Professional Documents
Culture Documents
registration in Taiwan)
Note: □None (decommissioned) Authority
National ID Card No.’ is not applicable. Fill in other spaces wherever is appropriate for the purposes of contact or emergency help.
is any omission or unrecognizable part, the authority may request the applicant for correction. Once any falsehood is found, the authority shall deal with it in accordance with law. Sections 1 to 8 are a must. Fill in ‘Nil’ if ‘Also known as’ or
Note: The columns with red frames are filled in by the authority. An applicant should fill in information in other columns in black (or dark blue) with block letters, full and detailed. Abbreviations or cursive styles are not allowed. If there
Information
Passport no.
person's
of the most name
recent
Passport date of issue Address in
Republic of
(yyyy/mm/dd)
1 1 1 1/1 1/1 1 Taiwan
China
(Taiwan) Date of expiry
passport (yyyy/mm/dd)
1 1 1 1/1 1/1 1
Issuing authority
Phone no. (office)
(home)
(mobile)
E-mail
□No
For minor applicant under the age of 18, please paste a parent's or a guardian's (the original guardianship certificate
should be presented for verification) copy of the identification certificate and present the original for verification.
The form must be signed by the applicant or, if a minor, the I hereby declare that I have received a passport of _____________
Note: Sections 11, 12 must be filled out.
legal guardian. ( name of the passport bearer ), and that the information and picture
I hereby declare that the information provided, as well as all in the passport are accurate.
certificates and photographs affixed, are correct and
genuine, and that I bear legal responsibility for them. Recipient's signature:__________________________________
person_________________________
Certificate name:_____________________________________
If the applicant is a national without household registration
in ROC, he/she should apply for an entry/exit permit when Certificate no.:____________________________________
entering the country.
*If the recipient is not the applicant him/herself, an identification
Being the □ father □ mother □legal guardian of the certificate should be presented for verification.
applicant, who is a minor under the age of 18, I hereby sign
*When one applying by mail, a copy of the receipt of the registered
this application for a passport on his/her behalf.
mail or the express delivery should be pasted in the recipient's
signature column or other blank area, and the date of delivery should
Signature:_______________________________
be indicated.