Fill - Free fillable Jamaica- Passport- Application- Compressed For Official Use Only PDF form

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

*

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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