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DOPS Passport Application Form

DFA form for Diplomatic and Official Passport Issuance and Renewal

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REV. 01/ AUG 2017

Republic of the Philippines
DEPARTMENT OF FOREIGN AFFAIRS
Diplomatic and Official Passports Section
Tel. No. 651 9419; Fax No. 836 7765; Email: oca.dops@dfa.gov.ph

PASSPORT APPLICATION FORM
THIS APPLICATION FORM IS NOT FOR SALE. PLEASE DO NOT LEAVE ANY SPACES BLANK, INDICATE N/A IF NOT APPLICABLE. PROVIDING FALSE
STATEMENTS IN THE PASSPORT APPLICATION IS PUNISHABLE BY LAW (R.A. 8239)

LAST NAME

FIRST NAME (Jr., Sr., II, III )

___________________________________

________________________________

_______________________________________

____________________________________

MIDDLE NAME

PLACE OF BIRTH

DATE OF BIRTH
GENDER:
Day

Month (in words)

Civil Status:

Single

MALE

FEMALE

Year

Married

Widow/er

Complete Address:

Legally Separated

Annulled

Tel. No./Mobile No.:______________________________________
Email Address: _________________________________________
Citizenship: ____________________________________________
Citizenship: ____________________________________________
Citizenship: ____________________________________________

Name of Spouse:
Name of Father:
Maiden/Single Name of Mother:
Citizenship Acquired By:
Birth

Election

Marriage

Naturalization

Are you a holder of a foreign passport?
Yes
No
If Yes, from what country? _____________________________

R.A. 9225

Others:

Yes
No
If Yes, latest Passport Number?____________________________________
Date of Issue: ___________________Place of Issue:___________________
Have you ever been issued a Diplomatic or Official Passport?

PURPOSE OF TRAVEL

:

DATE OF TRAVEL

:___________________________________________________________________________________

DESTINATION

:____________________________________

Transit via: _________________________________

(FOR VISA REQUIREMENTS, PLEASE CONSULT/COMMUNICATE WITH THE CONCERNED EMBASSY/CONSULATE)

Request for Note Verbale

Yes

No

OFFICE OF EMPLOYMENT :___________________________________________________________________________________
DESIGNATION

:___________________________________________________________________________________
(As Stated in the Service Record)

I SOLEMNLY SWEAR UNDER PENALTY OF LAW
attached documents are authentic.

that the statements made on this application form are true and the
___________________________________
Signature of Applicant

Received Cancelled Passport:

Received New Passport:

___________________________________________
Signature over Printed Name/Date

________________________________________________
Signature over Printed Name/Date
FOR USE OF THE DEPARTMENT OF FOREIGN AFFAIRS ONLY.

REMARKS:
1.
4.
2.
5.
3.
_________________________________
Conformé, Signature over Printed Name
Passport Sticker:

DIPLOMATIC
Date
Processor
Encoder
Approving Officer

OFFICIAL

:____________________ Time:_________
:__________________________________
:__________________________________
:

FRANK R. CIMAFRANCA
Assistant Secretary
Office of Consular Affairs

REQUIREMENTS
FOR NEW APPLICANT



 Personal Appearance
 Duly accomplished application form
 Birth Certificate (BC) in Security Paper (SECPA) issued
by the Philippine Statistics Authority (PSA) or Certified
True Copy (CTC) of BC issued by the Local Civil Registrar (LCR) duly authenticated by PSA or Present and
submit a photocopy of regular passport.

FOR PASSPORT RENEWAL




 In Case of No Birth Record:
If born in or after 1950 :
 Apply for the delayed registration of birth at the
local civil registrar;
 Submit Authenticated Birth Certificate (PSA) and
supporting document indicating date, of birth and
citizenship;
 Any public document indicating date , place of
birth and citizenship.
If born before 1950 :
 Certificate of Non-availability of Birth Record
from the NSO;
 Notarized Joint Birth Affidavit;
 Any public document indicating date, place of
birth and citizenship.



For Married Women, Submit Marriage Contract (MC)
in Security Paper (SECPA) issued by PSA or CTC
issued by the Local Civil Registrar duly authenticated
by PSA.

Personal Appearance
Present and submit photocopy of the data page of old
diplomatic/official passport; For those with passports
issued before October 2010, submit original readable
Birth Certificate in security paper (SECPA) issued by
PSA (if details in birth certificate is unreadable, provide
a transcribed copy of the BC from the Local Civil Registrar (LCR) where the applicant was born)
For Married Women, Submit Marriage Contract (MC)
in Security Paper (SECPA) issued by PSA issued by
the Local Civil Registrar duly authenticated by PSA.

FOR LOST PASSPORT

 Submit Affidavit of Loss.
 If still valid, submit Police Report and Affidavit of Loss.
There will be a 15-day clearing period prior to the processing of application for a replacement of lost valid
passport.
 Submit same documents required for the new applicants.

ADDITIONAL REQUIREMENTS
1. Original and/or Certified True Copy of Signed Travel Authority;
2. Endorsement Letter addressed to the DFA (Endorsement Letter is no longer required if Travel Authority
is already addressed to the DFA);
3. Certified True Copy of the Letter of Invitation from Sponsor;
4. Training Contract, (Original Copy) in case the travel is for training, fellowship, scholarship and/or
study grant;
5. NEDA Endorsement, (Original Copy) in case the travel is for training, fellowship, scholarship or study
grant for the period of two (2) months or more;
6. Original Latest Service Record;
7. Original Certificate of No Pending Administrative Case/Record (CNPAC);
8. Certified True Copy of Presidential Full Powers or Appointment Paper (for Presidential Appointees);
9. Certified True Copy of Approved Civil Service Appointment (for co-terminus Appointees);
10. Certified True Copy of Oath of Office (for Elected Officials); and,
11. Photocopy of Applicant’s Office I.D. and Authorized Representative’s I.D.
12. For transit visa, submit confirmed flight itinerary.

Per Department Order No. 15-10 dated 21 October 2010, the applicable fees for the diplomatic and
official e-Passports are as follows:
Regular processing of Diplomatic/Official e-Passport [7 working days]
Expedite processing of Diplomatic/Official e-Passport [5 working days]
Penalty for lost valid Diplomatic/Official e-Passport

-

P
950.00
P 1, 200.00
P
350.00

REMINDER
The applicant is responsible in securing a visa to his country of destination and/or transit. It
is advised that the applicant consult the concerned Embassy or Consulate of the country of
transit/destination for the latest visa and related travel advisories before the date of
departure.
 
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