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Revalidation, Extension and Amendment Form
DFA form for Diplomatic and Official Passport
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: DFA-OCA-DOPS-04
REV. 00 / DEC 2016
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
R E VA L I D AT I O N / E X T E N S I O N / A M E N D M E N T F O R M
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)
Type of Passport:
Diplomatic
Official
Passport No. :___________________________
Date of Issue :___________________________
_______________________
______________________
________________________
LAST NAME
FIRST NAME
MIDDLE NAME
Complete Address
Tel. No. Office
E-mail address
:_____________________________________________________________________
:____________________Home:________________Mobile:______________________
:_____________________________________________________________________
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)
In Case of Amendment, specify changes:
FROM
:_______________________________________________________________
TO
:________________________________________________________________
I SOLEMNLY SWEAR UNDER PENALTY OF LAW that the statements made on this application form are true and the
attached documents are authentic.
________________________________________
Signature of Applicant
OR
__________________________________________
Authorized Representative
(Signature over Printed Name)
FOR USE OF THE DEPARTMENT OF FOREIGN AFFAIRS ONLY.
Required Documents for Submission:
1.
2.
3.
4.
_________________________________
Conformé, Signature over Printed Name
Revalidation
Extension
Amendment
Date of Validity
:___________________________
:___________________________
Encoder
___________________________________________
Signature Over Printed Name/Date
:___________________________
Processor
RECEIVED PASSPORT:
Date of Revalidation
:___________________________
Approving Officer
:
_____________________________________
FRANK R. CIMAFRANCA
Assistant Secretary
Office of Consular Affairs
REQUIREMENTS
The holder shall submit his/her diplomatic/official passport to the Department of Foreign Affairs (Office of
Consular Affairs Diplomatic and Official Passports Section) for revalidation prior to every departure from
the Philippines. (IRR of RA 8239 Art. 8 Sec. 1)
Diplomatic/Official passport must have at least 6 (six) months validity before departure from the
Philippines.
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/issuance of Diplomatic/Official e-Passport [7 working days]
Expedite/rush processing [5 working days]
Replacement of lost e-Passport
Extension of Passport validity
-
P 950.00
P 1,200.00
P 1,300.00
P 200.00
ADDITIONAL REQUIREMENTS
1. Photocopy of the data page of the diplomatic/official passport;
2. Original and/or Certified True Copy of Signed Travel Authority;
3. Endorsement Letter to addressed to the DFA ( Endorsement Letter is no longer required if
Travel Authority is already addressed to the DFA);
4. Certified True Copy of the Letter of Invitation from Sponsor;
5. Training Contract, (Original Copy) in case the travel is for training, fellowship, scholarship
and/or study grant;
6. 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;
7. Original Latest Service Record/Appointment (with full middle name);
8. Original Certificate of No Pending Administrative Case/Record (CNPAC);
9. Certified True Copy of Presidential Full Powers or Appointment Paper (for Presidential
Appointees);
10. Certified True Copy of Approved Civil Service Appointment (for co-terminus Appointees);
11. Certified True Copy of Oath of Office (for Elected Officials); and,
12. Photocopy of Applicant’s Office I.D. and Authorized Representative’s I.D.
13. For transit visa, submit confirmed flight itinerary.
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.