Embassy of the Republic of the Philippines
Vienna, Austria
Laurenzerberg 2/2/ZWG, A-1010
Tel No. (00431) 533-24-01 / Fax No. (00431) 533-24-01-24
Website:
Email Address:
MONDAY – FRIDAY 08:00 – 12:00 ; 13:00 – 15:00 /
THIS FORM IS NOT FOR SALE
DATE OF APPLICATION: ______Kindly also register with:(For Overseas Filipno - Registration)
(Only for 18 Years old and Above)
□ NEW □ RENEWAL ePassport Application Form
□ REPLACEMENT OF LOST PASSPORT PLEASE PROVIDE CORRECT INFORMATION AND DO NOT LEAVE SPACES BLANK
______
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______/______/______,______
MALE FEMALE
Address in Austria/Croatia/Slovakia/Slovenia/Germany:______
Address in Philippines: ______
Mobile Number: ______Email Address: ______Present Occupation: ______
Name of Present Employer:______Work Address: ______Tel. No. ______
Civil Status: Single Married Widow/er Legally Separated / Annulled
Name of Father:First: ______Middle:______Last:______Citizenship: ______
Single Name of Mother:First: ______Middle:______Last:______Citizenship: ______
Name of Spouse:First: ______Middle:______Last:______Citizenship: ______
IN CASE OF EMERGENCY, PERSON TO BE NOTIFIED:
- In the Philippines:
Name: ______Address: ______Relation: ______
E-Mail Address: ______Tel. No: (0063)______Mobile Number: ______
- In Austria/Croatia/Slovakia/Slovenia/Germany
Name: ______Address: ______Relation: ______
E-Mail Address: ______Tel. No: ______Mobile Number: ______
Citizenship Acquired by: Birth Election MarriageNaturalization R.A. 9225 Others______/ Purpose of Travel: Tour Seaman Business
Migration Study Work Others______
- Are you a holder of a Foreign passport? Yes No
- Would you like to receive Consular information or Updates/News from the Philippine Embassy via e-mail?
- Have you ever been issued a Philippine Passport?
If Yes, Latest passport Number:______
Date of Issue:______Place of Issue:______
I SOLEMNLY SWEAR that 1) I am a Filipino Citizen. 2) The information I provided in this application is true and correct. 3) The supporting documents attached are authentic. 4) I have not been issued a passport under any other name. 5) I am aware that under the law, I am allowed to hold only ONE Philippine Passport at any given time. 6) I am aware that making false statements in passport application, furnishing falsified or forged documents in support thereof are punishable by law.
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------PLEASE DO NOT WRITE BELOW THE LINE------FOR EMBASSY USE ONLY:
Please print name and affix initials.
Processor: ______
Signing Officer: ______/ Service Number: ______
O.R. Number: ______
Fee: EUR54.00
Date: ______/ With Postage:
Austria: EUR6.00
Croatia/Slovenia/Slovakia: EUR15.00
Germany: EUR25.00 -DHL
With:
Report of Birth SN: VN-______/2015
Report of Marriage SN: VN-______/2015
With Certification No. ______/2015 EUR 22.50
RECEIVED CANCELLED PASSPORT: / RECEIVED NEW PASSPORT:
Date of Application Signature of Applicant
REQUIREMENTS FOR ePASSPORT ISSUANCE
First-time Applicants (Infants/Children BORN in Austria, Croatia, Slovakia, Slovenia)
Personal appearance of the applicant;
Accomplished ePassport Application Form;
Three (3) Passport Size Pictures- White Background;
Birth Certificateof the applicant – Original International Versionand photocopy of all the pages. (Formblatt A – For Austria);
Marriage Contract or Report of Marriageof the parents of the applicant, if applicable – Original and a photocopy;
Any document showing mother’s maiden surname (e.g. birth certificate, voters’ ID, school records, driver’s license) – Original and a photocopy;
Parent’s latest passports - Original and photocopiesof the datapage and last page;
ePassport Fee: EUR 54.00;
Accomplished Report of Birth Form. Report of Birth Fee: EUR 22.50.
Notes:
For Infants/Children born in Austria, Croatia, Slovakia and SloveniaReport of Birth must be filed at the Philippine Embassy together with ePassport application;
Report of Birth Form and requirements are available at the website of the Philippine Embassy at
RENEWAL of Expired/Expiring Passport
Personal appearance of the applicant;
Accomplished ePassport Application Form;
Three (3) Passport Size Pictures- White Background;
Current passport – Original and Two (2) photocopies;
- If BROWN passport: Copy of the Data Page and Last Page;
- If GREEN passport:Copy of the Data Page and Last Page;
- If current passport has an AMENDMENT, submit also a photocopy of the page showing amendment.
If current passport is brown, present documentary proof of middle name (e.g. birth certificate, marriage contract, voters’ ID, school records, driver’s license) – Original and photocopy;
ePassport Fee: EUR 54.00.
REPLACEMENT of Lost or Damaged Passport
Personal appearance of the applicant;
Accomplished ePassport Application Form;
Three (3) Passport Size Pictures- White Background;
Copy of lost passport or remains of damaged passport;
(If none, submit Birth certificate – original or authenticated copy, and photocopy)
Affidavit of Loss or Damage stating in detail the circumstances of loss or damage. Affidavit fee: EUR 22.50;
Police Report with English translation. (For Lost passports only);
If lost/damaged passport is brown, present documentary proof of middle name (e.g. birth certificate, marriage contract, voters’ ID, school records, driver’s license) – original and photocopy;
Lost ePassport Fee: EUR135.00.
Additional Requirements for POSTAL DELIVERYof ePassport and Cancelled Green Passports (within Austria)
Self-addressed envelope, stamped and registered.
(If you do not enclose an envelope, you must pay an additional EUR 6.00 for postage for Austria and EUR 15.00 for Croatia, Slovakia and Slovenia, EUR 25.00 for Germany)
Mailing address of the Philippine Embassy:
Philippinische Botschaft – Konsularabteilung
Laurenzerberg 2/II/zwg
A-1010 Wien
Account of the Philippine Embassy for Bank Transfer:
Name of Account:PHILIPPINE EMBASSY
Bank: Bank Austria Creditanstalt
Account Number:0444-58800/00
Bank Code: 12000
For international transactions:
IBAN: AT21 1100 0044 4588 0000
BIC: BKAUATWW
Please remit the payment free of charges for the recipient;
Please do not forget to indicate purpose of transaction and name/s of applicant/s.