UK Passport Application Form Fillable Template

Male Female Town of birth Country of birth including UK Mobile phone number Alternative phone number E-mail address You do not have to fill in your e-mail address in capital letters. Have you had or been included on any sort of passport before You must fill in this section. A Has the person named in section 2 had any sort of passport British or otherwise or been included in any passport before If you are applying to replace a lost or stolen passport you must also fill in form LS01. Please refer to the guidance booklet for details on where to obtain form LS01. We cannot process your application until you send us form LS01. If you have already sent us form LS01 please tell us at Section 8. Yes No Go to 3B below. B You must send us all uncancelled passports with the application say how many in the box. If the passports are lost or stolen go to 3C. 1 Passport number Lost/Stolen Passport number c Details of the lost and stolen passport in year Issued at Holders surname at the time it was issued How the passport was lost or why it is not available Date of loss DD/MM/YYYY Place of loss Parents details If both parents named below were born after 31st December 1982 OR were born outside the UK we will also need the full name town country date of birth and date of marriage of your grandparents or details of your parents claim to British nationality. OS/01/01 OS GET IT RIGHT USE BLACK BIRO ONLY. SECTION This form is only for British applicants from certain countries applying from outside the UK. Check www. gov.uk/overseaspassports for specific advice about how to renew or apply for your passport from the country you are in. Please include your full address including state or province and post code where applicable. I declare that I am 16 years or over or will be within two weeks and that 1 I will return a lost passport to a UK passport office if it comes into my possession 2 I or the person named in section 2 of this application if different am a British national and have not lost or given up my national status 3 I have stated if the person named in section 2 was born of a surrogacy arrangement 4 I do not owe any money to the UK Government for repatriation or similar relief 5 this application does not break the terms of any court order to which I and the person named in section 2 if different Signature am subject Before signing please read the guidance booklet 6 as far as I know all the information I have given in this Applications are only valid if you application is correct 7 if the application is for a child I have parental responsibility marks and I have enclosed any court orders that relate to the child s residence contact or removal from the UK/country of residence different understand that by voluntarily applying for a British passport I may lose my citizenship of another country and 9 I have read both the guidance notes and the caution above and fully understand the consequences of my actions in applying for a passport. Name if signing on behalf of a child title first name and surname Countersignatory If a countersignature is needed they must fill in this section after the rest of the form has been filled in. Caution It is a criminal offence to make a false statement to help someone get a passport. Gov.uk Notes Type of passport R SE SN DO DE O P C Declaration This must be filled in by the person named in section 2. If under 16 their parent or guardian must fill this in instead. OS/01/04 It is a criminal offence to make a false statement to get a passport. If you have made a false statement on this form you could be prosecuted and could go to prison. Our work includes checking that the countersignature in section 10 is genuine. Check www. gov.uk/overseaspassports for specific advice about how to renew or apply for your passport from the country you are in. Please include your full address including state or province and post code where applicable. You should include the international code in the phone number boxes. We will contact you on your mobile phone number if we have any queries about delivery. If there are any details that you are not able to fit in the boxes in section 2 use the boxes in section 8 to provide the information in full. Please check the accompanying guidance to this form carefully. Who is the passport for Cross X box Mr Mrs Miss Ms or write your title. Mr Mrs Miss Ms or title Surname First and middle names Maiden or all previous names surname first Current address house number street name town/city Country Date of birth DD/MM/YYYY Postcode Gender Cross X the relevant box. Male Female Town of birth Country of birth including UK Mobile phone number Alternative phone number E-mail address You do not have to fill in your e-mail address in capital letters. Have you had or been included on any sort of passport before You must fill in this section. A Has the person named in section 2 had any sort of passport British or otherwise or been included in any passport before If you are applying to replace a lost or stolen passport you must also fill in form LS01.