Vanuatu Passport Application Form
Vanuatu Passport Application Form
Vanuatu Passport Application Form
PARTICULARS OF APPLICANT
Have you had a Vanuatu passport before (Select one:) Has your passport been Lost or Stolen (Select one):
YES NO YES NO
Passport Number: Date of Travel: D D M M Y Y Y Y Service Level (Select one:) NORMAL PRIORITY
Family Name: Gender (Select one): MALE FEMALE
Melanesian Name/s: Other Name/s: Name at Birth: IF DIFFERENT FROM FAMILY AND GIVEN NAMES ABOVE
CITIZENSHIP DECLARATION
I declare that I am a citizen of Vanuatu and no other country (Tick one of the options as applicable)
Born after 30 July 1980, with at least one parent that was a Vanuatu citizen at the time of birth. (Provide EITHER original birth certificate
showing at least one parent of indigenous Ni Vanuatu ancestry, OR original birth certificate showing at least one parent who is a Vanuatu
citizen, and proof of the Parent’s citizenship (e.g. citizenship certificate).
Born on or before 30 July 1980 and of indigenous Ni-Vanuatu ancestry. (Provide an original birth certificate showing at least one Ni-Vanuatu parent).
Citizen by naturalization granted by the Citizenship Commission after 30 July 1980. (Provide both an original birth certificate and Vanuatu citizenship
Certificate). List previous nationality/ies and passport details below:
TOWN OR CITY
Marital Status: Single Married Divorced De facto Driving License No: V.N.P.F No:
My Name is: FAMILY AND GIVEN NAME OF PERSON GIVING CONSENT My Date of Birth is: D D M M Y Y Y Y
I consent to a passport being issued to: CHILD’S NAME HERE My relationship to the child is (Select one): MOTHER FATHER GUARDIAN