EMBASSY OF THE REPUBLIC OF THE PHILIPPINES

Nairobi, Kenya

REQUEST FOR EXTENSION OF VALIDITY OF PASSPORT

Elicerio Gaddi Soriano

I, __________________________________, Masantol Pampanga
resident of ________________________________
(Name) (City/Municipality & Province)
___________________________________________________, request for the extension of my
P1347645A
current valid Philippine e-passport no. _____________________________________, issued
19 Dec. 2021 at ____________________
on __________________, 18 Dec 2022
Nairobi Kenya and expiring on ____________________.

Reason for extension of

passport:

 Emergency travel to the For Holiday

Philippines

Date of arrival in the

Philippines 04 feb. 2023

 Others (Pls. specify, e.g.

Visa/Work Permit Res. Visa,
Extension
Valid Until 25, Oct . 2023

I understand that I may encounter difficulties in the port of entry of the country/ies I will be
visiting and that the extension of validity of my passport is no guarantee of admission to the
country/ies of destination. I will not hold the Philippine Embassy in Nairobi liable.

 I will submit my passport with extended validity to Philippine Embassy or

Consulate/CO/SO for cancellation upon the release of the new passport that I have applied
for.

 I was also duly advised to immediately apply for the renewal of my extended passport at
the nearest consular office as soon as possible or during the next available mobile consular
mission to be conducted in the place/country where I am presently residing/working

________________________________
Signature above printed name

Date: __________________