PASSPORT AND CITIZENSHIP (MINOR) CHECKLIST. Passport form - Complete all sections including signature and left thumbprint.

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1 PASSPORT AND CITIZENSHIP (MINOR) CHECKLIST Passport form - Complete all sections including signature and left thumbprint. Passport photos (X4) Provide two (2) passport photos certified by the Witness, they must have a business card to attach or stamp. Refer to Passport Photo requirements. Section 15- Signature should be within the box. Children over 10yrs of age can sign or print their name. Applicants under 10 years, parent or legal guardian can sign on their behalf. Section 18 - Must be completed by the same witness who signed the photos (Witness can be Work manager, Family Doctor, JP or someone that you may know) they must have a business card to attach or stamp. Citizenship Form Certified copy of child s birth certificate - signed and stamped by the JP. Certified copy of parent s birth and marriage certificates - signed and stamped by the JP. Certified copy of parents Fiji passport signed and stamped by JP 2x Prepaid courier bag with tracking stickers Payment - Bank Cheque to FIJI HIGH COMMISSION or CASH (no personal cheques) FEE (NZ$) PROCESSING TIME Passport & Citizenship $ months (minor) Citizenship only $ months Please courier the application along with the above to: Fiji High Commission, 31 Pipitea St, Thorndon, Wellington, IMPORTANT NOTICE ALL FEES FOR APPLICATIONS SUBMITTED TO FHC ARE NON-REFUNDABLE AS OF 8 TH APRIL ALL CONSULAR APPLICATIONS ARE APPROVED BY IMMIGRATION FIJI BEFORE RESPECTIVE APPLICANTS WILL BE CONTACTED.

2 SERIAL NUMBER (Official Use) (Official Use) GOVERNMENT OF FIJI APPLICATION FOR A FIJI PASSPORT It is essential to complete this form accurately. (Please print clearly in ball point pen) Mr: 1. Applicant s Surname: Mrs: (Family Name) Miss: Forenames: 2. Previous Names: 3. Full Name of Father: (surname) (forenames) 4. Date of Birth: 5. Birth Place: Day / Month / Year City / Town / Village / Country 6. Marital Status: Single Married Widowed Divorced 7. Personal Height: Colour of Eyes: Colour of Hair: 8. Visible Distinguishing Marks: 9. Work or Occupation: 10. Name of Employer: 11. Address of Employer: 12. Applicant s Full Residential Address: Correspondence Address: (if different) Phone Residence: 13. (A) DOCUMENTS REQUIRED WHEN APPLYING FOR FIRST ISSUE: Phone Business: (i) Birth Certificate: (ii) Marriage Certificate: (iii) Divorce Certificate: (Full Extract) (If you are a married woman) (If you are a divorced woman) (iv) Deed Poll Papers: (v) Adoption Papers: (vi) Death Certificate: (If you have changed your name) (If you are an adopted child) (If widow) (vii) FNPF/Business/Bank Card; Driving Licence or latest school report (B) DOCUMENTS REQUIRED IF APPLYING FOR A REPLACEMENT PASSPORT (i) If the passport is full, expired or mutilated attach passport only; or Attach original birth certificate and if applicable marriage certificate, deed poll, adoption papers together with 2 recent full face Passport Photos 3.5cm x 4.5cm colored photo of applicant. One of the photos to be certified by the Witnessing Officer viz: I certify that this photograph is a true likeness of: (ii) If the passport is lost but still valid, attach police report, statutory declaration, certified copy of photo ID and birth certificate (full extract). 14. CERTIFICATE I CERTIFY THAT THE ABOVE PARTICULARS ARE CORRECT, THAT I AM A CITIZEN OF FIJI AND THAT I AM NOT A CITIZEN OR NATIONAL OF ANY OTHER COUNTRY. I CERTIFY THAT I POSSESS NO PASSPORT OR TRAVEL DOCUMENT (OTHER THAN THAT ATTACHED TO THIS APPLICATION OR DECLARED LOST AS IN ATTACHED STATUTORY DECLARATION AND THAT I HAVE MADE NO OTHER APPLICATION FOR A PASSPORT OR TRAVEL DOCUMENT SINCE THE PASSPORT OR TRAVEL DOCUMENT NO. WAS ISSUED TO ME.) 15. Applicant s Signature: Date: Place: Applicant s Signature Left Thumb Print

3 16. IF THIS APPLICATION IS BY A PERSON UNDER 16 YEARS OF AGE, THE FOLLOWING SECTION MUST BE COMPLETED, BY EITHER PARENT OR LEGAL GUARDIAN. I, the Parent/Legal guardian of the applicant (forenames) (Surname) _ agree to the issue of a passport valid for all countries for the applicant. Name of Father: _ Signature: Name of Mother: Signature: Legal Guardian: _ Signature: Date of Signature: Full Address: 17. Method of Collection: Personal Collection/ 18. Witness: I confirm that I have known the applicant for years Post to: and that he/she signed the certificate (section 14) before me and he/ She fully understood its contents. Full Name of Witness: Residential Address: Position Held: Employer/Address: Signature of Witness: _ Date: 19. FOR OFFICIAL USE ONLY VETTING OFFICER: APPLICATION RECORD CHECK: Name: Signature: Date: _ Application lodged by: CASHIER Name: Fees Paid: Revenue Receipt No. Signature: Date: _ VDU OPERATOR Application Entered Name: Signature: Date: VDU CHECK: Verified from the Computer Records that the Applicant Previously held Fiji Passport No. Issued on and has no Other Foreign passport or watchlisted VDU Operator Date PASSPORT OFFICER: Name: Signature: Date:

4 GOVERNMENT OF THE FIJI ISLANDS IMMIGRATION DEPARTMENT Photograph 2 Copies of a recent fullface photograph of the applicant should be attached here. The reverse of one copy should be endorsed by an adult (not the applicant) as being a correct likeness. APPLICATION FOR CITIZENSHIP OF FIJI APPLICANTS FULL NAME SURNAME GIVEN NAMES INSTRUCTIONS: A number of categories of persons are entitled to be or may apply to be registered/naturalised as Fiji Citizens. This form is to be used for all such applications which are categorised below. Please tick the category under which you are applying and complete the relevant Sections of the form as indicated. CATEGORIES 1. REGISTRATION a] Child of a Fiji Citizen born outside Fiji Complete Sections A,B & C & I [Decree, section 8(1)] & Certificate A b] Adopted Foreign Child of a Fiji Citizen Complete Sections A, B & D & I [Decree, section 8(2)] & Certificate A c] A Child either of whose Parents becomes a Complete Sections A & B & I Fiji Citizen & Certificate A [Decree, section 8(3)] [Note: Applicants under categories [a], [b] or [c] who are 18 years old or over must also complete section G However, such applicants are not required to complete Certificate A] d] Former Citizen Complete Sections A & E & I [Decree, section 8(6)] & Certificate B e] An Adult who has been married to a Fiji Complete Sections A, B & F & I Citizen & Certificate B [Decree, section 8(7)] 2. NATURALIZATION a] An adult who has been lawfully resident in Complete Sections A, H & I Fiji for a total of 5 of the 10 yrs immediately & Certificate B Before the applications for Naturalization is made. [Decree, section 11] WARNING THE INCLUSION OF FALSE INFORMATION ONF THIS FORM OR IN SUPPORT OF THIS APPLICATION CAN LEAD TO IMPRISONMENT OR A FINE. COMPLETED FORMS SHOULD BE SUBMITTED WITH APPROPRIATE FEES TO:THE DIRECTOR OF IMMIGRATION, IMMIGRATION DEPARTMENT, SUVA. ORPOST TO: P O BOX 2224, GOVERNMENT BUILDINGS, SUVA, FIJI.

5 NOTES 1. Application must be made by persons over 18 years of age or over 2. For the purpose of categories 1[a}, 1{b} and 1{c} where the applicant is a minor (ie under the age of 18 years), the forms should be completed by the applicant s parent or guardian 3. Present nationality: Evidence of the applicant s present citizenship or nationality status must be attached ( eg birth certificate, passport, citizenship certificate, etc) 4. Where a question in a particular section you are answering does not apply to you please put NONE or N/A as appropriate 5. Declaration and Certificates (pages 8&9): The declaration on page 9 of this form (Certificates B, Part C ) is only required of an applicant who is not a Commonwealth citizen or a British Protected Person. If it does not apply to you, delete it by putting a diagonal line through it i] Birth Certificate of applicant or equivalent ii] Birth Certificate of + parent/husband Iii] Marriage Certificate: iv] Death Certificate of husband: v] Passport: vi] Certificate of Registration of Citizenship: vii] Medical Report viii] Other Tick For Office, Use Only File Page

6 PARTICULARS OF APPLICANT SECTION A (All Applicants must complete this Section) A1. Surname A2. Given Names A3. Date of Birth A4. Country of Birth DAY/MONTH/YEAR / / A5. Present Nationality A6. Passport No. A7. Sex A8. Marital Status MALE FEMALE A9. Residential Address Telephone No: A10. Postal Address Telephone No: A11 Occupation

7 SECTION B. B1 SURNAME : GIVEN NAMES: B2. DATE OF BIRTH B3. Country of Birth B4. Present Nationality B5. Passport No B6. Do you hold citizenship of another country? Yes No If yes, of which country or countries SECTION C CHILD BORN OUTSIDE FIJI C1. Were you a Fiji citizen at the date of your child s birth? Yes No [Attach documentary evidence] C2. Did either parent hold citizenship of another Yes No country at the date of the child s birth? [Attach documentary evidence] SECTION D FOREIGN CHILD ADOPTED BY A FIJI CITIZEN D1. Has the Child been legally D2. Date of Adoption Adopted either in Fiji/Overseas? Yes No D3. Court Order Number D4. Name of Court/Authority Granting Adoption D5. Name of Person in Whose Favour Adoption is Granted.

8 SECTION E FORMER CITIZEN PARTICULARS OF APPLICANTS PRESENT CITIZENSHIP E1. Country of Citizenship E2. Date Obtained PARTICULARS OF APPLICANT S PREVIOUS FIJI CITIZENSHIP E3. How obtained E4 Date obtained (Birth/Naturalisation/Registration) Day Month Year E5. Provide proof of your former citizenship e.g. E6. Have you been convicted of any crime? Passport. YES NO SECTION F AN ADULT WHO HAS BEEN MARRIED TO A FIJI CITIZEN PARTICULARS OF APPLICANT F1. Date of first entry into Fiji F2. Type of Permit Granted (e.g. visitors/residential/ work/ exemption) DAY / MONTH / YEAR F3. Date of Marriage F4. Place of Marriage DAY / MONTH / YEAR

9 SECTION G CITIZEN BY REGISTRATION (This section must be completed by all applications under categories 1(a), 1(b) and 1(c) who are 18 years of age or over) DETAILS OF APPLICANT G1. Date of first entry into Fiji G2. Type of entry Permit issued on arrival (Provide Proof e.g. Passport) eg. Visitor, Residential, Exemption G3. Date first work/residence/exemption Permit issued G4. Give details of work/residence permit held during the last five years. ADDRESS DATE FROM DATE TO

10 SECTION H CITIZENSHIP BY NATURALIZATION (THE APPLICANT MUST BE AN ADULT PERSON WHO HAS BEEN RESIDENT IN FIJI FOR A TOTAL OF 5 OF THE 10 YEARS IMMEDIATELY BEFORE THE APPLICATION FOR NATURALIZATION IS MADE) DETAILS OF APPLICANT H1. Date of first entry into Fiji H2. Type of entry Permit issued on arrival (Provide Proof e.g. Passport) eg. Visitor, Residential, Exemption H3. Date first work/residence/exemption H4. Employer/Organisation Permit issued H5. Any change/variation of Permit/Employer H6. Have you been convicted of any Crime Yes No Yes No If Yes, give details If Yes, give details. H7. Have you ever suffered from any H8. Indicate any language (s) which you can Contagious or infections disease? read and write Yes If yes, give details. No H9. If this application is approved, do you intend to live in Fiji? Yes No H10. In your opinion, what are some of the responsibilities of a Fiji Citizen? a. b. H11. Give details of work/residence permit held during the last five years. ADDRESS DATE FROM DATE TO SECTION I Declaration I hereby declare that the information I have supplied in this form is complete, truthful and correct. Signature of Applicant Date

11 CERTIFICATES Certificate A (To be completed only where the applicant is under 18 years of age by the applicant s parent or guardian) I, the + parent/legal guardian of hereby apply for his/her registration as a citizen of Fiji. If the legal guardian, I am authorised by (a) the Court at to act or (b) by the minor s + Father/mother whose consent to my action is attached. Signature. Certificate B (To be completed by persons acting as the applicants referees) A Referee s Surname Forenames Title Full Residential address I, the undersigned, hereby state that I am a citizen of Fiji, and that I am not the barristers and solicitor or agent or relative of the applicant I support this application from my personal knowledge and close acquaintance with the applicant for years (not less than 3 years), I vouch for the applicant s good character and loyalty and I am prepared to furnish full details of my knowledge of and acquaintance with the applicant. I have read the warning on the front of this form. (Signed) (Date)

12 B Referee s Surname Forenames Title Full Residential address I, the undersigned hereby state that I am a citizen of Fiji and that I am not the barrister and solicitor or agent or relative of the applicant I support this application from my personal knowledge and close acquaintance with the applicant for years (not less than 3 years). I vouch for the applicants good character and loyalty and I am prepared to furnish full details of my knowledge of an acquaintance with the applicant. I have read the warning on the front of this form. (Signed) (Date) C (A third referee is only required when applicant is NOT a Commonwealth citizen or British Protected Person) Referee s Surname Forenames Title Full Residential address I, the undersigned hereby state that I am a citizen of Fiji and that I am not the barrister and solicitor or agent or relative of the applicant I support this application from my personal knowledge and close acquaintance with the applicant for years (not less than 3 years). I vouch for the applicants good character and loyalty and I am prepared to furnish full details of my knowledge of an acquaintance with the applicant. I have read the warning on the front of this form. (Signed) (Date)

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