288 $3g8 o—2 omBag Aged oat! Geistatarints uisink Bowers siamese / THI APPLICATION SSSUED FREE OF CHARGE Pasa mH Bo8o egebreBeiqQo SHase,, Husa Sovonésonb DEPARTMENT OF IMMIGRATION AND EMIGRATION Begsont § qreria quasar Gasipnixe Geitesusie syoLiutend ‘SRI LANKAN IDENTITY OVERSEAS. & Gow 085 Ogoqad, HEB/memadied sofinad een sdgloae Borin SLoFILG, sa1ay/ oud sneiVBp Seder APPLICATION FOR A SRILANKAN PASSPORT, EMERGENCY/ IDENTITY CERTIFICATE coomand gue 20 amcnce ence tp wisaed 9o58 aed! BO OS gare seBBead Obi BEBE aaa OD Bad nem cxoed SDD Age, soma auite, Cenfo ein siasOneayre eater URaiMS ayNREA WLERe YbbEOrIBe CaRiBe Soosn seainoanies ox “The data and information are ein the compute in English Hence the application must be filed in English Please read the instruction sheet 1 frthe information mangle geaidaa com) Spinmm a umapppe wibsgn/ For Oficial axe only ‘APPLICATION NO. "ALLOCATED PASSPORT NO. ‘AC CODE N 1. Type of Service } vom one Day 2. Type of Tavel Document } arcounties [7 Middle East Emergency Ident 3. Present Travel Document No. fany) 4. NMP No. any) 5 navonstidentiycoane, —} (3 T+ To Ts [3 [3] 7[e[7]v efale[ | [a[wlals [al 6 sumame 7. Other Names 8. Permanent Address 9, Date of Birth } pate [ol] 2 month [o [a ver [if[o[o]i Sri Lanta BEC Cr ee ee err Enjoy the best rates from Mobitel while you roam across the world ee erv7. Foreign Nationality 18. Foreign Passport No. 19. If this application is for a child below the age of 16 years, following information must also be provided. Father / Guardian Mother / Guardian National Identity Card No. / Present Travel Document No. National identity Card No. / Present Travel Document No. se crabs enn aco ae OP gOHQ ammaredes OSE 9D quinw eBw edw8 Oddieo Ap 2 ciet BIG RGB SIE! Guin) Crip) oriset EouTLUGSS Bop, sGuTiVAd amGSANO WLS 1B Please place your signature inside both cages below. Signature should not touch the border 20 a 22, qocePesdracd Gea slaskomiusassfek »ouyss Declaration of the Applicant 88 & qrefis Rom Beam DOd 8 DBS goo RSE Se amrd_dr mH 08 EaEBOd een EO eewmd eGde sox 80268 BOO Here O68. OBE, qos smDdmdr 2 GHEY gWoacd AS gH eee wxAd Boga OD eS. Bast 9G Barimad GyorpQueayd, Copunbs ssharred aypadUcGoion pasdaenld Boveandabur Geen SSRIS sfuTaIAGUGIOIS, 2 shoCUNeAIGUMaKS Aan o_mesujwyssoins. seyorr | GureSurs Alamiamens NIG so mmdehu eiporeGodumpisd prot oyfGach. I declare that lam a citizen of Sri Lanka and the above information provided by me and the documents attached hereto are true and correct, Also, | ar awate ofthe fact that producing forged/falsfied documents and information is a punishable offence. ‘Soo! Pa (Date qaeqBcred quia /afkombupnfuien eos Gurbs Signature of the Applicant BEMGRS GeaIma SE/aipMINH a uGUNaGsHib~ wrssbg/For Offical use only Controllers Order | Minute Sheet Attached fany) | ppr wo. PPT Lost: Yes/No DC/AC Signature Police Report /TTD / NMRP Dual Citizen: Yes /No BC No. & District: NIC /DL/ Postal 10 MC No. & District F's PPT/ NIC Copy & Concent Letter Pending at Computer Division [M's PPT / NIC Copy & Concent Letter DC/ AC's Order: Sri Lanka Ce eee ee BEC Cn eatery sere Nonna Re ae eee Cann s Peters een ne eee a arene