APPLICATION COVER PAGE

This cover page must be submitted

APPLICATION ID: 20040600473
Dear Ciaran Gerard Crawford
with your documents.
Please print one sided in black and white.
If submitting multiple applications, please
enter each application number in this box

Thank you for using our online service to submit a passport application for Ronan Kyran Crawford
We will only start to process your application when we receive the documents listed below.

Do you need to submit your child’s previous passport book and/or card? Only if the book/card has more
than 6 months validity remaining or if you are applying to change their name. This does not apply if the book
or card is lost or stolen. It is not necessary to submit a guardian’s passport book and/or cards.

● Cover page
● Child Passport Identity and Consent Form (FORM ONLY)

Where a parent holds a valid Irish passport, please send in a photocopy of the passport. Do not send the
original passport.

The originals of all other documents must be submitted. All original documents will be returned to you.

Please do NOT submit:

Photocopies,
Short Form Birth Certificates,
Or Laminated Certificates.

Please note: If you are renewing an Irish passport, the previous one will be cancelled within 4 weeks of when
you receive your new passport.

We advise that you use registered post when submitting the documents. Please post the documents to the
address below:

Passport Service of Ireland

Guardian consent form
PO Box 13437
Balbriggan
Co. Dublin

Please note: Each envelope must only contain the documents for one application. Once you have placed
your application cover page and required documents in an envelope, please attach the postal label securely
to the front of the envelope.

Once your documents are received, you can track the progress of your application using our passport tracker
at: passporttracking.dfa.ie

Regards,
The Passport Service
 1/ R
7/1 AN A WF 0 5 KY
1 ON CR 0 NA
N
OR
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CHILD R PASSPORTNIDENTITY
A AND
17 / 1 1/2CONSENT FORM
R O
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1 / 2 CHILD K WELFARE IS ROUR PRIORITY 0 5 C
1 7/1 NA
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1 1 /20 R AN
D O IMPORTANTCNOTES RA FOR WITNESSES / Y
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1 A NK
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1/ 2 VERIFICATION N OF IDENTITY (SIGNED
NC 7/1 NA ORBY WITNESS)
D 1 I, the witness, R O declare that: A W F
/ 2 005 Y RA
R KYRAN CRAWFORD CR
1 K
FO RONAN
0 5 A N 1 7/1 N AN
A W / 2 0DOB: 11/07/2013,
17/11/2005 GENDER: R MALE
MALE R D O
CR 7 /11 is known to me, is not N KY FasOrepresented in the image05on this R
A N D 1 NA related to me and is the A W
child
/ 20 form.
R O C R 1 N
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1 7/1 O NA
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RA 1 7/1 SIGNATURE OF O NA
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0 5
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RADETAILS OF GUARDIAN R D1 A R ON DETAILS OF WITNESS CR 005
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2
O N 1 /
NK SURNAME: Crawford WF 0 5 Y RA 7/1 NA
FULL NAME:
A
R Gerard / 2 0 K D 1
FORENAME: C Ciaran 1 1 A N R R O
N 17/ FO
PROFESSION:
DOB:Y RA 04/12/1972 D R ON A W 0 0 5
NK ADDRESS: 6 Ferngrove F OR 5
WORK ADDRESS:
CR /1 1/2
A W Meadows 0 N 7
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F O
R I, the guardian, C 11 N Kdeclare that CIARAN R AW CRAW...
CIARAN GERARD CRAWFORD
consent toYthe
N
RAissue of a passport bookDand/or 17/ card to I, the witness,
N A C GERARD
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known to me and has signed N 7 /
RONAN
N AN
KYRAN CRAWFORD O
W F 0 5 Y RA this form in my presence R D1
A 0 K FO
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N / N A
05 SIGNATURE OFA
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CDATE /
If the same N K
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each
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RO be used for GuardianCB.RReceiver AW name on envelope7for/1passport N Kbe Guardian A’s name. WFO
A
00 5 DETAILS OF GUARDIAN A N B R D 1 DETAILS OF R ON
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N KY A WF 2 0 05 Y R RD
SURNAME: Crawford
N A R 1 1
FULL / NAME: K F O
C / N
RO Anne
FORENAME:
5 R AN D 17PROFESSION: O NA R AW
0 02/07/1975 KY R R C
1 1/20DOB: N W FO WORK ADDRESS: R AN
/ A
N Meadows A 5 Y
17 ADDRESS: 6 Ferngrove
RO CR /20
0
NK FO
Aghagallon A N / 1 1 N A W
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1 7/1
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O W FO /2 005 Y RA
R A 1 K
RD I, the guardian, ANNE CRAWFORD CR 7/1 NA
N
WF
WORK TEL. No:
5 N D 1
consent 0to0the issue of a passport book R A and/or card to I, the Rwitness, declare that ANNE R O CRAWFORD R A
1/2 KYRAN CRAWFORD KY O C
/1
RONAN N A W isFknown to me and has signed 5 this form in my presence A N
7 NA 0 YR
D1 O CR /20 K
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R X R A N X 1 1
17/ OF WITNESS AN SIGNED
SIGNATURE 0 0 5 GUARDIAN
OF DATE
K YR SIGNED D
SIGNATURE O NDATE RA
1 / 2 N O R R N C
1 7/1WITNESSES (MUST BE PRACTICING): O NA A WF 0 05 RA
APPROVED R R 2 Y
RDPrincipal/Vice Principal, Teacher/Lecturer, School Secretary, Pre-
OSchool NC /11
/
A NK
F 5 A 1 7 N
AW School 200Pharmacist,
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Physiotherapist, Speech1 1
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Bank/Credit Union, Member of An Garda Siochána/Police Officer, Elected
RD Commissioner for Oaths/Notary Public,
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O RO Peace Commissioner, C / 1 1 A
F N 7 N
R AW /2 0 the5Clergy.
Engineer, Lawyer, Accountant, Member of 0
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05-05-2022 - 08:13
1 7/1 N AAPPLICATION
N No.: 20040600473
W 005 YR
A
R D O R A 1 /2 K
 CONSENT FORM CHECK LIST
HELP US TO HELP YOU
Please use the check list below to avoid delays to your application: N
N DA 7-
❑ Each signature box has been signed by the appropriate guardian orBRwitness (see E
1 1-0picture below).
3
❑ The Verification of Identity section has been signed by a witness - 2 01(not a OIN The
guardian).
R ÓBsame witness has
- 0 7 B H A N
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A R1 L IAN CIL
❑ The witness was chosen from the approved listCatVIthe bottom C L
I left of the 3
1consent Aform. N During school
M 1 3C 7 -20 D -
holidays, it may be difficult to contact principals AN or teachers.
7 - 2 0 This
1 1 - 0
may delay
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the N application.
1 1 -07
D -0
❑ The witness is not related to me BorRmy EN child and
N 11is not retired. R OIN - 2 013 RO
IN
ÓB
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- 7-2 of birth) ÓB
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VI cover letter I L 1 3 N
❑ I have included OallINsupporting ILL documents 1 3 Cnoted in M Cthe
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have not B H R 1 3 C
7 - 2 0
A N 7 - 2 0
1 1 - 0
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C 2 0 B 0CILLIAN Ó BHROIN 0 D 0 7 1 B 1
13 07- NÓ 7-2 DOB: 11/07/2013, 11-GENDER:BMALE EN 11- OIN 0 13 O IN
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FROM A PROFESSION BH I AN A IN ILL 1

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BE RETIRED2 11/05/18Ó - 1 -
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L IAN - 07 I N1 C IL I N 1
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L 1 O 3 RO B 7- 2 H AN
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Please note:
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A 1 1-0to yourIAapplication. NÓ C I LLI VIC
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CIL R OIN C ILL 2 0 13 B HR 0 13 0 7-2 D AN 0
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 Official Irish Passport
Application Number
Passport Service of Ireland
Guardian consent form
PO Box 13437
Balbriggan
Co. Dublin

✂ PLEASE CUT ALONG THIS LINE

✂
• Please print one sided
• Above is the dispatch label for your online passport application

INSTRUCTIONS
• Place documents and cover sheet securely in an envelope

• Cut along the above dotted line and affix the label to the envelope

• We advise that you use registered post when submitting the documents.

SAMPLE DISPATCH LABEL

Official Irish Passport
Application Number

YOU CAN TRACK THE PROGRESS

OF YOUR PASSPORT APPLICATION
WITH THIS NUMBER