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Passport request - IRPA (11/2012 PHL)

Appendix A
Please complete the following information for YOU AND ALL YOUR FAMILY MEMBERS, whether accompanying or not.
We do not need the passports nor passport numbers of non-accompanying family members. Please write legibly.
File No:
law partner
Child 1 Child 2 Child 3 Child 4 Child 5
Family name
Given name
Date of birth
Date of expiry
Eye colour
Marital Status
* Please continue on a separate sheet if you have additional children
Contact Telephone number(s) :
IMPORTANT: Your contact telephone number must be from the country stated in the address you provided
Email address:
Address where your passport(s) can be returned by
courier collect:
I certify that this information is true and correct:
_____________________________________ ________
Original Signature of Principal Applicant Date
Passport request - IRPA (11/2012 PHL)
Appendix B - Photograph Specifications
Notes to the applicant
Please read carefully and ensure that the photographer follows the instructions in the ANotes to the
Photographer@ section.

Failure to submit the correct photographs will result in a considerable delay in the finalisation of your
case. There is no extension to the validity of your immigrant visa.

$ Immigration photographs are NOT the same as passport photographs.
$ Do not staple the photographs together.
$ Please also ensure that the photographs are free of pen marks, stains, ink blots and creases.
$ Please do not write anything at the back of the photographs. To avoid confusion, label the
photographs accordingly on a piece of paper or envelope.
$ Only clear photographs will be accepted. The photographs must not be blurred and must be free
from glares and rear shadows.
$ Please note that failure to submit the correct photographs can result in a considerable delay in
the finalisation of your case.
$ Please have a new picture taken. Old photographs will not be accepted.
Notes to the photographer
The photographs must:
$ show a full front view of the person=s head and shoulders showing full face centred in the middle
of the photograph;
$ have a plain white background;
$ be identical (black and white or colour) produced from the same untouched negative, or,
exposed simultaneously by a split-image or multi-lens camera;
$ be produced on single weight matte paper.

The photographs must measure:
$ between 25 mm and 30 mm (1@ and 1 3/8@) from chin to crown
$ have a 35 mm x 45 mm (1 3/8@ x 1 3/4@) finished size