What type of passport are you applying for?*
Please check which applies*
Who is this passport for?*
Maiden or all previous names
Has the person named had any sort of passport (British or Otherwise) or been included in any passport before?*
If yes, please state passport number(s)
Details of lost or stolen passport
Holders surname at the time it was issued
How the passport was lost, or why it is not available
Town and country of birth*
Nationality and citizenship at the time of applicant's birth*
If they have a British Overseas Territories passport give the number
Town and Country of birth*
Nationality and citizenship at the time of applicant's birth*
If they have a British Overseas Territories passport give the number
Has the applicant been granted a certificate of registration or naturalization?*
If yes, give date of issue, Certificate number and place of issue
Countersignatury's Full Name
Countersignatory's Email address
How long have they known you, and under what capacity?
Countersignatory's employer and the address they work at