British Passport Application Form – Fill Out and Use This PDF

SECTION 1

HELP NOTE

This form can be used by Briish

& non Briish

Ciizens in the

UK or abroad &

can be returned

by email, fax

or post to our

London address.

If sending the

BPS1 form

Type of Passport are you applying for...

Renewal of your Briish passport

Your irst Briish Passport

Replacement for a passport that is lost, damaged or stolen Extension of a passport to full validity

Changes to your exising passport (the renewal fee applies)

Put a cross (X) in the relevant box.

Adult	Child	(under 16)
Adult	Child	(under 16)
Adult	Child	(under 16)
Adult	Child	(under 16)
New	New	Change Briish
name	photo	naional status

from overseas

please send it

via Airmail of

a recognised

courier.

If you want us to return your supporing documents by Secure Delivery, put a cross (X) in this box. The documents will then be returned using a recognised courier for a fee of £9.25 + VAT.

If you want to pay for a jumbo 48-page passport, put a cross (X) in this box. This is not available for children. If you have eyesight diiculies and need a Braille sicker for you passport, put a cross (X) in this box.

SECTION 2

HELP NOTE

Full address, postcode and

contact phone &

email required.

Who is the Briish Passport for?

Cross(x) box Mr,Mrs,Miss,Ms, or write your itle.

Mr Mrs Miss Ms or itle

Surname

First and middle names

Maiden or all previous names (surname irst)

Current UK address (house number, street name,village)

(town)
(country)			Postcode
Date of birth D D	M M	Y Y Y Y	Gender [Cross (X) the relevant box] Male	Female
Town of birth
Country of birth (including UK)
Phone number			Mobile number
E-mail address

SECTION 3

HELP NOTE

If the passport has been lost or stolen you must complete secion 3 and an LS01 form

to report the loss or thet.

The Passport

Oice will not issue a new passport unless they have the applicants old

passport or the

LS01 form.

Has the applicant been included on any passport before?

(Secion must be completed)

A Has the applicant ever held any sort of passport (either Briish		Yes	Go to 3B below.	No
or another naions) either currently or in the past?
B You must sent us all uncancelled Briish passports.
If the passports are lost or stolen, go to 3C.
1 Passport number	2 Passport number	3 Passport number
C Details of the lost or stolen passport		Lost/Stolen Passport number
Oice Issued at (if you know)			in year

Applicant’s surname at the ime it was issued

First and middle names

How the passport was lost, or why it is not available

Date of loss/thet (approximate if not known)

Place of loss/thet (approximate if not known)

D D M M Y Y Y Y

SECTION 4

HELP NOTE

•This secion is only required if it is the applicant’s

(1) First ime passport, (2) is a replacement of a lost or stolen

passport or one that has been damaged, (3) the applicant is under 16yrs old (4) or it’s an extension to a current passport.

Parents´ details

If both of the applicant’s parents were born ater 31st December 1982 OR were born overseas then Her Majesty’s Passport Oice will also need the full name, address, town, country, date of birth and date of marriage of the applicant’s grandparents or details of the parents’ claim to Briish naionality. If this is applicable please write these details on a separate piece of paper which needs to be signed and dated by the applicant or the parent/guardian of the child if they are under 16yrs of age.

Mother´s or Parents’ full name (surname irst).

Town and country of birth

Date of birth		Naionality and ciizenship at the ime of the applicant´s birth
D D	M M	Y Y Y Y
If they have a Briish passport, give the number.			Date of issue
			D D	M M	Y Y Y Y

Date of marriage or civil partnership to the father or second parent of the person named in secion 2 (if this applies).

Father´s or Parent 2´s full name (surname irst)

Town and country of birth

Date of birth		Naionality and ciizenship at the ime of the applicant´s birth
D D	M M	Y Y Y Y
If they have a Briish passport, give the number.			Date of issue
			D D	M M	Y Y Y Y

SECTION 6

HELP NOTE

Only applicable for child applicaions and if the child is between

12-15yrs of age. Otherwise please move onto Secion 7.

Children aged 12-15

If the applicant is between 12 to 15, they must				Child’s signature.
sign and date this secion.				Applicaions will only be valid if you:
				- Sign in the box below
				- Keep within the border
				- Put date in box below (to the let)
Date
D D	M M	Y Y Y	Y

SECTION 7

HELP NOTE

Diferent services are avaliable depending

on when the

passport is needed by

so complete this secion if travelling soon.

Travel Plans

This secion is required if the applicant plans to travel in the near future so that we can have a record of the latest date when they will need the new passport by. If no travel is planned select “No” and move onto Secion 8.

Date You Leave the Country D D	M M	Y Y Y Y	No Travel Planned*	(move to 8)
Country You Are Travelling To:
Have You Secured Travel Insurance?	Yes	No	Not Yet

Detailed below are opional services that we can apply for on the applicants behalf. Simply Cross (X) the products that are required. A fee of £19.50 + VAT will be added for each product selected. Cross (X) “No” if you do not wish to take advantage of the below products (not recommended).

Apply for European Health Card

Yes

No

If yes, add applicants Naional Insurance Number:

This will provide the applicant with NHS cover in any European country should they fall ill overseas and require hospital faciliies. The EHIC card will be sent in the post to the address completed in Secion 2.

SECTION 8	Checklist
	Please ensure that you include ALL the following when returning this form to Briish
	Passport Services. Failure to include the below will delay our ability to assist you
	to secure a new passport. Missing any documents? Call: 0871 918 2242 (10p/min)
	Complete all relevant secions of this passport applicaion form. The
	counter signatory (see Secion 10) must be a working professional who has
	known the applicant for at least 2yrs, but not related by blood or marriage
	and be the same person who counter signs one of the two photographs.
	Include 2 passport photographs obtained from any standard photo booth
	ensuring that they are compliant with Her Majesty’s Passport Oice
	guidelines. The counter signatory needs to add “I cerify that this represents
	the true likeness of applicants full name” and sign & date the photograph.
	Their signature must match that of their signature on Secion 10.
	Include the Payment Form completed with your credit or debit cards details.
	If you do not have this form then you can print if of from the following web
	address: htp://forms.briishpassportservices.co.uk no www. required.
	Include the applicant’s current or expired passport when posing these
	documents to our oice address (unless this is the applicants irst passport).
	If the passport has been lost or stolen then the LS01 form is also required.
	This can also be obtained from htp://forms.briishpassportservices.co.uk
	Include the applicant’s Naional Insurance card or the long version of the
	Birth Ceriicate. All documents must be orginals, no copies are accepted.
	(If applicable)
	If the applicant is making any changes to their passport i.e. a name change
	due to marriage then the original marriage ceriicate is required. If a name
	change was by Deed Poll then we require the original ceriicate conirming
	this. If the applicant was not Briish from birth but is now, then the original
	Naturalisaion ceriicate or other oicial documentaion conirming the
	applicant is now a Briish Ciizen needs to be sent to us. All documents will
	be returned via secure delivery once the new passport has been issued.

Post form & checklist items to...

Briish Passport Services

Applicaions & Renewals

Zeal House

8 Deer Park Road

Wimbledon

SW19 3UU

Tel: 0871 918 2242

Last page

SECTION 9

HELP NOTE

If a parent or guardian is signing secion 9, they must have parental responsibility and should give their relaionship 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.

DECLARATION This must be completed by the person named in secion 2. If under 16, their parent or guardian must complete this instead. You understand that to proceed with our service you will also need to sign the Passport Oices’ 04 applicaion form. The details the form requires will be carried over from the informaion here so the countersignatory & yourself simply need to sign the 04 form to complete the process.

You declare that you are 16 years over (or will be within two weeks) and understand that :

1. All informaion provided on this form and at all imes will be truthful.

2. There is no guaranteed ime scale for when an applicaion will be lodged with the Passport Oice or when the passport will be ready using our Standard Service. It will vary based on the size of the queue. Depending on the service you use a new passport applicaion form may need to be completed & signed.

3. Any passport applicaion we lodge on behalf of the applicant is subject to the usual terms and condiions of the Passport Oice who has the inal decision

with any applicaion/renewal/replacement.

4. Briish Passport Services is independent to and not ailiated with Her Majesty’s Passport Oice.

5. Should you choose to cancel the passport service with us at any point you understand it may take up to 3 weeks to have the documents returned via the post and a postage and packaging fee will be required to return them via secure delivery.

6. All charges incurred are non-refundable.

7. That Briish Passport Services is not responsible for any losses, errors or damage incurred whilst using this service and that this service is used at your own risk.

8. You have read and agree to the Terms of Service found at htp://www.PassportTerms.co.uk

Name, if signing on behalf of a child (itle,irst name and surname)

Relaionship to child

D D M M Y Y Y Y

SECTION 10

HELP NOTE

ONLY the person acing as the countersignatory can complete & sign secion 10.

HELP NOTE

The counter- signatory must write ´´I cerify that this is a true likeness of…´´ giving the full, legal name and itle

of the applicant

& daing the photograph. Only 1 photo may be signed, the other must be let blank. The counter signatory cannot be someone related by blood or marriage.

HELP NOTE

Doctors & solicitors can no longer counter- sign on behalf of applicants.

Countersignature secion is required for all applicaions.

CAUTION It is a crime in Britain to help someone secure a passport under false pretences. If you as the counter signatory have made any false statements on this form, or if you know that the person applying has lied on this applicaion form at any secion then, you could be prosecuted under English Law and face prison.

Her Majesty’s Passport Oice background checks includes checking that all details are genuine. As a result, the Passport Oice may call the counter signatory. You must not sign if you are related by blood or marriage

IMPORTANT to the applicant, if you are their doctor or solicitor or if you have not known the applicant for at least 2yrs. If the applicant is a child, you are conirming the idenity of the adult signing in secion 9. You must also be able to clearly idenify the photo as an accurate up to date photo of him/her in order to cerify their idenity.

Cross (x) box Mr,Mrs,Miss,Ms, or write your itle.

Mr	Mrs	Miss	Ms	or itle
Surname

First and middle names

I conirm that I have known the person named in secion 2, or if a child, the adult compleing secion 9

(insert years) as (please say how you know the applicant- for example, employer, colleague, friend and so on). yrs

Ihave read the cauion and understand it, I consider this informaion to be accurate and I hold a full current UK or Irish passport.

Profession, professional qualiicaions or posiion in the community

Your employer´s name and the address you work at (or your private address if this does and apply)

Postcode		Phone number
Current Briish or Irish passport number		Mobile number
		Date	D D	M M	Y Y Y Y
Counter signatures will only be	The signature on your
valid if you:	own passport may be
-Are permited to sign	checked against the one		Signature
-Keep within the border	you provide here as the
-Put date in box above	counter signatory.