Application for a Republic of () Ordinary Passport (for use of a national abroad or a national without household registration in Taiwan)

National ID Card No.Card ID National unrecognizablerequestthe omissionauthoritymay or Onceanycorrection.anyisthe for applicantpart, falsehoodis Note: Note: □None (decommissioned) Authority 1Use two identical photographs taken within the □Military personnel

The columns withred columns The areframes filledin the authority by last six months: color, 35x45mm, front, profile, □Male at enlistment age hatless, clear facial features, uncovered ears, □ male at enlistment age neutral facial expressions, mouth closed (teeth not Identity □Overseas Chinese male near enlistment age Date of receipt shown), white background, glossy paper (no tinted □Alternative service draftee eyeglasses unless medically necessary). Paste one

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□Male near enlistment age is notis applicable.otherthefor spacesFillorcontactin emergency purposesappropriate is of wherever h photograph here; paste the other by its left edge to the box on the left. Overseas Chinese status □Yes □No Passport no. 2. The length from the top of the head to the □First-time Application □Renewal □Lost Replacement Date of issue bottom of the chin must be between 32mm to 36mm. The head or hair must not touch the top of Date of expiry the photograph. Auditor's 3. When wearing eyeglasses (thick frames not Notes signature allowed), the frames must not cover any part of the eyes. 4. Photomontages are not allowed. 1. 1. 8. Foreign □No □Yes (country name)

ResidentialStatus and Name Passport Chinese name 林美華 Residence No Yes______(country name) . □ □

Anfillinshouldapplicant information

Name must match that on National ID Card or household registration certificate Permit English name Visa Type______□No (Surname first) Credential LIN, MAY-HUA No. 4 3 2 1 5 6 7 8 9 1

(Fill in either (Please fill in the column in capital letters.) This should be the same with the previous passport Please present Certificates of the above certificate(s) when not using transliteration of Chinese name. three) Also Known As MAY LIN Issuing

(Please fill in the column in capital letters.) Authority

in othercolumnsinwithin dark(or black blue) letters,detailed.fullblock and orAbbreviations allow cursivestylesnot are Please present certificate(s). Domestic: Foreign: (yyyy/mm/dd) found, the authorityshallthe found, inwithdeallaw. accordanceit with Province: City: Date of issue 1 1 1 1/1 1/1 1 2. Place of birth (yyyy/mm/dd) elp. Kaohsiung Date of expiry (Name of Nation) 1 1 1 1/1 1/1 1

i 9.

nformation

3. Date of birth (yyyy/mm/dd) 1 9 8 8/0 1 /0 1 Residence 4. Sex □Male ▓ Female Residence 5. National ID Card no. □□□□□□□□□□ Address

Residence Permit no. of □□□□□□□□□□ c

ontact Taiwan ROC Phone (office) 6. Have you ever possessed a Republic of China (Taiwan) passport? Number (home) □Yes □No (mobile) (If Yes, please continue the following four columns) E-mail

Sections18 to are

7. 10. Passport no. Contact

1 1 1 1 1 1 1 1 1 1 Contact Information person's of the most name recent

i

Passport date of issue nformation in Taiwan: Address in Republic of

amust.Fill in 1 1 1 1/1 1/1 1 China (yyyy/mm/dd) Taiwan (Taiwan) Date of expiry 1 1 1 1 1 1 1 1 passport (yyyy/mm/dd) / /

‘ Nil Issuing authority

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if

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Also known as Alsoknown □ Phone no. (office) Yes (home)

ed. ed. there If (mobile) □No E-mail

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or

Continue on other side. *For first-time applicants who do not have preferences for spellings, Scheme of the Chinese Phonetic Alphabets (Hanyu ) is recommended for transliterating the Chinese name into English. Yet, phonetic transcription of the "surname" should be the same with the ones of the relatives to avoid confusion. for for

s

together together n and picture n picture and

document(s) guardianship certificate certificate guardianship submitted herewith. submitted and present the original the present and

and that the informatio the that and ),

original original accurate.

filled out and and out filled inside the box the inside :______parent's nationality nationality parent's )

ignature:______ame:______

s express delivery shouldpasted the in berecipient's delivery express n no. :______ignature:______s e.g. no. (

should be be should

’ name of the passportbearer name

I hereby declare that I have received a passport of ______that passport of received a declare I have I hereby ( in passport are the Recipient's Agent's Phone Certificate Certificate an identification the recipient applicant him/herself, is not *If the verification. shouldpresentedcertificate befor the the copy a of receipt of registered one by mail, *When applying ormail the should and delivery dateof the other blank signature column orarea, be indicated. proof

12. Recipient's Signature s Surname s ’ all all nationality of of

s

if a minor, the minor, a if copie , please paste a parent's or a guardian's (the (the guardian's a or parent's a paste please , or, 18

are correct andcorrect are

legal guardian of the of guardian legal , □ Resident Certificate for the Taiwan Area Taiwan the for Certificate Resident out household registration / s Agreement on Child on Agreement s ’ lease paste paste lease affixed rent mother mother

Pa □ ‘

or verification) copy of the identification certificate and present the original for verification. for original the present and certificate identification the of copy verification) or under the age of of age the under

father father

ignature______s □ A copy of of copy A time applicant, p applicant, time

- t applicant firs ignature:______S applicant, who is a minor under the age of 18, I hereby sign 18, of hereby I age the applicant, underis minor who a behalf. his/her passport on thisa for application in ROC, he/she should apply for an entry/exit permit when permit when an for entry/exit inhe/she should apply ROC, entering the country. theBeing person______the applicantnational If with is a Applicant’s Signatureauthorized of legal guardian. legal thatas declare theprovided, well information as I hereby and photographs certificates them. for responsibility bear legal genuine,I that and The form the be applicant signedform by must The applicant's birth certificate birth applicant's

minor minor the the

11. Signature

should be presented f presented be should For

verification. with with For

Note: Sections 11, 12 must be filled out.