PASSPORTREGULATION 2OO4

SCMDULE I (Regutation 3 (2)) FORM1

APPLICATION FOR A TONGAN PASSPORT

Pleaseread the information otesbeforecomptetingtheform Pleaseprint all details legibly

Sumame

arc known by Placeof birth

Colourof eyes Colourof hair

Evidenceof Tongannationaliry sdbmiffed Birth Certificate Previous Passpot Certificateof Naturalisation Certifi cateof Readmission

Phone / day Phone / night

Fax E-mail

CONSENTFOR CHILD'S PASSPORT

Consent can only be given bt a parent or a legal guard.iart

guardian: Nameof parent4egal I consentto the issueol a passport child) to ............-.............-.........(the

s4 M' r..f p.t2,t/L sat e@dib

Evidenceof relationshipto child: Birth Certificate

tr
Date

Guardianship Order

5.

CONFIRMATION OF IDENTITY
yeaG,andthatto thebestof my knowledge knowntheapplicant for fl I certily thatI have in this form arecorrect. andbcliefthefactsstated Signatwe kofession Address

6. Amount Form of payment

,|

FEES
$

cash f l

crcditcara fl
DECLARATION

cheque f-l

other f--l

I hercbydeclarcthat: A. I am a Tongansubjectin accordance with the laws governingnationality in Tonga for the iime being and that I havenot lost the right to my being a Tongansubject. provision for my wife andchild(ren). That shouldI travel I will make adequate That all relevantprcvious passportissuedto me havebeensurrendered. That in theeventthatI forfeit my Tongannationality,I shallsurrender all my Tonga! passport for cancellation. That if I haveprovidedfalseinformation anypasspodissuedto me canbecancelled andI can,by law,bfined andimprisonedor subjectto both flne andimpdsonment. The information given in this applicationis correctto the bestof my knowledge. Date

B.

c.
D.

E.
F.

Signature

PRJVIOUS PASSPORT LOST,STOLENOR DAMAGED

Passport Number Place of Issue The full namein thepassport was Placeof loss/theft Explanationfor themissing passport Dateof Issue Dateof Birth
Date of loss/theft

If rcpoftedto police, whereand when report made

Declaration

I declarethe aboveparticula$ to be correctto the bestof my knowledgeand undertake to retum the oassooftfor cancellationif found

Signed