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Application number: BV361661 P

EMSIES GEORGE 08/06/1977

How to complete your passport application

Print your application checklist

It’s on the next page. White A4 paper and black ink only. Print must be clear.

Gather original documents

See item 3. We don’t accept certified copies.

Get passport photos

Make sure they comply with our requirements. See http://bit.ly/auspassportphotos.

Go to Australia Post
Find a participating outlet at https://auspost.com.au/locate/post-office/australian-passport.

Don't wait! You only have until 15/03/2023 to lodge your checklist.
If you don’t lodge it by then, you’ll have to create a new one.

What happens after lodging?

Please visit https://www.passports.gov.au for the latest information on passport processing times.

Need help?
There's more information at https://www.passports.gov.au/passports-explained.

In a hurry?
When you lodge your application, ask for our priority service. An additional fee applies.

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BV361661 P
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Adult Passport Application Checklist

EMSIES GEORGE 08/06/1977

1. Provide two identical passport photos 2. Sign inside this box

Lodgement officer to place: • I understand that my photos and personal information will be
used for biometric and data matching purposes, even in the
PHOTO FACE UP PHOTO FACE DOWN event that the application is withdrawn.
• I declare that the information I have provided in, or in
connection with, this application is true and correct.
Signature of applicant (must be inside area indicated)
Max 36mm
Min 32mm

Write full name

on back of one
photo

SIZE

DD MM YYYY

Unable to sign Date signed / /

Official use only
3. Bring the following original documents
Sighted Copy
when you lodge the application attached
AUSTRALIAN PASSPORT GEORGE EMSIES N7313188 c

4. Bring payment of $325.00 Expires 15/03/2023 (10 year PPT)

c PPF Received
Upgrade to priority processing, fee charged at lodgement.
Official use only – Comments c Supp
photo
sign page
attached

Collect
c Passport
Office
I have confirmed the information provided in this application Lodgement officer’s signature c PPT Cancelled (N7313188)
for an Australian passport against original documentation
presented. I have attached copies of original documentation Work Centre Code # attachments
where required and a true photo of the applicant – for
applicants 16 and over, present at lodgement.
Warning: Making a false or misleading statement Date signed (DD / MM / YYYY) Lodgement officer’s ID
and/or giving false or misleading
information is a serious offence. / /
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