Passport Consular Section Visiting Address:

4/F Nedre Vollgate 4

Postal Address:
PO Box 322 Sentrum
Contact Details:
+47 2240 0900
PHILIPPINE EMBASSY
Application Oslo, Norway 0158 Oslo 0103 Oslo +47 2241 7401 (fax)
ambassador@philembassy.no
Form

For official use only: NEW PASSPORT NO: DATE OF ISSUE:

IMPORTANT: Accomplish this form COMPLETELY and PRINT LEGIBLY. Applications that are hard to read and that have
incomplete & incorrect information WILL NOT BE PROCESSED.

SURNAME: _________________________________________________________________________________
GIVEN NAME: ______________________________________________________________________________ Paste one (1)
front view
MAIDEN/MIDDLE NAME: ___________________________________________________________________
4.5cm x 3.5cm
DATE OF BIRTH: ___________________________________________________________________________ new colored
(Day) (Month) (Year) ID photo with
PLACE OF BIRTH: __________________________________________________________________________ ROYAL BLUE
(Town) (Province)
background

SEX: MALE FEMALE

NAME OF FATHER: ______________________________________________________________________ CITIZENSHIP: __________________________

NAME OF MOTHER: _____________________________________________________________________ CITIZENSHIP: __________________________

Check whether you are: Legitimate Illegitimate

Citizenship acquired by: Birth Naturalization Marriage Election

CIVIL STATUS: Single Married Widowed Annulled/Divorced Others: ___________________

NOT FOR SALE

If married, NAME OF SPOUSE: _____________________________________________________________ CITIZENSHIP: __________________________

If divorced or widowed,
NAME OF PREVIOUS SPOUSE: ____________________________________________________________ CITIZENSHIP: __________________________
FOREIGN ADDRESS & CONTACT DETAILS: (Norway, Denmark or Iceland)
No.: __________ Street: ______________________________________________________________________ Town/City: _________________________________
Post Code: _____________________ Country: ________________________________ Telephone No.: __________________________________________________
Mobile No.: _____________________________________________ Email Address: __________________________________________________________________
PHILIPPINE ADDRESS & CONTACT DETAILS:
No.: __________ Street/Barangay: _____________________________________________________________ Town/City: _________________________________
Zip Code: _____________________ Province: ________________________________ Telephone No.: __________________________________________________
Mobile No.: _____________________________________________

IMMIGRATION STATUS: Permanent Resident Tourist Student Contract Worker

Businessman/woman Seafarer Others _________________________________________________

OCCUPATION: _________________________________________________________________________________________________________________________
EMPLOYER: ___________________________________________________________ Telephone No.: __________________________________________________
Mobile No.: _____________________________________________

Have you ever been issued a Philippine passport? Yes No

If yes, latest Passport No.: _________________________________________________________________________________________________________________
Date of Issue: ___________________________________________ Place of Issue: ___________________________________________________________________
In case of accident or death, please notify:
PHILIPPINES COUNTRY OF RESIDENCE
Name: ___________________________________________________________ Name: _______________________________________________________________
Address: _________________________________________________________ Address: _____________________________________________________________
Tel. No.: _________________________________________________________ Tel. No.: _____________________________________________________________
I DO SOLEMNLY SWEAR that the above attached photo is mine, that the statements made on this Application Form are true and that the attached
supporting documents are authentic. SO HELP ME GOD.

Enclose two (2) _______________________________________________________________________________

SIGNATURE OF APPLICANT
other photos (same
as above) in a
small envelope
together with this SIGNING OFFICER: __________________________________________________
Left Right
Thumbmark Thumbmark application POSITION: __________________________________________________
DO NOT STAPLE Service No.: __________________________ O.R. No.: ___________________________
WARNING: Perjury is punishable by law. or use paperclips Nature of Service: __________________________________________________________
please.