OS Form 010
OS Form 010
OS Form 010
OS
GET IT RIGHT
USE BLACK BIRO
ONLY.
SECTION
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This form is only for
British applicants
from certain countries
applying from outside
the UK. Check
www.gov.uk/overseaspassports for specific
advice about how to
renew or apply for your
passport from the
country you are in.
Adult
Child
(under 16)
Adult
Child
(under 16)
Adult
Child
(under 16)
Adult
Child
(under 16)
New
name
New
photo
(If you are an adult, see further information on section 1 of the guidance notes.)
(or renewal of your passport issued before 31/12/1993)
If you want to pay for a 48-page passport, put a cross (X) in this box. (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
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Please include your full
address, including state
or province, and post
code where applicable.
You should include the
international code in
the phone number
boxes.
We will contact you on
your mobile phone
number if we have any
queries about delivery.
If there are any details
that you are not able to
fit in the boxes in
section 2, use the
boxes in section 8 to
provide the information
in full.
Mrs
Miss
Ms
or title
Surname
First and middle names
Maiden or all previous names (surname first)
Current address (house number, street name, town/city)
Country
Date of birth (DD/MM/YYYY)
Postcode
Gender Cross (X) the relevant box.
Male
Female
Town of birth
Country of birth (including UK)
Mobile phone number
E-mail address (You do not have to fill in your e-mail address in capital letters.)
Change British
National status
SECTION
OS/01/02
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Yes
No
Go to 3B below.
2 Passport number
3 Passport number
Lost/Stolen Passport number
in year
Issued at
Holders 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 (DD/MM/YYYY)
Place of loss
Parents details
SECTION
If both parents named below were born after 31st December 1982 OR were born outside the UK, 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 these details in Section 8, or on a separate piece of paper.
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Fill in this section 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.
- to renew a
passport that was
issued before
31/12/1993
If there are details
you are not able to fit
in the boxes in section
4, use the boxes at
section 8 to include
extra information.
Date of marriage or civil partnership to the father or second parent of the person named in section 2 (if this applies).
Fathers or Parent 2s full name (surname first)
Town and country of birth
Nationality and citizenship at the time of the applicants birth
OB/EX
PT
PPT
OB/EX
PT
Block Application
Nat Cert
Payment type
Payment
SBC
MC
Chq
Photos
Post opener number
Partner Reference
Y
BOEF
PO
Csh
Cr/
Db
SECTION
OS/01/03
Has the person named in section 2 been granted a certificate of registration or naturalisation?
Date DD/MM/YYYY
Cross (X) the box.
Give the date of issue here
No
Yes
and details below.
Certificate number
Place of issue
SECTION
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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.
Date DD/MM/YYYY
SECTION
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This area is
intentionally blank,
please do not write in
this area
SECTION
More information
If you need more space, please see the information on section 8 in the guidance notes at www.gov.uk
Type of passport
R
SE
SN
DO
DE
SECTION
Declaration This must be filled in by the person named in section 2. If under 16, their parent or guardian must fill this in instead. OS/01/04
It is a criminal offence to make a false statement to get a passport. If you have made a false statement on this form, you
could be prosecuted and could go to prison. Our work includes checking that the countersignature in section 10 is genuine.
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If a 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.
I declare that I am 16 years or over (or will be within two weeks) and that:
1 I will return a lost passport to a UK passport office if it comes into my possession;
2 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;
3 I have stated if the person named in section 2 was born of a surrogacy arrangement;
4 I do not owe any money to the UK Government for repatriation or similar relief;
5 this application does not break the terms of any court order
to which I, and the person named in section 2 (if different)
Signature
am subject;
Before signing, please read the guidance booklet
6 as far as I know all the information I have given in this
Applications are only valid if you:
application is correct;
- Sign the white signature box below using black biro
7 if the application is for a child, I have parental responsibility
- Keep within these
marks
and I have enclosed any court orders that relate to the childs
residence, contact or removal from the UK/country of residence;
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.
Name, if signing on behalf of a child (title, first name and surname)
Relationship to child
SECTION
Countersignatory If a countersignature is needed, they must fill in this section after the rest of the form has been filled in.
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 statements on this form, or if you know that the person applying
has made any false statements on this form, you could be prosecuted and could 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.
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The person acting as
the countersignatory
must sign section 10.
Date DD/MM/YYYY
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 black biro. (cross (X) box Mr, Mrs, Miss, Ms, or write your title)
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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
likeness of...giving
the full name and title
of the person named
in section 2. The
countersignatory
must sign and date
this endorsement.
Mrs
Miss
Ms
or title
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 either a full current British, Irish, other EU, US or
Commonwealth passport (delete as appropriate). I have read the caution and I understa nd it.
Profession, professional qualifications or position in the community
Your employers name and the address you work at (or your private address if this does not apply)
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To avoid unnecessary
delays, please do not
use a label or stamp
on this form.
Postcode
Date DD/MM/YYYY
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Mr