Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698831570627.pdf (Saint Kitts and Nevis)
2To avoid delay, answers to all relevant sections should be completed in ink.

Please fill out the form in BLOCK CAPITALS.

NOTE: Do not sign this form until you have read all notes on page 1.
Application for Adult [ ] Application for Child under Age 16 [ ] 1 Surname [ ]Mr [ ]Mrs [ ]Ms [ ]Miss Status: [ ] Single [ ] Married [ ] Widowed [ ] Divorced [ ] Legally Separated Christian Names: Maiden Name: (if applicant is a woman who is or has been married) Gender: [ ] Male [ ] Female Has name been changed otherwise than by marriage?
[ ] No [ ] Yes If so, state original name PERSONAL DESCRIPTION Age last birthday Place and country of birth Date of Birth Height: Feet Inches Occupation: Colour of eyes Present address: Colour of hair Usual place of residence: Special peculiarities (visible): Contact numbers: 2 CITIZENSHIP Citizen of St. Kitts and Nevis by [ ]Birth [ ]Descent [ ]Marriage [ ]Residence [ ]Registration [ ] Investment If born in [ ] St. Kitts [ ] Nevis Birth Certificate no.

………………… Parish ………………………..…….


If born outside of St. Kitts and Nevis, particulars of Certificate of Citizenship/Registration Number of Certificate …………………………………….

Date of Issue ……………………………………………… 3 PERSONS WHO ARE CITIZENS OF SAINT CHRISTOPHER (ST. KITTS) AND NEVIS BY DESCENT Name of parent/grandparent that was born in St. Kitts and Nevis …………………………………………….…………….
Place of Birth …………………………………………………… Date of Birth ………..…………………………..……… 4 PERSONS WHO ARE CITIZENS OF SAINT CHRISTOPHER (ST. KITTS) AND NEVIS BY MARRIAGE ONLY Name of Spouse …………………………………………… Place of Birth …………………………………..………… If spouse was born outside of the Federation, Certificate of Citizenship number: …………………………………..…….. Place of Marriage …………………………………………… Date of Marriage ……………………………..………..
APPLICATION NO SIGNATURE PHOTO PASSPORT NUMBER 3 5 CHILDREN UNDER 16 (if to be included in passport upon initial application) Christian Names Surname Place and Country of Birth Date of Birth Gender and Relationship to Applicant 6 PASSPORT REQUIRED FOR TRAVELLING TO……………………………………………………………………………………………………………… ………………………………………………………………………………….…………………….……………………………………………………………….
PURPOSE OF TRAVEL ……………………………………………………………………………………………………………………...….……………… 7 THIS SECTION IS TO BE COMPLETED BY THE PARENT OR LEGAL GUARDIAN OF A CHILD UNDER AGE 16 DECLARATION I, __________________________________ the undersigned, hereby apply for the issue of a passport to the above-named child.

I declare that the information given in this application is correct to the best of my knowledge and belief, and that the child has not lost the status of Citizen of Saint Christopher (St. Kitts) and Nevis.
I further declare (cross out "A" or "B", whichever does not apply): A - that the child has not previously held or applied for a passport of any description; B - that all previous passports granted to the child have been surrendered, other than passport or travel document No…………..…….

which is now attached, and that no other application for a passport has been made since the attached passport or travel document was issued to him/her.
Name ………………….………………………………… Relationship to Child ………………………………… Signed ……………………………………………….… Date …………………………………………………..
NOTE: If the child has had a passport which has been lost, cross out A and B and complete Section 10 8 THIS SECTION IS TO BE COMPLETED BY APPLICANT OVER AGE 16 I, the undersigned, declare that the information given in the application is correct and a. that I have not lost the status of Citizenship of Saint Christopher (St. Kitts) and Nevis b. that I have not previously held or applied for any passport or c. that all previous passports granted to me have been cancelled other than passport no.
…………………….. which is now attached and that I have not made no other application for a passport since the attached passport was issued to me.

Signature ………………………………………………….

Date ……………………………………………….. 49 Recommender I certify that the applicant is known to me personally and that to the best of my knowledge and belief, the facts stated on this form are correct.

I have known the applicant for …………… years.


Signature ………………………………………………………………… Full name ………………………………………………………………… Occupation ……………………………………………………………….

Address ………………………………………………………………………………...……………………………………….

Date …………………………………………..

IMPORTANT:- Applicants and persons who countersign applications (see section 7) are warned that, should any statement made in connection with this applicant prove to be untrue, the consequences to them may be serious.
10 PARTICULARS OF PREVIOUS PASSPORT WHICH HAS BEEN LOST OR IS NOT AVAILABLE FOR PRESENT USE No.

………………………………………….. issued at ………………………………………….. on …………………………………………..
Bearer's full name at time of issue ………………………………………………………………… Circumstances in which passport was lost or destroyed, or other reason for its non-availability: …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… Place and date of loss ………………………………………………………………… What measures were taken at the time to report loss and to obtain recovery?
…………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………… Has loss been reported to the police?

………………… If so, state when and where …………………………………………………..……………………………………………… I certify that the above particulars are correct and undertake in the event of the passport becoming available to return it to the Passport Office, Saint Christopher (St. Kitts) and Nevis, or to a Saint Christopher (St. Kitts) and Nevis Overseas Mission for cancellation.
Signature ……………………………………………………… Date ………………………………………………………………… (to be signed by parent/guardian for child under age 16) 11 FOR OFFICIAL USE DOCUMENTS SUBMITTED TO BE NOTED HERE SUPPLEMENTARY INFORMATION Official stamp