Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1694853868993.pdf (Antigua and Barbuda)
Immigration and Passport (Amendment) Regulations, 2014 8 2014, No.

13 ANTIGUA AND BARBUDA § The standard passport contains 32 pages and is valid for ten (10) years.

This is adequate for most travellers § A 64 page passport is available for adults who travel frequently.

A higher fee applies.

Note 3 Section 3- Reason for Application Please tick the box applicable to your reason for the application.
This will assist the office in advising you properly as to your options and the supporting documents required.

Note 4: Section 4- National Status This section is to be completed by all applicants If you are a citizen of Antigua and Barbuda by birth or descent, you are only required to tick the appropriate box.

If you are a citizen of Antigua and Barbuda by registration or naturalization, you are required to tick the appropriate box and provide as much details as possible.
Note 5: Section 5- Were you born outside of Antigua and Barbuda?

This section must be completed in detail by all applicants who were born outside of Antigua and Barbuda.

Note 6: Section 6 – Supporting documents produced Please tick all the supporting documents that have been attached to the application both original and photocopies must be produced.
Note 7: Section 7- Previous Passport When applying for a new passport, any previous Antigua and Barbuda passports held must be surren- dered for cancellation.

The old passport will be returned to the applicant at the end of the issuance process.

Note 8: Section 8- Lost/Stolen Passports A lost/stolen passport must be immediately reported to the local police, or the nearest Antigua and Barbuda Consulate or Mission.
Lost/stolen applicants are required to produce the original and two (2) photocopies of each supporting document.

There is a maximum waiting period of three (3) months before a replacement passport is issued.

A higher fee applies.

IMMIGRATION AND PASSPORT (AMENDMENT) REGULATIONS, 2014 STATUTORY INSTRUMENT 2014, No.

13 [ Published in the Official Gazette Vol.

XXXIV No.24 dated April 10th , 2014. ]


________ Printed at the Government Printing Office, Antigua and Barbuda, by Ralph George, Government Printer — By Authority, 2014.

600— 04.14 [ Price $ ] Immigration and Passport (Amendment) Regulations, 2014 2 2014, No.

13 2014, No.
13 2014, No.

13 7 Immigration and Passport (Amendment) Regulations, 2014 ii) Applicant’s registration/naturalization certificate; iii) Applicant’s marriage certificate (if applicable); iv) Applicant’s divorce certificate (if applicable); v) Copy of bio-data pages of applicant’s passport from country of birth.
(Original passport to be produced for verification); E) Applicants who are citizens of Antigua and Barbuda pursuant to the Citizenship by Invest- ment Act, 2013: i) Applicant’s birth certificate; ii) Applicant’s Citizenship registration certificate; iii) Applicant’s marriage certificate (if applicable); iv) Copy of bio-data pages of applicant’s passport from country of birth.
Note 1: Section 1- Your Details This section is to be completed by all applicants Names: § Please enter the name of the person applying for the passport.

§ Only legal names will be accepted.

Please do not include any aliases or “known as” names.

Address: § Give your full residential address (where you live) including the country.

Contact Numbers: § Please list all telephone numbers where you may be reached.

Failure to do so may delay your application.


Note 2: Section 2- Type of Application This section is to be completed by all Applicants Standard or Emergency: § The standard passport takes three (3) weeks to process.

§ An emergency application may be processed within a shorter period of time.

A higher fee applies.

Number of Pages: Immigration and Passport (Amendment) Regulations, 2014 6 2014, No.

13 2014, No.
13 2014, No.

13 Immigration and Passport (Amendment) Regulations, 2014 3 IMMIGRATION AND PASSPORT (AMENDMENT) REGULATIONS, 2014 ARRANGEMENT Regulations 1.

Short title.

2.

Amendment.

3.

Schedules Amended.
iv) Applicant’s divorce certificate (if applicable); v) Applicant’s expired passport (if applicable); B) If the applicant was born outside of the country to parents who are citizens of Antigua and Barbuda by birth: i) Applicant’s birth certificate (showing parent’s names); ii) Birth certificate of parent of which the applicant is claiming citizenship; iii) Applicant’s baptismal certificate (if using father’s name and it does not appear on birth certificate); iv) Baptismal certificate of parent/ grandparent (if using father’s name and it does not appear on birth certificate); v) Marriage certificate of applicant (if applicable); vi) Marriage certificate of parents (if applicable); vii) Copy of bio-data pages of applicant’s passport from country of birth.
(original passport to be produced for verification); C) If the applicant was born outside of Antigua and Barbuda to grandparents who are citizens of Antigua and Barbuda by birth: i) Applicant’s birth certificate (showing parent’s name); ii) Parent’s birth certificate (showing his/her parents name); iii) Grandparent’s birth certificate; iv) Baptismal certificate of applicant, parent and grandparent (if applicable); v) Marriage certificate of applicant, parent and grandparent (if applicable); vi) Copy of bio-data pages of applicant’s passport from country of birth.
(original passport to be produced for verification); D) Applicants who are citizens of Antigua and Barbuda by registration/naturalization: i) Applicant’s birth certificate; Immigration and Passport (Amendment) Regulations, 2014 4 2014, No.

13 2014, No.

13 5 Immigration and Passport (Amendment) Regulations, 2014 ANTIGUA AND BARBUDA How to Fill Out the Form IMMIGRATION AND PASSPORT (AMENDMENT) REGULATIONS, 2014 § Read all instructions carefully before completing the form.

2013, No.
2013, No.

13 § Complete application form in English.

IMMIGRATION AND PASSPORT (AMENDMENT) REGULATIONS, MADE BY THE CABINET UNDER SECTION 38 OF THE IMMIGRATION AND PASSPORT ACT, CAP.

208.

1.

Short title.

§ All first time applicants must be seen at the Passport Office or Consulate.

§ All first time applicants who are 18 years and older must be interviewed at the Passport Office.

These Regulations may be cited as the Immigration and Passport (Amendment) Regulations, 2014.
§ Complete application form in ink and block capital using black or dark blue, if handwrit- 2.

Amendment.

ten.

§ If you do not complete all the sections as indicated, your application is likely to be re- Regulation 23 of the Immigration and Passport Regulation is revoked and substituted by the following: fused.

“Application 23 (1) Every application for a passport must be submitted to the Permanent Secretary, Ministry of National Security and Labour, Passport Division.
§ Do NOT use this form if you are under 16 years.

Please use form M. § Write all dates using the format – dd/mm/yy.

§ Please tick the appropriate box(es) when completing the application form.

(2) Every applicant for a passport must complete Form L, if he is 16 years of age or more or § If you make a mistake on the form, cross out the mistake, initial and continue.

Do NOT use Form M, if he is below the age of 16 years.

correction fluid or your application will be refused.
(3) Every application must be certified in the manner provided on the Forms by any one of the § All documents in languages other than English must be accompanied by a certified English persons specified in the notes attached to the forms.

(4) An apostile or certification under seal shall be inscribed on all certificates, orders and any documentary evidence required in support of an application under these regulations.
(5) The Minister may, if he considers the circumstances appropriate, waive the requirement of an apostile or certification under seal.

3.

Schedules Amended.

Schedule A to the Immigration and Passport Regulation is amended by the revocation of Forms “L” and “M” and the substitution of the following new Forms.

Application for Antigua and Barbuda Passport for applicants 16 and older Instructions and Notes for FORM L translation.
Supporting Documents to be Produced (Please present both originals and photocopies of all supporting documents.

The originals will be returned.

In the case of first time and lost/stolen applicants, original documents are returned at the conclusion of the issuance process.)
A) If the applicant was born in Antigua and Barbuda: i) Applicant’s birth certificate; ii) Applicant’s baptismal certificate (if using father’s name and it does not appear on birth certificate); iii) Applicant’s marriage certificate (if applicable); Immigration and Passport (Amendment) Regulations, 2014 16 2014, No.

13 2014, No.

13 9 Immigration and Passport (Amendment) Regulations, 2014 Section 6 Supporting Documents Produced Both original and photocopies must be produced.
Please refer to Note 6 The following documents were submitted with the passport application: i) Birth Certificate v) Adoption Certificate ii) Baptismal Certificate vi) Proof of Legal Guardian iii) Marriage Certificate vii) Deed Poll iv) Divorce Certificate viii) Other (please specify) ______________________________ Section 7 Previous Passport Please refer to Note 7 Is the previous passport attached Yes No If yes, previous passport number ____________________________________ If no, go to section 8 Note 9: Section 9- Certification The application must be certified in Section 9 by any of the following persons, who may be cur- rently employed or retired: § Member of Parliament, Magistrate, Notary Public, Minister of Religion qualified under the law to perform marriages, Professional Engineer, Professional Accountant, Police Officer (Gazetted Rank), Army Officer (above the Rank of Captain) Bank Manager, Registered Medical Practitioner, Dentist, Permanent Secretary, Principal Assistant Secretary, Head of a Government Department, Attorney-at-Law, Principal (Primary, Secondary School or Ter- tiary Education Institution) The certifier must be personally known/ acquainted with the applicant and must have seen the appli- cant at the time of certifying the application.
In respect of applications submitted to overseas missions/ or pursuant to Citizenship by Investment Unit the certification must be signed in the country where documents originate by persons of simi- lar standing to those listed above.

CIP applicants are asked to refer to their Agents.

The official stamp of the certifier must be impressed in the box at section 9.

For security reasons, it is not recommended that the certifier be closely related to the applicant, e.g.

siblings, parents or children.


Forms are valid only for six (6) months after the date of certification.

Section 8 Lost/Stolen Passport Give details of the passport which has been lost or stolen Please refer to Note 8 Note 10: Section 10-Photographs Photograph Specifications § Two copies of a photograph taken within the last six (6) months.

Must be original photos, not taken from any existing photo.

§ The size must be 45mm x 35mm (1.77X1.38 inches).


§ Show full frontal view of head and shoulders without head covering no dark spectacles and with a neutral facial expression.

§ Taken against a plain white background without shadows.

Applicants should avoid wearing white clothing.

§ Photos must be in colour.

Black and white photos are not acceptable.


§ All photographs included with an application become the property of the Government of Immigration and Passport (Amendment) Regulations, 2014 10 2014, No.

13 2014, No.

13 15 Immigration and Passport (Amendment) Regulations, 2014 Antigua and Barbuda when it is lodged.
Father’s Details § The person who certifies the application is also required to endorse the reverse side of one of the photos with the words “I certify that this is a true photograph of ………………….........…..” and his/her signature.

The applicants name in full must be on reverse side of the photograph.

The certifier’s signature must be the same as appearing on the application form in Section 9.
Note 11: Section 11- Parental Consent § A parent or a court appointed guardian must complete and sign Section 10, if the applicant is under 18 years of age unless married, in which case a marriage certificate must be produced.

§ If the parents are divorced the parent to whom custody of the child/children has been awarded must produce evidence of the Court Order.
If either parent is dead or all parents are dead, a death Certificate must be produced and the surviving parent or court appointed guardian must sign.

§ The name of the parent must be printed clearly in Section 10.

The parent photo identification may be requested.
Full Name________________________________________________________________ Place and Country of Birth ___________________________________________________ Date of Birth _____/______/________ dd mm yy Mother’s Details (if applicable) Full Name________________________________________________________________ Place and Country of Birth ___________________________________________________ Date of Birth _____/______/_______ dd mm yy Grandparent’s Details (if applicable) § In the absence of the parents or court appointed guardian proof of guardianship must be dem- Full Name_______________________________________________________________ onstrated to the satisfaction of the Minister.
Note 12: Section 12 – Supplementary Information Please complete this section if there is any additional information that you need to give to the Passport Office.

Note 13: Section 13 – Declaration This section is to be completed by all applicants.

The Antigua and Barbuda Passport Application is a legal document.

Applicants are asked to ensure that the information given on the application form is correct to the best of the applicant’s knowledge.
Note 14: Section 14- Signature Please see specimen signature below.

IMPORTANT – DO NOT WRITE OUTSIDE THE BOX Failure to comply with this instruction will invalidate the application.
John Doe Place and Country of Birth _________________________________________________ Date of Birth ________/________/_________ dd mm yy NB If father, mother or grandparent is a citizen of Antigua and Barbuda by naturalization or registration, please complete the following: Number of his/her Document ________________ Place of Issue______________________ Date of Issue________/_________/_________ dd mm yy NB If applicant’s birth was registered at a Consulate of Antigua and Barbuda, please complete the following: Name of Consulate _____________ Certificate Number __________________________ Date Issued____________________ Immigration and Passport (Amendment) Regulations, 2014 14 2014, No.
13 2014, No.

13 11 Immigration and Passport (Amendment) Regulations, 2014 Citizen of Antigua and Barbuda by: Note 15: Apostille or Certification under Seal i) Birth iii) Naturalization v) Registration pursuant to Citizenship by Investment ii) Descent iv) Registration pursuant to the Citizenship Millennium Naturalization Act, Cap.
22 vi) Registration pursuant to 2004 NB: If you are a citizen of Antigua and Barbuda by naturalization or registration, please complete the following: Certificate Number ______________________________________________________ Date of Issue_____/______/_______ dd mm yy Passport Number of Country of Birth ________________________________________ Place of Issue _________________________ Date of Issue_____/_____/_____ dd mm yy NB If you are a citizen of Antigua and Barbuda by Investment ________________ Section 5 Were You Born Outside of Antigua and Barbuda?
If yes, please refer to Note 5 and then complete this section Yes No Where a document originates from a country outside Antigua and Barbuda an apostille or certifi- cation under seal by the registrar or a senior official in the department from which the document was issued must be inscribed on the document.

The official telephone number and the official address, including the official e-mail address where the document originates must be pro- vided.
Note 16: Additional Documents Additional Documents or information may be requested in support of this application.

Note 17: Passport Delivery A person who is collecting a passport on behalf of an applicant, must submit an Order from appli- cant authorizing that person to collect the passport on his behalf.

The passport will be delivered to that person on production of his photo ID.

The Order must be notarized if the applicant is overseas.
Immigration and Passport (Amendment) Regulations, 2014 12 2014, No.

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13 13 Immigration and Passport (Amendment) Regulations, 2014 For Official Use Only Application Number…………………………….

Application for Antigua and Barbuda Passport for Applicants 16 Years and Older Form L Section 1 Your Details.
Please refer to Note 1 Surname: ______________________________________________________________ First Name: ____________________________________________________________ Middle Name(s)_________________________________________________________ Marital Status: Single Married Divorced Widowed Separated Permanent Address________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Date of Birth ____/____/_____ Age_______ Place of Birth ____________________ dd mm yy Section 2 Type of Application Please refer to Note 2 Standard Emergency Number of Pages Required: 32 64 Section 3 Reason for Application Please refer to Note 3 A) New (First Time) Issue F) Reissue Due to Name Change B) Reissue of Expired Passport F1) Reason for Name Change (tick below) C) Reissue of full Passport Marriage Adoption Deed Poll D) Reissue of Lost/stolen Passport G) Other (please specify) E) Reissue of Damaged Passport __________________________ __________________________ __________________________ __________________________ Country of Birth: _______________________________ Sex: Male Female Section 4 National Status Please refer to Note 4 Height (ft)___________________________ Distinguishing Marks (if any) ________________________________________________ Telephone Numbers _______________________________________________________ Immigration and Passport (Amendment) Regulations, 2014 24 2014, No.
13 2014, No.
13 17 Immigration and Passport (Amendment) Regulations, 2014 ii) Applicant’s baptismal certificate (if using father’s name and it does not appear on birth certificate); Passport Number __________________________________________________ iii) Applicant’s expired passport (if applicable); Place of Issue _____________________________________________________ B) If the applicant was born outside of the country to parents who are citizens of Antigua and Barbuda by birth: Date of Issue __________/___________/_________ dd mm yy i) Applicant’s birth certificate (showing parent’s names); Your details at time of issue ii) Birth certificate of parent of which the applicant is claiming citizenship; Surname_______________________________________________________________ iii) Applicant’s baptismal certificate (if using father’s name and it does not appear on First Name_____________________________________________________________ birth certificate); iv) Baptismal certificate of parent/ grandparent (if using father’s name and it does not appear on birth certificate); v) Marriage certificate of parents (if applicable); vi) Copy of bio-data pages of applicant’s passport from country of birth.
(original passport to be produced for verification); C) If the applicant was born outside Antigua and Barbuda to grandparents who are citizens of Antigua and Barbuda by birth: i) Applicant’s birth certificate (showing parent’s name); ii) Parent’s birth certificate (showing his/her parents name); iii) Grandparent’s birth certificate; iv) Baptismal certificate of applicant, parent and grandparent (if applicable); v) Marriage certificate of applicant, parent and grandparent (if applicable); vi) Copy of bio-data pages of applicant’s passport from country of birth.
(original passport to be produced for verification); D) Applicants who are citizens of Antigua and Barbuda by registration/naturalization: i) Applicant’s birth certificate; Middle Name(s)_________________________________________________________ Marital Status: Single Married Divorced Widowed Separated Circumstances in which passport was lost or why it is not available: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Place of Loss ____________________________Date of Loss_______/_______/______ dd mm yy Has Loss Been Reported to the Police?
_______________________________________ Date Loss reported to the Police _______/________/_________ dd mm yy Immigration and Passport (Amendment) Regulations, 2014 18 2014, No.

13 2014, No.
13 2014, No.

13 23 Immigration and Passport (Amendment) Regulations, 2014 Section 9 Certification Please refer to Notes 9 and 10 Application for Antigua and Barbuda Passport for applicants 16 and under *I certify that the applicant has been known personally to me for ___________________ (state period) and that the photograph which contains my signature, is a true photograph of the applicant.
Certifier: FullName(block capitals) _____________________________________________ Occupation _______________________________________________________________ Address______________________________________________________________________ Contact Number (s)_________________________________________________________ Signature _____________________________________ Date _____/______/_______ dd mm yy Instructions and Notes for FORM M How to fill out the Form § Read all instructions carefully before completing the form.
§ Complete application form in English § Type or print in block capital using black or dark blue ink if handwritten.

§ The applicant or anyone under age 16 is the parent or legal guardian § All first time applicants must be seen at the Passport Office* § All lost/stolen passport applicants must be seen at the Passport Office § Your application form will not be processed if you fail to complete all of the required sections of the application form § Do NOT use this form if you are over 16 years.
Please use Form L § Write all dates using the format – dd/mm/yy.

Official Stamp § Please tick the appropriate box(es) when completing the application form.

Section 10 Parental Consent Please refer to Note 11 § If you make a error on the form, place a line through the error, initial and continue.

Do NOT use correction fluid or your application will be refused.
§All documents in languages other than English must be translated by a certified translator *Citizens by Investment (CIP) are asked to refer to their agents Supporting Documents to be Produced (Please present both originals and photocopies of all supporting documents.

The originals will be returned.

In the case of first time and lost/stolen applicants, original documents are returned at the conclusion of the issuance process.)
A) If the applicant was born in Antigua and Barbuda: i) Applicant’s birth certificate; Immigration and Passport (Amendment) Regulations, 2014 22 2014, No.

13 2014, No.
13 19 Immigration and Passport (Amendment) Regulations, 2014 _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ I/ We__________________________________________________________________ (Please Print Given and Surnames) the____________________________________________________________________ (Please State -Mother/Father/ Guardian) of_____________________________________________________________________ (Please Print Child’s Name) hereby give consent for him her to hold an Antigua and Barbuda passport.
Father’s Signature ________________________________ Date _____/_____/_____ dd mm yy Mother’s Signature_______________________________ Date____/_____/______ dd mm yy Section 11 Supplementary Information Please refer to Note 12 Immigration and Passport (Amendment) Regulations, 2014 20 2014, No.

13 2014, No.
13 21 Immigration and Passport (Amendment) Regulations, 2014 __________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Signature ___________________________________ Date______/_______/_______ dd mm yy Section 13 Signature To be signed by all applicants Please refer to Note 14 IMPORTANT – DO NOT TOUCH THE LINES OF THE BOX Failure to comply with this instruction will invalidate the application.
FOR OFFICIAL USE ONLY Please do not write below this line CIP Registration No.

_____________________ Section 12 Declaration To be signed by all applicants Please refer to Note 13 Amount of Fee Paid ______________________ John Doe I, the undersigned, hereby apply for the issue of a passport.

I declare that the information provided in this application is correct to the best of my knowledge and belief and that I have not renounced the status of Citizen of Antigua and Barbuda.
I further declare that any and all previous passports granted to me have been surrendered, other than the passport or travel document with the number specified in section __ of this form 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 me.
Signature ____________________________ Date _____/______/______ dd mm yy NB: If the applicant is 16 or 17 years, the parent or court appointed guardian is required to sign this section.
_________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ___________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Immigration and Passport (Amendment) Regulations, 2014 32 2014, No.
13 2014, No.

13 25 Immigration and Passport (Amendment) Regulations, 2014 Citizen of Antigua and Barbuda by: i) Birth iii) Naturalization v) Registration pursuant to Citizenship by Investment Act ii) Applicant’s registration/naturalization certificate; iii) Applicant’s marriage certificate (if applicable); iv) Applicant’s divorce certificate (if applicable); ii) Descent vi) Registration pursuant to iv) Registration pursuant to the Citizenship Cap.
22 Millennium NaturalizationAct, 2004 NB: If you are a citizen of Antigua and Barbuda by naturalization or registration, please complete the following: Certificate Number ______________________________________________________ Date of Issue ___________________________________________________________ Passport Number of Country of Birth ________________________________________ Place of Issue _________________________ Date of Issue______/______/_________ v) Copy of bio-data pages of applicant’s passport from country of birth.
(Original passport to be produced for verification); E) Applicants who are citizens of Antigua and Barbuda pursuant to Citizenship by Investment Act: i) Applicant’s birth certificate; ii) Applicant’s proof of citizenship; iii) Applicant’s marriage certificate (if applicable); iv) Copy of bio-data pages of applicant’s passport from country of birth.
dd mm yy Citizenship by Investment applicants are asked to refer to their Agents NB: If you are a citizen of Antigua and Barbuda by Investment, please complete the following: Evidence of Citizenship _____________________________________________________ Date of Issue _____________________________________________________________ Note 1: Section 1- Personal Information This section is to be completed by all applicants Names: § Surname and Given name(s) to appear in passport.
Passport Number of Country of Birth ___________________________________________ § Only legal names will be accepted.

Please do not include any aliases or known as names.

Place of Issue ________________________ Date of Issue_______/_______/_________ dd mm yy Address: §Give your current home address and country of residence Section 5 Were You Born Outside of Antigua and Barbuda?
Yes No If yes, please refer to Note 5 and then complete this section Telephone Numbers: § Please list all telephone numbers where you may be reached.

Failure to include this informa- tion may delay your application Note 2: Section 2- Type of Application This section is to be completed by all applicants Standard or Emergency: § The standard passport takes three (3) weeks to process.

Immigration and Passport (Amendment) Regulations, 2014 26 2014, No.

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13 2014, No.

13 31 Immigration and Passport (Amendment) Regulations, 2014 § An emergency application may be processed within a shorter period of time.

A higher fee applies.


Number of Pages: § The standard passport contains 32 pages and is valid for five (5) years Section 2 Type of Application Please refer to Note 2 Standard Emergency Number of Pages Required: 32 64 Note 3: Section 3- Reason for Application Section 3 Reason for Application Please refer to Note 3 Please tick the reason that you are applying for a passport.

This will assist the office in advising you properly as to your options and the supporting documents needed.
Note 4: Section 4- National Status This section is to be completed by all applicants If you are a citizen of Antigua and Barbuda by birth or descent, you are only required to tick the appropriate box.

If you are a citizen of Antigua and Barbuda by registration or naturalization, you are required to tick the appropriate box and provide as much details as possible.
A) New (First Time) Issue F) Reissue Due to Name Change B) Reissue of Expired Passport F1) Reason for Name Change (tick below) C) Reissue of full Passport Marriage Adoption Deed Poll Note 5: Section 5- Were you born outside of Antigua and Barbuda?

D) Reissue of Lost/stolen Passport G) Other (please specify) This section must be completed in detail by all applicants who were born outside of Antigua and Barbuda.
E) Reissue of Damaged Passport __________________________ __________________________ __________________________ __________________________ Note 6: Section 6- Supporting Documents Produced Please tick all the supporting documents that have been attached to the application.

This will assist the office in ensuring that all originals are returned.

Both original and photocopies must be pro- duced.


Note 7: Section 7- Previous Passport When applying for a new passport, any previous Antigua and Barbuda passports held must be surren- dered for cancellation.

The old passport will be returned to the applicant at the end of the issuance process.

Note 8: Section 8- Lost/Stolen Passports A lost/stolen passport must be immediately reported to the local police, or the nearest Antigua and Barbuda Consulate or Mission.
Lost/stolen applicants are required to produce the original and two (2) photocopies of each supporting document.

Section 4 National Status Please refer to Note 4 Immigration and Passport (Amendment) Regulations, 2014 30 2014, No.

13 2014, No.

13 27 Immigration and Passport (Amendment) Regulations, 2014 For Official Use Only Application Number…………………………….

Application for Antigua and Barbuda Passport for Applicants Under 16 Years Form M Section 1 Personal Information.
Please refer to Note 1 Surname: ______________________________________________________________ First Name: ____________________________________________________________ Middle Name(s)_________________________________________________________ Marital Status: Single Married Divorced Widowed Separated Permanent Address_______________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ There is a maximum waiting period of three (3) months before a replacement passport is issued.
A higher fee applies.
Note 9: Section 9- Certification The application must be certified in Section 9 by any of the following persons, who may be cur- rently employed or retired: § Member of Parliament, Magistrate, Notary Public, Minister of Religion qualified under the law to perform marriages, Professional Engineer, Professional Accountant, Police Officer (Gazetted Rank), Army Officer (above the Rank of Captain) Bank Manager, Registered Medi- cal Practitioner, Dentist, Permanent Secretary, Principal Assistant Secretary, Head of a Gov- ernment Department, Barrister-at-Law, Solicitor or Attorney, Principal (Primary, Second- ary School or Tertiary Education Institution) The certifier must be personally acquainted with the applicant and must have seen the applicant at the time of certifying the application.
If the child is under the age of two (2) years, the certifier must be personally acquainted with the parent or court appointed guardian.

In respect to applications submitted to Overseas Missions or pursuant to the CIP the certification must be provided by persons of similar standing to those listed above.

CIP applicants are asked to refer to their Agents.

The official stamp of the certifier must be impressed in the box at section 9.
For security reasons, it is not recommended that the certifier be related to the applicant, e.g.

siblings, parents or children.

Forms are valid for only six (6) months after the date of certification.

Note 10: Photographs Photograph Specifications Date of Birth ____/____/_____ Age_______ Place of Birth ____________________ dd mm yy § Two (2) identical photographs taken within the last six (6) months.
They must be original photos, not altered in any way and not taken from any existing photos Country of Birth: _______________________________ Sex: Male Female § Photos must be in colour.

Black and white photos are not acceptable.

Height (ft)___________________________ § The size must be 45mm x 35mm (1.77X1.38 inches).
§ Show full frontal view of head and shoulders without head covering, no dark spectacles and Distinguishing Marks (if any) ________________________________________________ with a neutral facial expression.

Telephone Number(s) ______________________________________________________ § Taken against a plain white background without shadows.

Applicants should avoid wearing white clothing.

Immigration and Passport (Amendment) Regulations, 2014 28 2014, No.

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13 2014, No.

13 29 Immigration and Passport (Amendment) Regulations, 2014 § The hands of the parent or child must not appear in the photo At no time should a person other than the child sign in the signature box.

§ All photographs included with an application become the property of the Government of Antigua and Barbuda when lodged.
§ The person who certifies the application is also required to endorse the reverse side of one of the photos with the words “I certify that this is a true photograph of (full name of mi- nor)………………….........…..” and affix his/her signature.

The certifiers’ signature must be the same as appearing on the application form in Section 9.
Note 11: Section 10- Parental Consent § A parent or court appointed guardian should complete and sign Section 10, if the applicant is 16 or 17 years of age unless married (A marriage certificate must be produced).

§ If parents are divorced the custodial parent to whom custody of the child/children has been awarded must produce evidence of the court order § If either parent is dead or all parents are dead a death certificate must be produced.
If the father’s name is not on the birth certificate only the mother is required to sign.

If either parent is deceased or all the parents are deceased, the death certificate must be produced, and the surviving parent or court appointed legal guardian is required to sign.

§ The name(s) of the parent(s) must be printed clearly in Section 10.

The parent(s) photo iden- tification must be included along with a photocopy of the same.

Please see specimen signature below.


IMPORTANT – DO NOT WRITE OUTSIDE THE BOX Failure to comply with this instruction will invalidate the application.

John Doe Note 15: Apostille or Certification under Seal Where a document originates from a country outside Antigua and Barbuda an apostille or certifica- tion under seal by the registrar or a senior official in the department from which the document was issued must be inscribed on the document.
The office telephone number and official address of the Government Department or institution, including the official e-mail address where the document originates must be provided.

Note 16: Additional Documents Additional Documents or information may be requested in support of this application.

§ In the absence of the parents or a court appointed guardian, proof of guardianship must be Note 17: Passport Delivery demonstrated to the satisfaction of the Minister.
Note 12: Section 11- Supplementary Information Please fill this section if there is any additional information that you need to give to the Passport Office.

Note 13: Section 12- Declaration This section is to be completed by all applicants The Antigua and Barbuda Passport Application is a legal document.

Applicants are asked to please ensure that the information given on the Passport application is correct to the best of the appli- cants’ knowledge.
Note 14: Section 13- Signature Signature: You must sign your usual signature in the box at section 13.

This signature will appear in the passport.

Children 12 years and older must sign in the signature box.

A person, who is collecting a passport on behalf of an applicant, must submit an Order from appli- cant authorizing that person to collect the passport on its behalf.

The passport will be delivered to that person on production of his photo ID.
The Order must be notarized if the applicant is overseas.

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13 33 Immigration and Passport (Amendment) Regulations, 2014 _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Made the 20th day of March, 2014.
Father’s Details Full Name_______________________________________________________________ Place and Country of Birth __________________________________________________ Date of Birth ______/_______/______ dd mm yy Mother’s Details Full Name_______________________________________________________________ Place and Country of Birth __________________________________________________ Date of Birth ______/______/______ dd mm yy Grandparent’s Details Full Name_______________________________________________________________ Place and Country of Birth __________________________________________________ Date of Birth ________/________/_______ dd mm yy NB If father, mother or grandparent is a citizen of Antigua and Barbuda by naturalization or registration, please complete the following: Number of his/her Document ________________ Place of Issue ____________________ Hazel Spencer, Secretary to the Cabinet.
Date of Issue ________/_________/_______ dd mm yy NB If applicant’s birth was registered at a Consulate of Antigua and Barbuda, please complete the following: Name of Consulate ________________________________________________________ Certificate Number ____________________ Date of Issue______/_______/_________ dd mm yy Immigration and Passport (Amendment) Regulations, 2014 34 2014, No.

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13 39 Immigration and Passport (Amendment) Regulations, 2014 Section 6 Supporting Documents Produced Both original and photocopies must be produced.

Please refer to Note 6 IMPORTANT – DO NOT TOUCH THE LINES OF THE BOX Failure to comply with this instruction will invalidate the application.
The following documents were submitted with the passport application: i) Birth Certificate v) Adoption Certificate ii) Baptismal Certificate vi) Proof of Legal Guardian iii) Marriage Certificate vii) Deed Poll iv) Divorce Certificate viii) Other (please specify) ______________________________ Section 7 Previous Passport Please refer to Note 7 Is the previous passport attached Yes No If yes, previous passport number ____________________________________ If no, go to section 8 Section 8 Lost/Stolen Passport Give details of the passport which has been lost or stolen Please refer to Note 8 FOR OFFICIAL USE ONLY Please do not write below this line CIP Registration No.
_____________________ Amount of Fee Paid ______________________ ]tÇx WÉx _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________________________________________________________ Immigration and Passport (Amendment) Regulations, 2014 38 2014, No.
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13 35 Immigration and Passport (Amendment) Regulations, 2014 ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Signature _____________________________________ Date______/_______/_______ dd mm yy Section 12 Declaration To be signed by all applicants Please refer to Note 13 I, the undersigned, hereby apply for the issue of a passport.
I declare that the information provided in this application is correct to the best of my knowledge and belief and that I have not renounced the status of Citizen of Antigua and Barbuda.
I further declare that any and all previous passports granted to me have been surrendered, other than the passport or travel document with the number specified in section __ of this form 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 me.
Signature ____________________________ Date ______/______/________ dd mm yy Section 13 Signature To be signed by all applicants Please refer to Note 14 Passport Number __________________________________________________ Place of Issue _____________________________________________________ Date of Issue __________/___________/_________ dd mm yy Your details at time of issue Surname__________________________________________________________________ First Name:_______________________________________________________________ Middle Name(s)____________________________________________________________ Marital Status: Single Married Divorced Widowed Separated Circumstances in which passport was lost or why it is not available: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Place of Loss ___________________________ Date of Loss______/______/______ dd mm yy Has Loss Been Reported to the Police?
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13 37 Immigration and Passport (Amendment) Regulations, 2014 Section 9 Certification Please refer to Notes 9 and 10 *I certify that the applicant has been known personally to me for_______________(state period) and that the photograph which contains my signature, is a true photograph of the applicant.
I/We____________________________________________________________________ (Please Print Given and Surnames) the________________________________________________________________________ (Please State -Mother/Father/ Guardian) of____________________________________________________________________________ (Please Print Child’s Name) Certifier: hereby give consent for him her to hold an Antigua and Barbuda passport.
Full Name (block capitals)___________________________________________________ Occupation_________________________________________________________________ Address______________________________________________________________________ Contact Number(s)_____________________________________________________________ Signature _____________________________________ Date _____/______/______ dd mm yy Father’s Signature ____________________________ Date _______/________/_______ Mother’s Signature___________________________ Date _______/________/_______ dd mm yy dd mm yy Section 11 Supplementary Information Please refer to Note 12 Official Stamp Section 10 Parental Consent Please refer to Note 11 Immigration and Passport (Amendment) Regulations, 2014 2014, No.
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13 41 Immigration and Passport (Amendment) Regulations, 2014