British Passport Services

Official Passport Form Translated into 50 Languages

04

United Kingdom

passport application

HM Passport

Office

Get It Right

USE BLACK BIRO
ONLY

Please check the enclosed application and photo booklet carefully.

Fill in this form in CAPITAL LETTERS and black biro only. Please write only within the white boxes. Your application may be detailed if you make a mistake. If you do not enclose the necessary documents or fee, or if you send photos that do not meet our new guidance. We will electronically scan and store the information you provide. Your passport will have a digital image of you photo and signature. We will check the details you provide using the information held by public and private sector organizations in order to determine weather to issue a passport. those details may be used by Her Majesty’s Passport Office to test our systems and to ensure the effective operation of passport services. We may also contact you to ask if you are satisfied with such services. We may pass information held on your passport and on related passport records to public and private sector organizations in the UK and abroad when you use your passport, obtain a service or when it is in the public interest to do so.

Further information can be found in our privacy statement at www.gov.uk/hm-passport-office.

SECTION 1 What type of passport are you applying for? Put a cross (X) in the relevant box.

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This form is only for British applicants in the UK, check www.gov.uk/overseas passports for specific advice about how to apply for a passport from the country you are in.

Renewal of your passport (If you are an adult, see further information on section 1 of the guidance notes.)
Adult
Child

(under 16)

Your first British Passport
Adult
Child

(under 16)

Replacement for a passport that is lost, damaged or stolen
Adult
Child

(under 16)

Extension for a passport to full validity
Adult
Child

(under 16)

Changes to your existing passport (the renewal fee applies)

New

Name

New

Photo

Change

British National

Status

If you want to pay for us to return your supporting documents by Secure Delivery, put a cross (X) in this box. See the guidance booklet for full details of this service.
If you want to pay for a 48-page support, put a cross (X) in this box. (see www.gov.uk/passport-fees for details). This is not available for children
If you have eyesight difficulties and need a Braille sticker for your passport, put a cross (X) in this box.
SECTION 2 Who is the passport for?

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Please include your full address and postcode.

Cross (X) box Mr, Mrs, Miss, Ms or write your title.
  • Mr
  • Mrs
  • Miss
  • Ms
  • or title
Surname
First and middle names
Maiden or all previous names (surname first)
Current UK address (house number, street name, village)
(town)

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If you give us a mobile phone number we will text you when we’ve got your form.

(county)
Postcode
Date of Birth
D
D
M
M
Y
Y
Y
Y
GenderCross (X) the relevant box.
  • Male
  • Female
Town of Birth
Country of Birth (including UK)
Mobile Number
Alternative Phone Number
Email Address (You do not have to fill your email address in capital letters.)

SECTION 3 Have you had or been included on any sort of passport before?

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If you are applying to replace a lost or stolen passport, you must also fill in the form LS01. Please refer to the guidance booklet for details on where to obtain form LS01. We cannot process your application until you send us form LS01. If you have already sent us form LS01 please tell us at section 8.

(You must fill in this section.)
A Has the person named in section 2 had any sort of passport (British or otherwise) or been included in any passport before?
  • Yes
  • Go to 3B below.
  • No
B You must send us all uncancelled passports with the application (say how many in the box). If the passports are lost or stolen, go to 3C.
1 Passport Number
2 Passport Number
3 Passport Number
c Details of the lost and stolen passport
Lost/Stolen Passport Number
Issued at
In year
Holder’s surname at the time it was issued
First and middle names
How the passport was lost, or why it is not available
Date of loss
D
D
M
M
Y
Y
Y
Y
Place of loss
SECTION 4 Parents’ details

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Fill in this form if you are applying:

  • for your first adult British passport
  • to replace a British passport that has been lost, stolen or damaged
  • for a British passport for a child under 16 or
  • to extend a British passport

If both parents named below were born after 31st of December 1982 OR were born abroad, we will also need the full name, town, country, date of birth, and date of marriage of your grandparents (or details of your parents claim to British nationality).

Write this details in section 8, or on a separate piece of paper. Do not cross the boxes to the left, they are intensionally blank.

Mother’s or Parent 1′s full name (surname first)
Town and country of birth
Date of birth
D
D
M
M
Y
Y
Y
Y
Nationality and citizenship at the time of the applicant’s birth
If they have a British passport, give the number
Date of issue
D
D
M
M
Y
Y
Y
Y
Date of marriage or civil partnership to the father or second parent of the person named in section 2 (if this applies).
D
D
M
M
Y
Y
Y
Y
Father’s or Parent 2′s full name (surname first)
Town and country of birth
Date of birth
D
D
M
M
Y
Y
Y
Y
Nationality and citizenship at the time of the applicant’s birth
If they have a British passport, give the number
Date of issue
D
D
M
M
Y
Y
Y
Y

Office use only

Documents produced

    Counter or Partner
acceptance stamp
PT
FBC

OB/EX

SBC

PT
PPT

OB/EX

MC

PT
Nat Cert

OB/EX

Photos

Block Application
Payment

Payment type
  • Chq
  • P0
  • Chs
  • Cr/
    Db

Partner Reference
Other documents – specify

BOEF

Y

N

Service Level
  • P
  • F
  • S
Post opener number
Countrer time
Post opener number
Post opener number

SECTION 5 Certificate of registration or naturalisation
 

Has the person named in section 2 been granted a certificate of registration or naturalisation?

Cross (X) the box.

  • No
  • Yes
  • Give the date of issue here
    and details below.
Date
D
D
M
M
Y
Y
Y
Y
Certificate number
Place of issue
SECTION 6 Children aged 12-15

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Please read the notes on applications for children. Section 9 must be signed by a person with parental responsibility for the child.

If the person named in section 2 is aged 12-15,
they must sign and date this section.

Date
D
D
M
M
Y
Y
Y
Y

Childrens signature.
Application will only be valid if you:

  • Sign in the signature box using the black biro
  • Keep within the border
  • Put date in date box to the left
SECTION 7  

Get It Right

This area is intensionaly blank, please do not write in this area.

SECTION 8 More information
 

Office use only

Notes

Type of passport
  • R
  • SE
  • SN
  • DO
  • DE
  • N
  • O
  • P
  • C

SECTION 9 Declaration This must be filled in by the person named in section 2. If under 16, their parent or guardian must fill this is instead.

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If the parent or guardian is signing section 9, they must have parental responsibility and should give their relationship to the child. If the parents are not married, the father will not normally have parental responsibility. Please see the guidance notes for more details.

It is a criminal offence to make a false statement to get a passport. If you have made a false statement in this form, you could be prosecuted and could go to prison. Our work includes checking that the countersignature in section 10 is genuine.

I declare that i am 16 year or over (or will be within two weeks) and that;

  1. I will return the lost passport to a UK passport office if it comes to my possession;
  2. I do not owe any money to the Uk Government or repatriation or similar relief;
  3. I have stated if the person named in section 2 was born of a surrogacy arrangement
  4. I, or the person named in section 2 of this application (if different), am a British national and have not lost or given up my national status;
  5. I, and the person named in section 2 (if different), am in the United Kingdom today and this application does not break the terms of any court order to which I am subject;
  6. as far as I know all the information I have given in this application is correct;
  7. if the application is for a child I have parental responsibility and I have enclosed any court orders that relate to the child’s residence contact or removal from the UK;
  8. I, or the person named in section 2 of this application (if different), understand that by voluntarily applying for a British passport, I may lose my citizenship of another country; and
  9. I have read both the guidance notes and the caution above and fully understand the consequences of my actions in applying for a passport.
  10. Before signing, please read the guidance booklet
    Application are only valid if you:

    - Sign the signature box using black biro
    - Keep within the border
    - Put date and date box below

Name, if signing on behalf of a child (title, first name and surname)
Relationship to child
Date
D
D
M
M
Y
Y
Y
Y
SECTION 10 Coutersignature If the countersignature is needed, they must fill in the section after the rest of the form has been filled in.

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The person acting as the countersignatory must sign section 10.

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Please enclose two photos that meet the photo guidance. On the back of only one photo, the countersignatory must write "I certify that this is a true linkeness of…" giving the full name and title of the person named in section 2. The countersignatory must sign and date this endorsement.

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To avoid unnecessary delays, please do not use a label or stamp on the form.

Caution

It is a criminal offence to make a false statement to help someone get a passport. Check the form properly before you fill in this section. If you have made any false statement in this form, or if you know that the person applying has made any false statement on this form, you could be prosecuted and coould go to prison. Our work includes checking that your details are genuine. As a result, we may need to contact you. You should not sign this form if you are a relative of the person applying.

IMPORTANT

If the application is for a child, you are confirming the identity of the adult signing in section 9. You must also be able to identify the child in order to certify the photograph.

Fill in the following in CAPITAL LETTERS and in black ink. (cross (X) box Mr, Mrs, Miss, Ms, or write your title)

  • Mr
  • Mrs
  • Miss
  • Ms
  • or title
First and middle names
Surname
I confirm that I have known the person named in section 2, or in the case of a child, the adult filling in section 9 (insert their name)
    for(insert years) as (please say how – for example, employer, colleague, friend and so on).
  • yrs
As far as I know, the information on this form is correct. I hold a full current UK or Irish passport.
I have read the caution and I understand it.
Profession, professional qualifications or position in the community.
Your employer’s name and the address you work at (or your private address if this does not apply)
Postcode
Daytime phone number
Current UK or Irish passport number
Evening phone number
Date
D
D
M
M
Y
Y
Y
Y
By countersigning this application, you agree to us checking passport records to confirm your countersignature.
Countersignatures will only be valid if you:
– Sign the signature box using black biro
– Keep within the border
– Put date and date box below