FOREIGN SERVICE OF THE PHILIPPINES ________________________________________________________
___________________________________ ________________________________________________________
____________________________ _____________________________________________
APPLICATION FOR TRAVEL DOCUMEN
[Type or print legibly and complete all entries to avoid unnecessary delay ]
LEFT THUMBMARK
RIGHT THUMBMARK
4.5 cm X 3.5 cm
Colored Photograph
FIRST NAME:
DATE OF BIRTH:
LAST NAME:
MIDDLE NAME:
PLACE OF BIRTH:
SEX: [ ] Male [ ] Female
AGE:
HEIGHT: ____________________________________________
COLOR OF HAIR: _____________________________________
COLOR OF EYES: ____________________________________
DISTINGUISHING MARK IF ANY:
Name of Spouse if Married:__________________
________________________________________
Citizenship: _______________________________
IF Dovorced or Widowed:
Name of Previous Spouse:__________________
Civil Status:
[ ] Single [ ] Married
[ ] Divorced [ ] Widow/er
Name of Father:
Name of Mother:
Citizenship:
Citizenship:
Your Current Address:
Telephone Nos.:
Home: _____________________
Office: _____________________
Philippine Address:
Check if you are:
[ ] Legitimate [ ]Illegitimate
Philippine Citizenship Accuired By:
[ ] Birth [ ] Election [ ] Naturalization
Marria
e
Others
lease s
ecif
Visa Status: (Optional)
If U.S. Permanent Resident,
Alien Registration No. __________________________
Occupation :
Office of Employment:
Are you a Philippine Government Official/Employee ? [ ] Yes [ ] No
Have you ever been issued a Philippine Passport,
If yes, Passport No.____________________________ Place and Date Issue: ______________________________
I SOLEMNLY SWEAR that the attached photograph is mine, that the statements made on this Application Form
are true and that the attached supporting documents are authentic. SO HELP ME GOD.
____________________________ _______________________________
Signature of Applicant
Signing Officer
