![]() Application for a replacement shall be made by submitting an Application Form, the passport, a fee of $25.00 in money order or cashiers check payable to FSM National Treasury and two identical passport photosĪ) A passport issued to an infant under 12 months may be replaced. The Replacement fee for lost, stolen, damage and mutilated shall be $75.00ī) A passport that has no remaining blank visa pages before the date of expiration may be replaced. Application for a replacement shall be made by submitting an Application Form, the passport itself if available, a sworn affidavit detailing the circumstances surrounding the loss, theft, damage or mutilation of the passport replacement fee in money order or cashiers check payable to the FSM National Treasury, and two identical passport photos of the applicant. Passport Replacement – The Passport Application Form must be NotarizedĪ) A passport that is lost, stolen, damaged or mutilated may be replaced. O Payment of passport renewal fee payable to the FSM National Treasury in the amount indicated above. O Two Identical passport photos of the applicant (size: 1 3/16 x 1 ¾ passport photo) ![]() O The expired passport must be submitted with your Application Form Passport Renewal – The Passport Application Form must be Notarized ![]() O If basis of FSM Citizen is Naturalization provide copy of Naturalization Certificate O In cases of unavailability of records of Birth Certificate, a court registered Baptismal Certificate can be submitted with your application form. O Court Registered Marriage Certificate for maiden name change O Two Identical Passport Photos of the applicant (size: 1 3/16 x 1 ¾ passport photo) New Passport (New Applicant) – The Passport Application Form must be Notarized Please print all information in Block Letters.įor new applicant or renewal of expired passport the following documents are required. This Passport Application Form must be filled out completely, signed and notarize prior to submission to the FSM Passport Office. Micronesia, and that he/she does not owe allegiance to any foreign country. I hereby certify that I have reviewed the application and found to be complete and I am satisfied that the applicant is a citizen of the Federated States of Subscribed and sworn to before me this _day of _ 20 NOTARY PUBLIC SEAL Signature of parent or guardian if applicant under age 14 or unable to sign application._ Signature must not touch box border lines. Signature of Applicant Required (Do not sign in the box for infant and adult who cannot Last Name:_ First Name:_ Middle Name:_īirthdate: _ Birthplace: _ Is your mother FSM citizen? Yes No Last Name:_ First Name:_ Middle Name: _īirthdate: _ Birthplace: _ Is your father FSM citizen? Yes No If yes, country of issuance, date issued and passport number_īasis of FSM citizen: Birth Naturalization Other means (Provide prove) Have you ever been issued a foreign passport or FSM passport? Yes No ![]() Hair Color_ Eye Color _īirth Place: _ Home Address:_Ĭurrent Postal Address:_Įmail Address _ Phone Number _ Other Names You Have Used:_ĭate of Birth: _ Gender ![]()
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