Escolar Documentos
Profissional Documentos
Cultura Documentos
For your NSO certificate requirements, you may call (02) 737-1111.
Nationwide delivery within 3-4 days.
Please print this page and the application form on SHORT or A4 BOND PAPER.
Applicants without the printed application form will not be allowed entry at the DFA.
APPOINTMENT DETAILS:
WCS-RRR-LVJZ-PPT-DORev. October2015
THISAPPLICATIONFORMIS NOT FORSALE. PLEASEDONOT LEAVEANY SPACES BLANK, INDICATE N/AIF NOT APPLICABLE. PROVIDINGFALSE
STATEMENTS INPASSPORT APPLICATIONSIS PUNISHABLE BY LAW(R.A. 8239).
_______________________________________
VILLAROMAN
___________________________________________
MARC
DAVID
____________________________________________
NICOLAS
________________________________________________
PHILIPPINES
/LICAB, NUEVA ECIJ
____________________
/ __________
JULY
07 / ___________
1995
Month
Day
Year
DATE OF BIRTH/ PETSA NG KAPANGANAKAN
(Ex.: March8, 2010)
GENDER/ KASARIAN
Civil Status:
Single
Married
Widow/er
MALE
Legally Separated
FEMALE
Annulled
______________________________________________
Signature of Applicant or Legal Guardian (for minor applicants)
In case of death, I hereby donate [ ] Any organ / tissue [x ] Specific organ N/A
____________________ to save other people.
Please immediately notify my family at mobile / tel. no. ANNABEL
___________________________.
N. VILLAROMAN/ +6391
FOR USE OF THE DEPARTMENT OF FOREIGN AFFAIRSONLY. PLEASE DO NOT WRITE BELOWTHIS LINE.
REMARKS:
Processor:
RECEIVEDCANCELLED PASSPORT:
Encoder:
Signing Officer:
Transmission Officer:
RECEIVEDNEWPASSPORT:
PASSPORT FEES:
Regular Processing (15 working days) : P950.00
Expedited Processing (07 working days): P1,200.00
For Replacement of a lost valid passport: Additional fee of P200.00 for a lost valid MRRP/MRP or P350.00 for a lost valid epassport
n Processing schedule may be changed upon prior notice
n Number of processing days may vary depending on the location of the Regional Consular Office where
the application was filed
Apply for your passport early, prepare requirements before appointment date, non-OFW and Metro Manilabased applicants should secure an appointment when applying for a passport, those in provinces can apply at
the nearest Regional Consular Office or during Mobile Passport Service (MPS), OFWs can apply at the DFA
Satellite Office located at Robinsons Galleria in Ortigas, Quezon City. Do not deal with fixers, avail of the
passport delivery service & take good care of your passport. For comments, complaints & assistance, please
contact the Public Assistance Center or the Passport Directors Office.
REQUIREMENTS ARE BASED FROM R.A.8239 OR THE PHILIPPINE PASSPORT ACT OF 1996 AND ITS IMPLEMENTING RULES AND REGULATIONS.