Important Reminders

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Your appointment is on Jun 17, 2020 at 01:00 PM - 02:00 PM.
Please be at PCG Hong Kong at 15-30 minutes before your scheduled appointment.

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Please make sure you have prepared all the requirements.
You may refer to https://consular.dfa.gov.ph/passport
Processing fee is non-refundable and non-transferable.

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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.

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For your NSO/PSA Certificate requirements you may contact https://www.ecensus.com.ph

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Kindly print your application form (with barcode) and e-receipt on A4-size paper. You must have a
printed application form and e-receipt to show and submit at your chosen application site.

Steps at the Data Capturing Site

Have your appointment verified at the verification section.
Present your duly accomplished application form, an ID, and your e-receipt.
Step 1 Please double check that the verifier has signed or stamped your form before
proceeding to the next step.

Present your verified application form and requirements to the processor.

Please note that you MAY be required to present other requirements.
Step 2 Payment of Processing Fee does not guarantee approval of your application.
If approved, double check that the processor has signed your form.

Once approved, proceed to the data capturing / encoding section. Please remove all
hair accessories, colored contact lenses, piercings on the face and ears while waiting
Step 3 your turn.
When your photo has been captured and your information encoded, please double
check that all information entered is complete and correct.
At Consular Offices: You may opt in for courier services. Please approach any of the
couriers inside the capture site.
Step 4 Passporting on Wheels: Courier services are mandatory.

Reminders
Please wear clothing that will cover your shoulders. Avoid wearing strapless, spaghetti-strapped, or tank
tops; halters; backless; see-through or cut-out tops; and deep necklines. Please do not wear shorts,
shorts skirts. Please wear shoes. Remember, you are entering a government office. Please dress
appropriately.
You want to look good in your passport photo, but please do not put on heavy or theatrical make-up.
This may result with you having to remove your make-up during the photo.
 Form no. 1- ENGLISH
NEW REGULAR PASSPORT APPLICATION (Adult)
THIS FORM IS NOT FOR SALE
DEPARTMENT OF FOREIGN AFFAIRS
Office of Consular Affairs Last Revision: 07 October 2017 Site: PCG Hong Kong Date/Time: 6/17/2020
INSTRUCTIONS: Please PRINT entries legibly using black or blue ink 1:00:00 PM Booking Reference:
00402020061700041
only. Supply the necessary informa on and indicate “N/A” for
entries with no answers. Check boxes as appropriate.
CAPTURE SITE PRE-PROCESSING (Do not write on this part)
APPOINTMENT VERIFICATION: REMARKS:

PASSPORT APPLICANT'S INFORMATION

1. LAST NAME
ARAGON
2. FIRST NAME
AIZA
3. MIDDLE NAME OR MAIDEN LAST NAME
VILLANUEVA
4. GENDER 5. DATE OF BIRTH (EX. 01 JAN 2017) 6. PLACE OF BIRTH
MALE 19 Oct 1988 (For born in the PHL: Municipality/City & Province
For born outside the PHL: Country)
FEMALE
PHL
7. CIVIL STATUS 8A. HOW DID YOU ACQUIRE PHL CITIZENSHIP? 8B. DID YOU EVER LOSE YOUR PH CITIZENSHIP?
SINGLE BY BIRTH YES NO
MARRIED BY NATURALIZATION 8C. ARE YOU CURRENTLY A CITIZEN OF
WIDOW/ER BY RE-ACQUISITION(RA NO. 9225) ANOTHER COUNTRY? YES NO
ANNULLED BY ELECTION 8D. IF YES, FROM WHAT COUNTRY?
DIVORCED BY LEGISLATION 8E. HAVE YOU SERVED IN ANY FOREIGN
MILITARY? YES NO
IF YES, WHAT COUNTRY?

APPLICANT'S CONTACT INFORMATION

9A. HOME ADDRESS:
3987 yuen chau tsai tai po, new territory NA, , CHN
9B. PRESENT ADDRESS:
purok 2 purok 2 exciban labo , daet camarines norte, , PHL
10. WHERE DO YOU WISH YOUR PASSPORT TO BE DELIVERED?
HOME ADDRESS PRESENT ADDRESS
11. TELEPHONE/MOBILE NUMBER: / 64146931
12. E-MAIL ADDRESS: ARAGONAIZA162@GMAIL.COM
13. APPLICANT'S SPOUSE'S NAME: , ,
14A. PERSON TO CONTACT IN CASE OF EMERGENCY: ARAGON, NORMA VILLANUEVA
14B. TEL/MOBILE NO.: 09487720186
PARENTAL INFORMATION
15. FATHER'S DETAILS 16. MOTHER'S DETAILS
LAST NAME: ARAGON LAST NAME: VILLANUEVA
FIRST NAME: PEDRO FIRST NAME: NORMA
MIDDLE NAME: BERNAS MIDDLE NAME: VILLAFRANCA
CITIZENSHIP:(at time of applicant's birth) CITIZENSHIP:(at time of applicant's birth)

PHL PHL
DECLARATION OF APPLICANT
I HEREBY DECLARE AND AFFIRM that 1) I am a Filipino citizen. 2) The information provided in this
application is true and correct. 3) The supporting documents attached are authentic. 4) I consent
to the verification by the Philippine Government of the information I provided to establish my
personal particulars, and further consent to its use for any lawful purpose. 5) I am aware that
the information provided in this application will be treated in accordance with relevant privacy
regulations. 6) I am aware that under the law, I am allowed to hold only one valid regular
Philippine passport at a given time. 7) I am aware that making false statements in this passport
application and furnishing falsified or forged documents are punishable by fine or imprisonment,
and grounds for suspension or denial of application. 8) I understand and accept that the release
of the passport could be subject to delay due to unforeseen events beyond the control of the
Department of Foreign Affairs.

17. SIGNATURE OVER PRINTED NAME
DO NOT WRITE BELOW THIS LINE. FOR THE DEPARTMENT’S USE ONLY.
PROOF OF PHL CITIZENSHIP
BIRTH CERTIFICATE from PHL
Statistics Authority
CERTIFICATE OF
NATURALIZATION
IDENTIFICATION CERTIFICATE
OF CITIZENSHIP
ELECTION OF PHL CITIZENSHIP
Others:
18. DATE (EX. 01 JAN 2017)
IDENTITY DOCUMENT SUBMITTED SUPPORTING DOCUMENTS
COMELEC Voter's ID Marriage Certificate from PHL
LTO Driver's License Statistics Authority
Professional Regulatory Voter's Registration Record
Commission ID Court Order
Unified Multipurpose ID (UMID) NBI Clearance
PWD ID Others:
GSIS / SSS ID
Senior Citizen's ID
Others:

REMARKS: PASSPORT WATCHLIST VERIFICATION:

PROCESSOR'S SIGNATURE: ENCODER'S SIGNATURE:

OFFICIAL RECEIPT/PAYMENT SLIP NO.: DATE OF TRANSACTION: