APPLICATION FOR A MAURITIUS PASSPORT P.F.

136
(Do not fill this form until you have read the notes below)
Complete all sections relevant to you in BLOCK LETTERS by using BLACK ink. You must be a Citizen of Mauritius to qualify for a Mauritius passport. Supporting
documents should be produced in original and photocopies at the time of submitting the application form.
(Please fill in the name in which the passport is to be issued)
SURNAME

FORENAMES

N.I.C NUMBER OFFICIAL USE

Recommendation of I/C Counter

Application No.
(For Official Use)
PPT No:
NOTES (For Official Use) C I P

1. Children under 16 years of age will be issued with passports valid for five years. Young persons between 16 to 18 years will be issued
with passports valid for ten years. The parents/guardians of minors should give their consent at Section (4 A) in presence of a Police
Officer/Officer of Passport and Immigration Office. The application form should be submitted by one of his/her parents/his/her guardian.

2. Photo specification: Person in whose name passport is to be issued to submit two identical copies of photograph of less than six months. The size of
these photographs must be between 35mm and 40mm in width and between 45mm and 50mm in height and taken against a light background. The
face length from Chin to Crown of head shall be between 25mm and 35mm (0.98 in and 1.38 in). The photographs should be matt and taken full face,
without hat and eyes wide open. They should be clear and taken in a neutral expression with mouth closed. If applicant/minor wears glasses, the eyes
should be visible.
3. A lost passport should be reported at the Police Station/Mauritian Embassy/Consulate nearest the place of loss and a police report should be
obtained when submitting application for a new passport. The police report should be either in English/French language. In case the passport
has been recovered, same has to be returned to the Passport and Immigration Office or to the nearest Mauritian Embassy/Consulate and must
not be used for any travel.
4. The identity and address of the person in whose name passport is to be issued must be certified by the Police of the locality where he/she
resides, before the application form is submitted. (see Section 5).
5. Passport will, as far as possible, be issued within four working days after payment.
…. ………………………………………….

6. Failure to provide all information will delay issuance of the passport Initial of Applicant

DOCUMENTS TO BE PRODUCED IN ALL CASES (ORIGINAL + PHOTOCOPIES)

 Birth Certificate  Two recent identical photographs (passport size)
Additional documents
1. Adults  National Identity Card
 Certificate of Citizenship (where applicable)
2. Married person applying for own passport in spouse’s name  Marriage certificate
3. Divorced person  Marriage Certificate
 Divorce Decree
 Birth certificates of parents
4. Minor  National Identity Cards of parents/guardians
 Certificate of citizenship (where applicable)
 Copy of Judge’s Order (where applicable)
5. Person whose name has been changed abroad otherwise  Documentary evidence of change of name;
than by marriage (Note: Change of name to be made executory in Mauritius)
6. Person born outside Mauritius with a parent born in  Birth certificates of Mauritian parents
Mauritius  National Identity Cards of parents/guardians
 Certificate of foreign citizenship/Residence permit of
parents (where applicable)
7. Person who is citizen of Mauritius by Registration or Naturalisation  Certificate of Registration/Naturalisation
8. Lost Passport  Certificate from Police

Note: (a) Every birth and marriage certificate submitted should be in the form of a certified print out issued by the Civil Status
Office, and should, where applicable; contain all annotations relevant to applicant’s Civil Status at the time of the
application;
(b) Additional documents, previous passports or information (including a Security Bond) may be requested in support of the application;
(c) When applicable, applications to be accompanied by National Identity Card (with photocopies) of guarantor(s) together
with title of deeds of immovable property (land);
(d) In case of divorce during validity of a passport, Passport Office to be informed for amendments, to name, if any, to be made;
(e) Applicants holding foreign nationality should produce Certificate of Foreign Citizenship
 (1) Particulars of person in whose name passport to be issued

a) SURNAME

b) FORENAMES

c) MAIDEN
NAME
d) NIC NUMBER

e) TITLE f) SEX* Male Female

(Mr/Mrs/Miss/Other)

g) DATE OF h) Age last birthday …………..……...…….….…..

BIRTH
D D M M Y Y Y Y
i) Place and country of birth: ..................................................................................……………………….…..……….…….
j) Marital Status*:- Single Married
Name of Spouse: ………..…………………..…..……….….
Divorced Widow/er

k) Has your name been changed otherwise than by marriage?* Yes No

If so, state your previous name ..……………………………………………………………………..……..…..….……

(Documentary evidence to be produced)

l) Contact details of person in whose name the passport is to be issued:

i) Local: …………………………………………………………………………………………………………………

ii) Abroad: …………………………………………………………………………………………………………………..

.
m) Home Tel No: ……………………………………….….. n) Office Tel No (if any): ………………….…….........

o)Email address (if any): …………………………..…………………………………..…………………………..….……..

.
(2) Personal Description

(a) Occupation/Profession: .......................................……………............... (b) Height: ...................m……...........cm

(c) Visible distinction mark or peculiarities: ................................................ (d) Colour of eyes: ....................................

(3) Eligibility for a Passport

(a) *Are you / Is the minor a citizen of Mauritius? * Yes No

If so, is it by:*-

(i) Birth (ii) Adoption (iii) Registration (iv) Naturalisation (v) Descent

(b) *Is this your / the minor’s first application for Mauritius Passport? * Yes No

(i) If no:- Passport Number: ………..…………………… Date of issue: ………………….……..…………………….

(where minor has previously travelled on parent’s passport, parent’s passport number )

(ii) Reason for replacement of passport:*

Expired Full with stamps Lost Damaged

Other (please specify) ………………………………………………..

(c) *Do you /Does the minor hold another nationality? * Yes No
If so, Certificate of ‘Foreign’ Citizenship to be produced.
* Tick or delete as appropriate
(4 A) Consent of parents or guardian for application by minors (under 18 years).

*I/We, the undersigned, hereby, authorize the issue of a passport to………………………………………………………………….

(Name of minor)
*I/We declare that the information given in the application is correct and that the abovenamed minor has not lost his/her status of
Citizen of Mauritius.

*Father/Guardian *Mother/Guardian

……………………………………………………………….. ………………………………………………………………………...
Nam e Name

……………………………………………………………….. ………………………………………………………………………...
*Signature/Right Thumbprint Signature/Right Thumbprint

……………………………………………………………….. ………………………………………………………………………...
NIC or Passport No. NIC or Passport No.

(4 B) Certification of Consent
I certify that the father and mother or *legal guardian affixed *his/her/their * signatures/right thumbprint/s under Section (4A) in
my presence.

Rank, Dept. No. and Name of Police Officer: ………………………………………………..…………..………………….…….

. (in block letters)

……………………….………………………….………….
Signature & date
…………………………………
Office Stamp Place where consent given: …………………..………………..

(5) Police Certificate

I ……………………………………………………………………certify having verified the names, identity and address of

…………………………………………………………………….. and found same to be genuine and correct.

(Name of Applicant)

Rank, Dept. No. and Name of Police Officer: ……………………………………………………………………………………

(in block letters)

……………………………………….. …………………………………………..
Office Stamp Signature & date

(6) Option for Married Women

I *wish/do not wish to have my *maiden/married name written as an “observation” on my passport

Signature: ……………………………………………
* Delete as appropriate
(7) Signature or thumbprint of *applicant/minor

Specimen signature or thumbprint of *applicant/minor

to be shown on the passport. (Failure to comply with
instruction to Keep within inner border lines of the
box below will invalidate this application).
R. Robinson
(specimen signature)

(Use felt pen 0.6mm with black ink only)

(8) Declaration of applicant/minor’s parents or guardian

(A) I declare that I am a citizen of Mauritius and have not renounced my citizenship or lost it through acquisition of
another nationality, and the documents and statements produced are true and correct. I am also aware that in
case I have supplied any false information/ document, I am liable to prosecution and any passport issued will be
cancelled.

OR

(B) I declare that my ward is a citizen of Mauritius and has not lost his/her* citizenship of Mauritius through
acquisition of another nationality, and the documents and statements produced are true and correct. I am
also aware that in case I have supplied any false information/document, I am liable to prosecution and any
passport issued will be cancelled.

Signature/thumbprint of applicant: ………………………………..………………

Or of parents/guardian of minor

Date:……………………………….

* Delete as appropriate

FOR OFFICIAL USE

NAME INITIAL NO OBJECTION CERTIFICATE

Checked name not on record
Processed by
Signature: …………….………………
Payment slip ordered by
Date:……….….………………………
D/Captured by
Checked by:……..…………………….
Scanned by

Printed by

Documents produced to be noted here

Applicant’s birth certificate Parent’s birth certificate Marriage certificate APPROVAL

Other documents Date: ………………………….