDER/KASARIAN _____MALE _______ FEMALE GENDER/KASARIAN : : _____M ALE _______ FEMALE GENDER/KASARIAN : _____MALE _______ FEMALE PHILIPPINE EMBASSY CANBERRA PHILIPPINE CONSULATE GENERAL SYDNEY PHILIPPINE EMBAS SY CANBERRA PHILIPPINE CONSULATE GENERAL SYDNEY PHILIPPINE CONSULATE GENERAL SYD NEY PHILIPPINE CONSULATE GENERAL SYDNEY REPUBLIC OF THE PHILIPPINES REPUBLIC OF THE PHILIPPINES REPUBLIC OF THE PHILIPPI NES DEPARTMENT OF FOREIGN AFFAIRS DEPARTMENTOFTHE PHILIPPINES REPUBLIC OF FOREIG N AFFAIRS DEPARTMENTOF FOREIGN AFFAIRS PHILIPPINE EMBASSY CANBERRA DEPARTMENT OF FOREIGN AFFAIRS PHILIPPINE EMBASSY CANBERRA NOT FOR SALE NOT FOR SALE NOT FOR SALE NOT FOR SALE Civil Status: ______ Single _____ Married _____ Widow/er ____ Legally Separated ______ Annulled Civil Status: ______ Single _____ Married _____ Widow/er ____ Le gally Separated ______ Annulled Civil Status: ______ Single _____ Married _____ Widow/er ____ Legally Separated ______ Annulled Civil Status: ______ ___________ __________________________________________________________________________ Singl e _____ Married _____ Widow/er ____ Legally Separated ______ Annulled Complete M ailing Address: Complete Mailing Address: ______________________________________ _______________________________________________ Complete Mailing Address: ______ _______________________________________________________________________________ Complete Mailing Address: ______________________________________________________ _______________________________ Present Occupation: ____________________________ __ Tel No. ______________ Mobile No.______________________________ Present Occup ation: ______________________________ Tel No. ______________ Mobile No._________ _____________________ Present Occupation: ______________________________ Tel No. ______________ Mobile No.______________________________ Present Occupation: ___ ___________________________ Tel No. ______________ Mobile No.___________________ ___________ Work Address: ___________________________________________ Email Add: _____________________________________ Work Address: ___________________________ ________________ Email Add: _____________________________________ Work Address: ___________________________________________ Email Add: _________________________ ____________ Work Address: ___________________________________________ Email Add : _____________________________________ Name Of Father: ________________________ _____________________________________ Citizenship: ___________________ NameOf Fa ther: _____________________________________________________________ Of Father: _ ____________________________________________________________ Citizenship: ______ _____________ Citizenship: ___________________ Name First Name Middle Name Last Name First Name Middle Name Last Name Name Of Father: __________________________ ___________________________________ Citizenship: ___________________ First Name Middle Name Last Name First Name Middle Name Last Name Maiden/Single Maiden/Sing le Maiden/Single Name Of Mother:________________________________________________

_____________ Citizenship: ___________________ Name Of Mother:__________________ ___________________________________________ Citizenship: ___________________ Cit izenship: ___________________ Maiden/Single Name Of Mother:_____________________ ________________________________________ First Name Middle Name Last Name First Name Middle Name Last Name Name Of Mother:______________________________________ _______________________ Citizenship: ___________________ First Name Middle Name Last Name First Name Middle Name Last Name Name Of Wife/Husband: _______________ _______________________________________ Citizenship: ___________________ Name Of Wife/Husband: ______________________________________________________ Citizenshi p: ___________________ Name Of Wife/Husband: ___________________________________ ___________________ Citizenship: ___________________ First Name Middle Name Last Name FirstName Name MiddleName Name LastName Name Name Of Wife/Husband: _______ _______________________________________________ Citizenship: ___________________ First Middle Last First Name Middle Name Last Name Citizenship Acquired By: Are You A Holder of a Citizenship Acquired By: Are YouA Holder of A Holder Citizens hip Acquired By: Are You passport?of aa _____ Yes ______ No foreign Citizenship AcquiredElection ____ Marriage ____ RA9225 By: foreign passport? _____ Yes _____ _ No Are You A Holder ____ Birth ____ foreign passport? of a _____ Yes ______ No ____ Birth ____ Election ____ Marriage ____ RA9225 foreign From What Country? _ _____________________ _____ Yes ______ No ____ Birth ____ Election ____ Marriage ____ RA9225 If Yes, passport? ____ Birth ____ Election ____________________ Yes , From What Country? ______________________ _____Naturalization Others: Marriage ____ RA9225 IfIfYes, From What Country? ______________________ _____Naturalizat ion Others: ________________ If Yes, From What Country? ______________________ _ ____Naturalization Others: ________________ _____Naturalization Others: ________ ________ THIS SERVES AS AN AFFIDAVIT OF SUPPORT AND CONSENT TO TRAVEL THIS SERVE S ASAN AFFIDAVITOF SUPPORT AND CONSENT TO TRAVEL AN OF SUPPORT CONSENT TO TRAVEL THIS SERVES AS (for AFFIDAVIT below 18 years ANDONLY) applicants old (for AFFID AVIT OF SUPPORT old CONSENT TO TRAVEL THIS SERVES AS AN applicantsbelow 18 years old ONLY) (for applicants below 18 years ANDONLY) Name of minors traveling compa nion: ______________________________Companions Relationship: ____________________ __ (for applicants below 18 years old ONLY) Name of minors traveling companion: _ _____________________________Companions Relationship: ______________________ Name of minors traveling companion: ______________________________Companions Relations hip: ______________________ Address/Contact Details: ___________________________ ____ Address/ContactDetails: companion: ______________________________Companions Relationship: ______________________ Details: _______________________________ Na me of minors traveling _______________________________ Address/Contact __________ _______________________ _________________________________ Address/Contact Detail s: _______________________________ _________________________________ Signature o f Parent/Legal Guardian _________________________________ Signature of Parent/Le gal Guardian Signature of Parent/Legal Guardian Signature of Parent/Legal Guardi an I solemnly swear that 1) I am a Filipino citizen. 2) The information I provid ed in this application is true and correct. 3) The supporting solemnly swear tha t 1) I am a Filipino citizen. 2) The information I provided this application is true and correct. 3) The supporting I Isolemnly swear that areIauthentic. 4) I c itizen. 2) The issued a passport underinthisother name. is true and correct. und er the law, I am documents attached 1) am a Filipino have not been information I provided inany application 5) I am aware that 3) The supporting documentsswear that 1) authentic. 4)I Ihave not 2) The information I attached have been issued a passport under anyother name. is I am aware thatunder thelaw, I Iam other name . 5) law, am I solemnly hold only are I Philippine documents attached are authen tic. 4)passportnotbeen given time. 6) provided in this application 5) Itrue and correct. undertheapplication allowed to one am a Filipino citizen. any issued a passport under anythat making false am aware that passport supporting at I am aw are statements in 3) The allowed to hold only are Philippine passport at any giv en time. 6) I I am aware that making false Istatements that under application on e Philippine passport at been issued aware documents hold only forged documents in support thereof time. 6) amby law. that making false am aware in passport app lication allowed to falsified orone authentic. 4) I have notany givenare a passp

ort under any other name. 5) statements in passportthe law, I am furnishing atta ched punishable furnishingfalsified or forged documents in supportthereof are pu nishable byaware law. allowed hold only one Philippine passport at thereof are p unishable furnishingtofalsifiedor forged documents in supportany given time. 6) I ambylaw. that making false statements in passport application furnishing falsi fied or forged documents in support thereof are punishable by law. OR No.:_____________ OR No.:_____________ OR No.:_____________ OR No.:__________ ___ SRV No.:____________ SRV No.:____________ SRV No.:____________ SRV No.:_____ _______ Signature of Applicant Signature of Applicant Signature of Applicant (to be sign ed at the Embassy / Consulate) (to be signed at the Embassy Consulate) Signature of Applicant (to be signed at the Embassy / /Consulate) (to be signed at the Em bassy / Consulate) RECEIVED CANCELLED PASSPORT: ________________________________ _ PROCESSOR: ________________ RECEIVED CANCELLED PASSPORT: _____________________ ____________ PROCESSOR: ________________ RECEIVED CANCELLED PASSPORT: __________ _______________________ PROCESSOR: ________________ Signature / Date Signature D ate RECEIVED CANCELLED PASSPORT: _________________________________ PROCESSOR: __ ______________ Signature / /Date Signature / Date RECEIVED NEW PASSPORT: _______ __________________________ ENCODER: ___________________ RECEIVED NEW PASSPORT: _ ________________________________ ENCODER: ___________________ RECEIVED NEW PASSP ORT: _________________________________ Signature / Date ENCODER: _______________ ____ Signature/ /Date Date RECEIVED NEW PASSPORT: ______________________________ ___ ENCODER: ___________________ Signature Signature / Date SIGNING OFFICER: ___ _________ FOR ADMINISTRATIVE USE ONLY: SIGNING OFFICER: ____________ SIGNING OFF ICER: ____________ FOR ADMINISTRATIVE USE ONLY: FOR ADMINISTRATIVE USE ONLY: SIG NING OFFICER: For details please visit http://www.philembassy.org.au / http://ww w.philippineconsulate.com.au____________ FOR ADMINISTRATIVE USE ONLY: For detail s please visit http://www.philembassy.org.au http://www.philippineconsulate.com. au For details please visit http://www.philembassy.org.au / /http://www.philippi neconsulate.com.au For details please visit http://www.philembassy.org.au / http ://www.philippineconsulate.com.au RESET PRINT CLOSE

REQUIREMENTS FOR THE E-PASSPORT The processing time for an e-Passport is at least six [6] weeks. All Philippine e-Passports are produced in Manila. FIRST TIME APPLICANTS. First-time applicants are Filipino citizens who have not yet been issued a Philippine passport. 1. Pe rsonal appearance of applicant at the Philippine Consulate. 2. Accomplished Pass port Application Form. 3. Report of Birth of the applicant issued by either the Philippine Embassy or Consulate or NSO-issued Philippine Birth Certificate. 4. A non-refundable passport processing fee (either in cash or postal money order pa yable to the Philippine Consulate General in Sydney. 5. If the applicants passport record has inconsistencies, the Consulate will require additional documents to v alidate necessary details PASSPORT RENEWAL. 1. 2. 3. 4. 5. 6. Personal appearanc e of applicant at the Philippine Consulate. Duly accomplished Passport Applicati on Form Original Philippine passport Photocopy of the passports first page, last page, and Australian visa page. A non-refundable passport processing fee (either in cash or postal money order payable to the Philippine Consulate). Applicants wh o were granted permanent residency status in Australia before 1 July 2007 must s ubmit either (a) printed Visa Entitlement Verification Online [VEVO] result of e ntitlement check made within seven [7] days of date of application or (b) DIAC C ertificate of Evidence of Resident Status [CERS] issued within three [3] months of the date of application. For all married applicants, photocopy of Philippine Marriage Certificate (if married in the Philippines) or Report of Marriage issue d by the Philippine Embassy or Consulate in the country where the marriage was c ontracted (if married outside of the Philippines). This document is required eve n if the applicant is not using the husbands surname. If the applicants passport r ecord has inconsistencies, the Consulate will require additional documents to va lidate necessary details. 7. 8. REPLACEMENT OF A LOST PASSPORT. The Consulate requires certain documents for the administrative procedures. The Consulate must also verify the details of the lo st passport, which will take at least 15 days. 1. 2. 3. Personal appearance of a pplicant for an interview. Duly accomplished Passport Application Form. A non-re fundable passport processing fee (either in cash or postal money order payable t o the Philippine Consulate). If the lost passport has expired, an Affidavit of Los s explaining the details of the circumstances surrounding the loss of the passpo rt. The Consulate will charge a notarial fee for the notarisation of the Affidav it of Loss. If lost passport is still valid, both a written Police Report and Af fidavit of Loss. If lost passport was issued in the Philippines or by another Ph ilippine Embassy or Consulate, the Consulate must verify the details of the lost passport with the issuing station. The applicant must pay a verification fee. T he verification will take at least 15 days. If no previous record of the lost pa ssport is found, the applicant must submit an authenticated Birth Certificate fr om the Philippine National Statistics Office and other Philippine documents to e stablish his/her identity. Applicants who were granted permanent residency statu s in Australia before 1 July 2007 must submit either (a) printed Visa Entitlemen t Verification Online [VEVO] result of entitlement check made within seven [7] d ays of date of application or (b) DIAC Certificate of Evidence of Resident Statu s [CERS] issued within three [3] months of the date of application. For all marr ied applicants, photocopy of Philippine Marriage Certificate (if married in the Philippines) or Report of Marriage issued by the Philippine Embassy or Consulate in the country where the marriage was contracted (if married outside of the Phi lippines). This document is required even if the applicant is not using the husb ands surname. If the applicants passport record has inconsistencies, the Consulate will require additional documents to validate necessary details. Additional requirements:

 DUAL CITIZENS. Persons who re-acquired Philippine citizenship as aaDual Citizen Persons who re-acquired Philippine citizenship as Dual Citizen 1. Personal appea rance of applicant at the Philippine Consulate. Personal appearance of applicant at the Philippine Consulate. 1. 2. Duly accomplished Passport Application Form 2. Duly accomplished Passport Application Form 3. Dual Citizenship Order of Appr oval 3. Dual Citizenship Identification Certificate 4. Last Philippine Passport 4. Dual Citizenship Certificate of Oath 5. For all married applicants, photocopy of Philippine Marriage Certificate (if married in the Philippines) or Report of Marriage issued by the 5. Last Philippine Passport Philippine Embassy or Consul ate in the country where the marriage was contracted (if married outside of the Philippines). 6. For all married applicants, photocopy of Philippine Marriage Ce rtificate (if married in the Philippines) or Report of Marriage issued 6. bynonrefundableEmbassy or Consulate is paid country where or postal money order payab le to the Philippineof the Philippines). A the Philippine passport fee. The fee i n the either in cash the marriage was contracted (if married outside Consulate. 7 . A non-refundable passport fee. The fee is paid either in cash or postal money order payable to the Philippineapplicants personal record. 7. The Consulate may re quire other documents to validate necessary details if there are inconsistencies in the Consulate. 8. The Consulate may require other documents to validate necessary details if th ere are inconsistencies in the applicants personal record.