Application for a Republic of China Regular Passport
Total Page：16
File Type：pdf, Size：1020Kb
Application for a Republic of China (Taiwan) Ordinary Passport (for use of a national abroad or a national without household registration in Taiwan) Card Card No. is forany ormay Once omission falsehood request the part, applicant unrecognizable the correction. authority Note: Note: □None (decommissioned) Authority 1. Use two identical photographs taken within □Military personnel The columns with red frames are filled in by the by authority the filled in frames are The columns red with six months: color, 35x45mm, front, without □Male at enlistment age ’ is not applicable. Fill in other spaces wherever is appropriate for the purposes of contact or emergency h emergency of wherever contact or for the is appropriate purposes in Fill spaces other applicable. is not hat, clear facial features, uncovered ears, □Overseas Chinese at enlistment age neutral facial expressions, mouth closed Identity □Overseas Chinese near enlistment age (teeth not shown), white background, Date of Receipt glossy paper (without wearing color □Substitute service draftee eyeglasses except the visually impaired). □Male near enlistment age Paste one photograph here, and paste the Overseas Chinese status □Yes □No Passport No. other partially here. 2. The length from the top of the head to the □First-time Application □Renewal □Lost Replacement Date of Issue chin of the portrait should be between 32mm to 36mm. The head or hair must not Date of Expiry touch the edge of the photograph. Auditor's 3. When one wearing eyeglasses, the frames Notes must not cover any part of eyes (Please do Signature not wear heavy frame eyeglasses). 4. Photomontages are not allowed. 1. 8. Foreign □No Yes USA (country name) Resid Name Passport . An applicant should fill in information information applicant should fill in An Chinese Name 林美華 Residence No Yes_________(country name) ential Status and Status ential □ □ Permit The name should be the same with the national ID card if applicable. English Name Visa Type_______________□No (Surname first) Credential LIN,MEI-HUA No. 4 3 2 1 5 6 7 8 9 1 (Fill in either (Please fill in the column in capital letters.) Certificates This should be the same with the previous passport. Please present of the above certificate(s) when not using transliteration of Chinese name. three) Also Known As United States in other columns in black (or dark blue) with block letters, full and detailed. Abbreviations or cursive styles are not cursive styles allow Abbreviations or block and full detailed. letters, blue) black (or dark in in with columns other Issuing found, the authority shall deal with it in accordance with law. in found, it the accordance shall deal authority with MAY LIN Department of States Authority elp (Please fill in the column in capital letters.) . Please present certificate(s). Domestic: Foreign: (yyyy/mm/dd) Province: City: Date of issue 2 0 0 7/0 9/0 5 2. Place of Birth USA (yyyy/mm/dd) Date of expiry (Name of Nation) 2 0 1 2/0 9/0 5 Information 9. 3. Date of Birth (yyyy/mm/dd) 1 9 8 8/0 1/0 1 Contact Residence 420 1 Wisconsin Ave., N W 4. Sex □Male Female Residence Washington, DC 20016, USA 5. National ID Card No. □□□□□□□□□□ Address Residence Permit No. □□□□□□□□□□ of Taiwan ROC Phone (Office) 202-895-1800 Sections 1 8 Sections to are 6. Once a bearer of a Republic of China (Taiwan) passport or not? Number (Home) Yes □No (Mobile) (If Yes, please continue the following four columns) E-mail [email protected] 7. 10. Contact a must. Fill in Fill a must. Passport No. X 0 0 6 5 4 3 2 1 1 Taiwan: in Information Contact Information Person's of the most 王偉哲 Name recent Passport date of issue Address in Republic of 1 9 9 8/0 6/2 0 10051 ‘ Nil China (yyyy/mm/dd) Taiwan ’ 台北市中正區濟南路一段 2-2 號 if if (Taiwan) Date of expiry ‘ Also known as Also known 2 0 0 4/0 6/2 0 passport (yyyy/mm/dd) 5 F Issuing authority Ministry of Foreign Affairs Phone (Office) (02)2343-2888 ’ ed. If there is any If there ed. is any or National ID National or ID Yes Number (Home) (Mobile) □No E-mail [email protected] Please turn to the reverse side and continue. *For first-time applicants who do not have preferences for spellings, Scheme of the Chinese Phonetic Alphabets (Hanyu Pinyin) 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 the first-time applicant, please paste copies of nationality proof (e.g. parent's nationality document(s) together with applicant's birth certificate/Resident Certificate for the Taiwan Area) inside the box and present the originals for verification. A copy of ‘Parent’s Agreement on Child’s Surname’ should be filled out and submitted herewith. For minor applicant under the age of 20, 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. Whether applying in person or not, the applicant should I hereby declare that I have received a passport of _____________ Note: Sections 11, 12 must be filled out. be filled 12 must Note: 11, Sections sign personally on the "Applicant’s Signature" except when (please fill in the name of the passport bearer), and the information he/she is unable to sign. and the portrait shown on the passport are carefully verified as part I hereby declare that the information I fill in, certificates of the applicant. and photographs I attach are all correct. I would take the legal responsibility if there is any falsity. Recipient's Signature:__________________________________ Applicant’s Signature_________________________ 12. Agent's Signature:___________________________ Signature of authorized Signature Recipient's Phone Number:_______________________________________ 11. 11. person_________________________ Signature Certificate Name:_____________________________________ If the applicant is a national without household registration in ROC, he/she should apply for an entry/exit permit when Certificate Number:____________________________________ entering the country. *If the recipient is not the applicant him/herself, an identification It is hereby declared that the applicant is a minor under the certificate should be presented for verification. age of 20, and his/her application for a passport has been officially agreed by □the father □the mother □the guardian. *When one applying by mail, a copy of the receipt of the registered mail or the express delivery should be pasted in the recipient's Father's Signature:_______________________________ signature column or other blank area, and the date of delivery should Or be indicated. Mother's Signature:______________________________ Or Guardian's Signature:_____________________________ .