Antigua and Barbuda Passport Form

Application for Antigua and Barbuda Passport for applicants 16 and over Notes for FORM L Note 1 Section 2 Type of Application The standard passport takes three 3 weeks to process. I declare that the information provided in this application is correct to the best of my knowledge and belief and that I have not lost or renounced the status of Citizen of Antigua and Barbuda. I further declare that any and all previous passports granted to me have been surrendered other than the passport or travel document with the number specified in section of this form which is now attached and that no other application for a passport has been made since the attached passport or travel document was issued to me. If your parent/ guardian is not available to sign the form he/she must write a letter of consent. Please send the letter with the application together with evidence of your parent s/guardian s identity and relationship to you for example their passport and birth certificate. If parents are unmarried the consent should be given by your mother. Note 4 Documents to be produced for persons over 16 years of age a If the applicant was born in Antigua and Barbuda i Applicant s birth certificate ii Applicant s baptismal certificate if using father s name and it does not appear on birth certificate iv Applicant s expired passport if applicable. And add his signature. For Official Use Application Number Applicant s name Complete form in ink and capital letters if handwritten Given names Surname IMPORTANT Read all instructions carefully before completing the form. If you do not complete all of the sections as indicated your application is likely to be refused. for applicants 16 and over Do NOT use this form if you are under 16- use Form M. Write all dates using the format day/month/year To be completed by all applicants Reason for passport application Tick box es as appropriate Your details 1- New First Time issue Marital Status Single Widowed Married Divorced Separated 2- Reissue of Expired passport 3- Reissue of full passport 4- Reissue of lost/stolen passport 5- Reissue of damaged passport 6- Reissue due to name change 7- Reason for name change Permanent address Date of birth Age last birthday Height ft Sex Male Female Marriage Deed-pole Adoption 8- Other please specify below Comments Place of birth Distinguishing marks if any National status Citizen of Antigua and Barbuda by birth descent naturalisation registration If by naturalisation or registration Number of certificate of citizenship/ naturalisation Type of application See Note 1 and 2 Standard Emergency Date of issue Number of pages required 32 Passport number of country of birth Place and Date of issue Were you born abroad Yes No If yes see Note 4 and then complete this section. If no go to section 6 Father s details His full name His place and country of birth His date of birth Grandparent s details His/her full name His/her place and country of birth His/her date of birth If father mother or grandparent is a citizen of Antigua and Barbuda by naturalisation or registration Number of his/her document If applicant s birth was registered at a Consulate of Name of Consulate Number of registration certificate Date Supporting documents produced. See Note 4 Baptismal certificate Previous passport See Note 5 Is the previous passport attached Yes No If yes previous passport number Give details of previous passport which has been lost or is not available.