Passport

Application
Form

Visiting Address:
4/F Nedre Vollgate 4
0158 Oslo

Consular Section
PHILIPPINE EMBASSY
Oslo, Norway

Contact Details:
+47 2240 0900
+47 2241 7401 (fax)
ambassador@philembassy.no

NEW PASSPORT NO:

For official use only:

Postal Address:
PO Box 322 Sentrum
0103 Oslo

DATE OF ISSUE:

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

IMPORTANT:

SURNAME: Boncales
GIVEN NAME: Lormafe
MAIDEN/MIDDLE NAME: Persigas
DATE OF BIRTH: ________12_________

_February_______ _1992__________________________________________

(Day)

(Month)

(Year)

PLACE OF BIRTH: Poblacion, San Miguel___________Bohol______________________________________________________

(Town)

NOT FOR SALE

SEX:

MALE

(Province)

/ or check : FEMALE

NAME OF FATHER: Maximiano E.Boncales

CITIZENSHIP:Filipino

NAME OF MOTHER: Dolores P.Boncales

CITIZENSHIP: Filipino

Check whether you are:

/ or check Legitimate

Citizenship acquired by:

/ orr check Birth

CIVIL STATUS:

/ or check : Single

Illegitimate
Naturalization

Married

Marriage

Widowed

Election

Annulled/Divorced

Others: ___________________

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.: 2961

Street/Barangay: Aguarra Street, Baclaran

Zip Code:1702

Province: Bohol

Town/City:Baclaran ,Paraaque

Telephone No.: __________________________________________________

Mobile No.:09099531928

IMMIGRATION STATUS:

Permanent Resident

Tourist

Student

Contract Worker

Businessman/woman

Seafarer

/ or check :Others : Jobseeker

Yes

/ or check : No

OCCUPATION:None
EMPLOYER: None

Telephone No.: None

Mobile No.: _____________________________________________

Have you ever been issued a Philippine passport?

If yes, latest Passport No.: _________________________________________________________________________________________________________________

Date of Issue: ___________________________________________ Place of Issue: ___________________________________________________________________
In case of accident or death, please notify:
PHILIPPINES

COUNTRY OF RESIDENCE

Name: Dolores P. Boncales

Name:Marjorie P. Boncales

Address: Poblacion, San Miguel, Bohol

Address: Poblacion, San Miguel,Bohol

Tel. No.: 09203968399

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.

_______________________________________________________________________________
SIGNATURE OF APPLICANT

Left
Thumbmark

Right
Thumbmark

WARNING: Perjury is punishable by law.

SIGNING OFFICER: __________________________________________________

POSITION: __________________________________________________
Service No.: __________________________ O.R. No.: ___________________________
Nature of Service: __________________________________________________________