Important Reminders

☐
Your appointment is on Tuesday, May 22, 2018 at 10:00 - 11:00.
Please be at Baguio at least thirty (30) minutes before your scheduled appointment.

☐ Please make sure you have prepared all the requirements.

☐
Be ready with both the original and photocopies of your documents when you
appear for personal appearance. Application processing may be delayed if
applicants are not ready with copies of their documents once inside the data
capturing site.

☐ For your NSO certificate requirements, you may call (02) 737-1111. Nationwide
delivery within 3-4 days.

☐
Kindly print your application form (with barcode) in A4-size paper.
You must have a printed application form to show and submit at your chosen
application site.
APPOINTMENT DETAILS: Republic of the Philippines WCS-RRR-LVJZ-PPT-DORev. October2015
Baguio DEPARTMENT OF FOREIGN AFFAIRS
Tuesday, May 22, 2018
10:00 - 11:00 PASSPORT APPLICATION FORM
THISAPPLICATIONFORMIS NOT FORSALE. PLEASEDONOT LEAVEANY SPACES BLANK, INDICATE N/AIF NOT APPLICABLE. PROVIDINGFALSE
STATEMENTS INPASSPORT APPLICATIONSIS PUNISHABLE BY LAW(R.A. 8239).

_______________________________________
LALUAN ___________________________________________
ZAINI COLEEN
LAST NAME/ APELYIDO FIRST NAME/ PANGALAN (Jr./II/III)
____________________________________________
SOLIS ________________________________________________
PHILIPPINES /BAGUIO CITY
MIDDLE NAME/ GITNANG PANGALAN PLACE OF BIRTH/ POOK NG KAPANGANAKAN

____________________
DECEMBER / __________
23 / ___________
1997 GENDER/ KASARIAN □ MALE □ FEMALE
Month Day Year
DATE OF BIRTH/ PETSA NG KAPANGANAKAN
(Ex.: March8, 2010)

Civil Status: □ Single □ Married □ Widow/er □ Legally Separated □ Annulled

Complete Address: #14F
________________________________________________________
ST. ANTHONY STREET, SAN CARLOS HEIGHTS, UPPER IRISAN, … Tel. No.:____________________
Present Occupation:STUDENT
_______________________________________________________ Mobile No.:_________________
+639052987252
Work Address: ____________________________________________________________ Tel. No.:____________________
E-mail Address: ZLALUAN@GMAIL.COM
_______________________________________________________________________________________
Name of Wife / Husband: ____________________________________________________ Citizenship: _________________
Name of Father: EDGARDO
___________________________________________________________
FERNANDEZ Citizenship:PHL
_________________
Maiden/ Single name of Mother:LANY
______________________________________________
SOLIS LALUAN Citizenship:PHL
_________________

Citizenship Acquired By:

□ Birth □ Election □ Marriage □ Naturalization □ R.A. 9225 □ Others _______________________
Are you a holder of a foreign passport? □ Yes □ No Have you ever been issued a Philippine Passport? □ Yes □ No
If Yes, from what country?___________________ If Yes, latest Passport Number? _______________________
XX2214857
Date of issue: _________________
10-06-2008 Place of issue: DFA
__________
CONSULAR O…
(For applicants below 18 years old ONLY)
Name of minor’s travelling companion: ________________________________________________________________
Companion’s relationship: _________________________ Contact Number: __________________________________

I SOLEMNLY SWEAR that 1) I am a Filipino citizen. 2) The information I provided in this application are true and
correct. 3) The supporting documents attached are authentic. 4) I am aware that under the law, I am allowed to hold only one
Philippine passport at any given time. 5) I am aware that making false statements in passport application, furnishing falsified or
forged documents in support thereof are punishable by law.
______________________________________________
Signature of Applicant or Legal Guardian (for minor applicants)

ORGAN DONATION (Optional)

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. LANY
___________________________.
SOLIS LALUAN/ +63932665…

FOR USE OF THE DEPARTMENT OF FOREIGN AFFAIRSONLY. PLEASE DO NOT WRITE BELOWTHIS LINE.

REMARKS:

Processor: Encoder: Signing Officer: Transmission Officer:

RECEIVEDCANCELLED PASSPORT: RECEIVEDNEWPASSPORT:
FOR ADMINISTRATIVE USE ONLY:
For moredetailsplease visit www.dfa.gov.phor www.passport.gov.ph
Important Reminders

☐
Your appointment is on Tuesday, May 22, 2018 at 10:00 - 11:00.
Please be at Baguio at least thirty (30) minutes before your scheduled appointment.

☐ Please make sure you have prepared all the requirements.

☐
Be ready with both the original and photocopies of your documents when you
appear for personal appearance. Application processing may be delayed if
applicants are not ready with copies of their documents once inside the data
capturing site.

☐ For your NSO certificate requirements, you may call (02) 737-1111. Nationwide
delivery within 3-4 days.

☐
Kindly print your application form (with barcode) in A4-size paper.
You must have a printed application form to show and submit at your chosen
application site.
APPOINTMENT DETAILS: Republic of the Philippines WCS-RRR-LVJZ-PPT-DORev. October2015
Baguio DEPARTMENT OF FOREIGN AFFAIRS
Tuesday, May 22, 2018
10:00 - 11:00 PASSPORT APPLICATION FORM
THISAPPLICATIONFORMIS NOT FORSALE. PLEASEDONOT LEAVEANY SPACES BLANK, INDICATE N/AIF NOT APPLICABLE. PROVIDINGFALSE
STATEMENTS INPASSPORT APPLICATIONSIS PUNISHABLE BY LAW(R.A. 8239).

_______________________________________
CACAS ___________________________________________
REYNANTE
LAST NAME/ APELYIDO FIRST NAME/ PANGALAN (Jr./II/III)
____________________________________________
MENESES ________________________________________________
PHILIPPINES /BAGUIO CITY
MIDDLE NAME/ GITNANG PANGALAN PLACE OF BIRTH/ POOK NG KAPANGANAKAN

____________________
FEBRUARY / __________
13 / ___________
1970 GENDER/ KASARIAN □ MALE □ FEMALE
Month Day Year
DATE OF BIRTH/ PETSA NG KAPANGANAKAN
(Ex.: March8, 2010)

Civil Status: □ Single □ Married □ Widow/er □ Legally Separated □ Annulled

Complete Address: #14F
________________________________________________________
ST. ANTHONY STREET, SAN CARLOS HEIGHTS, UPPER IRISAN, … Tel. No.:____________________
Present Occupation:BUS
_______________________________________________________
DRIVER Mobile No.:_________________
+639266176704
Work Address: ____________________________________________________________
713 RIZAL AVENUE EXTENSION, CALOOCAN CITY Tel. No.:____________________
E-mail Address: RCACAS@GMAIL.COM
_______________________________________________________________________________________
Name of Wife / Husband: GLORIA
____________________________________________________
DE GUZMAN Citizenship:PHL
_________________
Name of Father: RODOLFO
___________________________________________________________
VILLANUEVA CACAS Citizenship:PHL
_________________
Maiden/ Single name of Mother:CELEDONIA
______________________________________________
CAYABYAB MENESES Citizenship:PHL
_________________

Citizenship Acquired By:

□ Birth □ Election □ Marriage □ Naturalization □ R.A. 9225 □ Others _______________________
Are you a holder of a foreign passport? □ Yes □ No Have you ever been issued a Philippine Passport? □ Yes □ No
If Yes, from what country?___________________ If Yes, latest Passport Number? _______________________
Date of issue: _________________ Place of issue: __________
(For applicants below 18 years old ONLY)
Name of minor’s travelling companion: ________________________________________________________________
Companion’s relationship: _________________________ Contact Number: __________________________________

I SOLEMNLY SWEAR that 1) I am a Filipino citizen. 2) The information I provided in this application are true and
correct. 3) The supporting documents attached are authentic. 4) I am aware that under the law, I am allowed to hold only one
Philippine passport at any given time. 5) I am aware that making false statements in passport application, furnishing falsified or
forged documents in support thereof are punishable by law.
______________________________________________
Signature of Applicant or Legal Guardian (for minor applicants)

ORGAN DONATION (Optional)

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. LANY
___________________________.
SOLIS LALUAN/ +63932665…

FOR USE OF THE DEPARTMENT OF FOREIGN AFFAIRSONLY. PLEASE DO NOT WRITE BELOWTHIS LINE.

REMARKS:

Processor: Encoder: Signing Officer: Transmission Officer:

RECEIVEDCANCELLED PASSPORT: RECEIVEDNEWPASSPORT:
FOR ADMINISTRATIVE USE ONLY:
For moredetailsplease visit www.dfa.gov.phor www.passport.gov.ph
Important Reminders

☐
Your appointment is on Tuesday, May 22, 2018 at 10:00 - 11:00.
Please be at Baguio at least thirty (30) minutes before your scheduled appointment.

☐ Please make sure you have prepared all the requirements.

☐
Be ready with both the original and photocopies of your documents when you
appear for personal appearance. Application processing may be delayed if
applicants are not ready with copies of their documents once inside the data
capturing site.

☐ For your NSO certificate requirements, you may call (02) 737-1111. Nationwide
delivery within 3-4 days.

☐
Kindly print your application form (with barcode) in A4-size paper.
You must have a printed application form to show and submit at your chosen
application site.
APPOINTMENT DETAILS: Republic of the Philippines WCS-RRR-LVJZ-PPT-DORev. October2015
Baguio DEPARTMENT OF FOREIGN AFFAIRS
Tuesday, May 22, 2018
10:00 - 11:00 PASSPORT APPLICATION FORM
THISAPPLICATIONFORMIS NOT FORSALE. PLEASEDONOT LEAVEANY SPACES BLANK, INDICATE N/AIF NOT APPLICABLE. PROVIDINGFALSE
STATEMENTS INPASSPORT APPLICATIONSIS PUNISHABLE BY LAW(R.A. 8239).

_______________
LALUAN JUNIOR________________________ ___________________________________________
JUANITO
LAST NAME/ APELYIDO FIRST NAME/ PANGALAN (Jr./II/III)
____________________________________________
SOLIS ________________________________________________
PHILIPPINES /POZORRUBIO, PANGA…
MIDDLE NAME/ GITNANG PANGALAN PLACE OF BIRTH/ POOK NG KAPANGANAKAN

____________________
DECEMBER / __________
30 / ___________
1967 GENDER/ KASARIAN □ MALE □ FEMALE
Month Day Year
DATE OF BIRTH/ PETSA NG KAPANGANAKAN
(Ex.: March8, 2010)

Civil Status: □ Single □ Married □ Widow/er □ Legally Separated □ Annulled

Complete Address: #14F
________________________________________________________
ST. ANTHONY STREET, SAN CARLOS HEIGHTS, UPPER IRISAN, … Tel. No.:____________________
Present Occupation:NONE
_______________________________________________________ Mobile No.:_________________
+639232945872
Work Address: ____________________________________________________________ Tel. No.:____________________
E-mail Address: JOEYLALUAN@GMAIL.COM
_______________________________________________________________________________________
Name of Wife / Husband: ____________________________________________________ Citizenship: _________________
Name of Father: JUANITO
___________________________________________________________
OMBRETE LALUAN Citizenship:PHL
_________________
Maiden/ Single name of Mother:VICTORIA
______________________________________________
RAMIREZ SOLIS Citizenship:PHL
_________________

Citizenship Acquired By:

□ Birth □ Election □ Marriage □ Naturalization □ R.A. 9225 □ Others _______________________
Are you a holder of a foreign passport? □ Yes □ No Have you ever been issued a Philippine Passport? □ Yes □ No
If Yes, from what country?___________________ If Yes, latest Passport Number? _______________________
Date of issue: _________________ Place of issue: __________
(For applicants below 18 years old ONLY)
Name of minor’s travelling companion: ________________________________________________________________
Companion’s relationship: _________________________ Contact Number: __________________________________

I SOLEMNLY SWEAR that 1) I am a Filipino citizen. 2) The information I provided in this application are true and
correct. 3) The supporting documents attached are authentic. 4) I am aware that under the law, I am allowed to hold only one
Philippine passport at any given time. 5) I am aware that making false statements in passport application, furnishing falsified or
forged documents in support thereof are punishable by law.
______________________________________________
Signature of Applicant or Legal Guardian (for minor applicants)

ORGAN DONATION (Optional)

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. LANY
___________________________.
SOLIS LALUAN/ +63932665…

FOR USE OF THE DEPARTMENT OF FOREIGN AFFAIRSONLY. PLEASE DO NOT WRITE BELOWTHIS LINE.

REMARKS:

Processor: Encoder: Signing Officer: Transmission Officer:

RECEIVEDCANCELLED PASSPORT: RECEIVEDNEWPASSPORT:
FOR ADMINISTRATIVE USE ONLY:
For moredetailsplease visit www.dfa.gov.phor www.passport.gov.ph