Jamaican Passport Application Form
PLEASE READ THE INFORMATION SHEET CAREFULLY BEFORE COMPLETING THIS FORM
A APPLICANT’S PERSONAL DATA
Profession or Occupation
Marital Status
Single Divorced Married Widowed
Surname
First Name
Middle Name(s)
Maiden Surname (family name at birth)
Previous Name: (If name has been changed other than by marriage)
Place of Birth: (Town, City and Parish)
Date of Birth (DD/MM/YYYY) Sex
Male Female
Height
cm
Eye Colour
Dark Brown Brown Grey
Grey Blue Blue Hazel
Chestnut Black Red
Burgundy Mixed
Place of Birth
Special Visible Features
………………………………………………………………………………
Mother’s First Name
Mother’s Maiden Name (Surname before Marriage)
APPLICANT’S PERMANENT ADDRESS
Street Number and Street name
Town, City and Parish
Country
APPLICANT’S MAILING ADDRESS (If different from permanent address)
Street Number and Street name
Town, City and Parish
Country
Postal or Zip Code
State
Postal or Zip Code
State
Residential Telephone Number
Area Code Seven Digit Number
Business Telephone Number
Area Code Seven Digit Number
E-Mail Address:
B TO BE COMPLETED IF APPLICANT IS OR HAS BEEN MARRIED
Date of Marriage (DD/MM/YYYY)
Place of Marriage: (Town, City and Parish)
Country:
Spouse’s Name: (If Married, divorced or widowed)
First Name
Surname
Jamaican Passport Application Form Page 1 of 5
FOR
OFFICIAL
USE
ONLY
Signature of the Applicant WITHIN in the box above
Note: Signature is not required for applicants under the age of 12 years
Thumb Print Box Below
For persons unable to sign
C
CONSENT FOR MINOR (Applicable to persons under 18 years of age. Mother, Father or Legal Guardian may give consent)
Particulars of person giving consent to minor
Surname (parent or legal guardian)
First Name
Middle Name(s)
Relationship to above-named person to minor
Mother
Father
Legal Guardian
Declaration of person giving consent:
I (name)…………………………………………………………………………the (Relationship). …………………………………………………………..
Of (Minor’s Name) ……………………………………………………………….., give my consent for him/her to hold a passport.
…………………………………………………………….. ………………………………
Signature of Parent or Legal Guardian Date
D PARTICULARS OF MOST RECENT PASSPORT: (This information is required whether the passport is expired or current, damaged, lost
or otherwise unavailable)
Passport Number
Date of Issue (DD/MM/YYYY)
Date of Loss (DD/MM/YYYY)
Place of Issue
Name in which stolen, lost or unavailable
passport was issued
Surname
First Name
Middle Names(s)
BRIEF STATEMENT OF CIRCUMSTANCES WHERE PASSPORT HAS BEEN DAMAGED
_
____________________________________________________________________________
___________________________________________________
___________________________________________________
Place of Loss (City, Parish):
E
DECLARATION OF APPLICANT
I, the undersigned, apply for the issue of a Jamaican Passport. I declare that the information given in this application is correct to the best of my
knowledge and belief. I further declare that:
I have not previously held or applied for a Jamaican Passport
All previous passports granted to me have been surrendered, other than Passport or Travel Document No. ………………………………..
which is submitted herewith.
My passport has been lost or is not available for present use and that I have reported the circumstances to the Police or to the Passport Office
(Kingston) or to the Jamaican Consular representative overseas.
……………………………………………………………………………………
Signature of Applicant
Date of Declaration (DD/MM/YYYY)
Jamaican Passport Application Form Page 2 of 5
Jamaican Passport Application Form Page 3 of 5
F EMERGENCY CONTACT PERSONS
FIRST CONTACT PERSON
Surname
First Name
Middle Names
Street Number and Street name
Town, City and Parish/State
Country
Telephone Number
Area Code Seven Digit Number
Relationship
State Postal or Zip Code
SECOND CONTACT PERSON
Surname
First Name
Middle Names
Street Number and Street name
Town, City and Parish/ State
Country
Telephone Number
Area Code Seven Digit Number
Relationship
State Postal or Zip Code
G OFFICIAL CERTIFICATION (Please ensure that Sections A-F are completed before certifying this document)
WARNING: IT IS AN OFFENCE TO MAKE A FALSE AND MISLEADING STATE
MENT IN SUPPORT OF A PASSPORT APPLICATION
I………………………………………………………………………………………………………………….. ……………………………………………….
First Name Middle Name(s) Surname
Designation/Occupation
hereby certify that I have known …………………………………………………………………………………………………………………………………
F
ull Name of Applicant (in the case of a minor, the person giving consent) as stated on application.
For. ………………………………(years) and that the information given is correc
t to the best of my knowledge and belief.
Country
Address of Certifying Official
Building/Apartment Number and Name (if applicable)
Street Number and Street name
Town, City and Parish/ State
Postal Code or Zip Code
Telephone Number
Area Code Seven Digit Number
…………………………………………………………………
Signature of Certifying Official
Date of Certification (DD/MM/YYYY)
Official Stamp or Seal
(If any)
Jamaican Passport Application Form Page 4 of 5
H TO BE COMPLETED BY APPLICANTS WHO MUST WEAR HEADGEAR FOR RELIGIOUS REASONS
(Religion/Sect)
I TO BE COMPLETED BY APPLICANTS BORN OUTSIDE OF JAMAICA
Father’s Name:
Mother’s Name:
Father’s Place of Birth:
Mother’s Place of Birth:
Father’s Date of Birth:
(DD/MM/YYYY)
Mother’s Date of Birth:
(DD/MM/YYYY)
J SUPPLEMENTARY INFORMATION
K FOR OFFICIAL USE ONLY
DOCUMENTS SUBMITTED DOCUMENT NUMBER ISSUE DATE
(DD/MM/YYY)
PREVIOUS PASSPORT STAMP
BIRTH CERTIFICATE
ADOPTION CERTIFICATE
MARRIAGE CERTIFICATE
NATURALIZATION CERTIFICATE.
REGISTRATION CERTIFICATE
CERTIFICATION OF CITIZENSHIP
DIVORCE CERTIFICATE
DRIVERS’ LICENCE
TAX REGISTRATION NUMBER
ELECTORAL IDENTIFICATION
OTHER
RECEPTION TEAM
(Outpost Staff) Date (DD/MM/YYYY)
………………………..
(Passport Office)
…………………………
GUIDELINES
FOR
JAMAICAN
PASSPORT
APPLICATION
READ
CAREFULLY
BEFORE
COMPLETING
THE
PASSPORT
APPLICATION
FORM
1.0
DOCUMENTS
PHOTOCOPIED
OR
LAMINATED
DOCUMENTS
WILL
NOT
BE
ACCEPTED
1.1
Eligibility
for
a
Jamaican
Passport
is
based
on
proof
of
Jamaican
Citizenship.
ALL
applicants
are
.
therefore
required
to
submit
one
of
the
following
documents
as
applicable:
*
Birth
Certificate
*
Certificate
of
Registration
*
Certificate
of
Naturalization
*
Adoption
Certificate
*
Letter
of
Certification
of
Citizenship
1.2
Persons
claiming
Jamaican
Citizenship
by
Descent
MUST
have
their
claim
established
BEFORE
submitting
the
application
for
a
passport.
The
documents
required
are:
*
Applicant's
Birth
Certificate
*
Proof
of
Parent's
Jamaican
Citizenship
*Two
certified
passport
photographs
The
Citizenship
Unit
is
located
at
the
1
st
Floor,
Immigration
Citizenship
and
Passport
Division,
25
Constant
Spring
Road,
Kingston
10
1.3
Passport
issuance
is
also
based
on
credible
identification.
First
time
applicants,
particularly.
are
also
required
to
provide
one
of
the
following
photographic
forms
of
Identification:
*
National
Voter's
Identification
*
Driver's
Licence
*
Previous
Passport
Other
identification·
(subject
to
approval
by
the
Passport
Officers,
e.g.
work
10)
1.4
Any
name
change
must
be
substantiated
by
documentary
evidence.
All
married
or
divorced
women
are
required
to
submit
the
certified
copy
of
the
Marriage
Certificate{s)
or
Divorce
Judgement(s),
where
the
married
name
is
being
used.
A
Deed
Poll
is
required
for
all
other
name
changes.
2.0
PHOTOGRAPHS
NO
EMBOSSED
SEAL
SHOULD
BE
AFFIXED
TO
PHOTOGRAPHS
2.1
Applicants
are
required to submit two (2) identical copies
of
a professionally produced
photograph taken not more than six (6) months
prior
to the application, with the following
specifications:
The
photographs
should
be
taken
in
colour
with
a
matte/dull
finish,
against
a
plain
background.
Applicants
of
light
complexion
should
avoid
wearing
white
clothing
and
should
have
the
photographs
taken
against
a
pastel
shaded
background.
Applicants
of
dark
complexion
should
wear
coloured
clothing
and
photographs
should
be
taken
against
a
white
background.
Applicants
with
hair
is
grey/white
should
have
photographs
taken
against
a
pale
blue
or
grey
background.
There
should
be
no
reflection
from
eyeglasses
and
no
background
shadows.
Excessive
light
reflection
on
image
is
unacceptable.
Light
distribution
should
be
even
throughout
photograph.
Photographs
should
provide
a
full
frontal
view
of
the
head,
neck
and
top
of
the
shoulders
with
ears,
as
much
as
possible,
clearly
visible.
Photographs
should
display
appropriately
clad
images;
exposed
shoulders
and
chest
are
to
be
avoided.
The
applicant
should
wear
no
head
covering
while
taking
the
photograph.
However,
applicants
who
must
wear
hea~gear
for
religious
reasons
must
indicate
their
religion
at
Section
H.
The
size
of
the
face
should
be
25mm
to
35mm,
from
the
chin
to
top
of
head.
When
the
photograph
is
cut
to
a
size
of
about
35mm,
there
should
be
a
margin
of
3mm
to
4mm
between
the
head
and
the
edge
of
the
photograph
Photographs
submitted
with
an
application
become
the
property
of
the
Government
of
Jamaica
3.0
CERTIFICATION
OF
APPLICATION
(See
section
G)
3.1
Each applicant
is
required to present an application form and Photograph that are certified.
This
can
be
done
by
one
of
the
following
officials
who
is
a
citizen
of
Jamaica,
who
is
not
a
member
of
the
family
of
the
applicant
AND,
has
been
personally
acquainted
with
the
applicant
for
a
period
of
not
less
than
12
months:
*
Member
of
Parliament
*
High
Court
Judge
*
Resident
Magistrate
*
Justice
of
the
Peace
*
Public
Officer
(SEG
1
and
above)
*
Consular
Officer
*
Attorney-at-law
*
Commissioner
of
Oaths
Notary
Public
*
Parish
Councillor
*
Bank
Manager
*
Credit
Union
Manager
*
Clerk
of
Courts
*
Marriage
Officers
*
Army
Officer
(Major
&
above)
*
Dental
Surgeon
*
Medical
Practitioner
*
Police
Officer
(Gazetted
Ranks)
*
Passport
Officer
*
Veterinarian
*
Principal
(Primary,
Secondary
&
Tertiary
Educational
Institutions)
3.2
The
official
who
certifies
the
application
is
also
required
to
certify
the
reverse
side
of
one
photograph
of
the
applicant,
with
the
following
inscription
above
his/her
signature:
"I
certify
that
this
is
a
true
photograph
of ........................
(Insert
applicant's
name
and
note
date
of
certification)
...................................................
",
3.3
For
overseas
applicants
the
following
persons,
who
need
not
be
citizens
of
Jamaica,
may
certify
the
application:
*
Justice
of
the
Peace
*
Notary
Public
*
Attorney-at-law
*
Medical
Doctor
*
Minister
of
Religion
authorized
to
perform
marriages
3.4 Overseas applicants may contact the nearest Jamaican Embassy, High Commission
or
Consulate for other categories of persons who may certify applications and photographs.
3.5
NO
FEE
SHOULD
BE
PAID
FOR
CERTIFYING
AN
APPLICATION.
(Applicable
in
Jamaica
ONLY)
4.0
CONSENT
FOR
A
MINOR
(See
Section
C)
4.1
The
mother,
father
or
legal
guardian
must
complete
the
application
for
a
child
less
than
18
years.
Persons
under
18
years
of
age,
who
are
unmarried,
require
the
written
consent
of
the
mother
and/or
the
father
or
legal
guardian,
except
where
such
person
is
a
member
of
the
Security
Forces.
In
the
event
that
neither
parent
nor
legal
guardian
is
available,
contact
should
be
made
with
the
Customer
Service
Unit
at
the
Kingston
Office
or
the
nearest
consular
representatives
in
the
overseas
missions.
5.0
REQUIREMENT
TO
APPEAR
IN
PERSON
All
first
time
applicants
are
required
to
be
present
at
time
of
application.
Minors
under
three
years
are
exempt.
Renewals
do
not
require
personal
appearance.
However,
in
some
instances
an
authorized
officer
may
require
the
appearance
of
the
applicant.
A
MINOR
over
3
years
of
age
doing
a
renewal
is
required
to
appear
in
person.
6.0
LOST
PASSPORTS
A POLICE REPORT MUST BE
SUBMITIED
WHERE PASSPORT IS LOST, STOLEN OR DESTROYED. IN THE
EVENT THAT A LOST PASSPORT SUBSEQUENTLY COMES INTO THE POSSESSION OF THE HOLDER,
IT
MUST
BE RETURNED TO THE PASSPORT OFFICE OR THE NEAREST JAMAICAN EMBASSY, HIGH COMMISSION
OR
CONSULATE OVERSEAS FOR NECESSARY ACTION.
Prepared
by::
Immigration
Citizenship
and
Passport
Services
Division,
Ministry
of
National
Security
-
28·08·
2007
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