![Government of the Federated States of Micronesia](govt2.gif)
Instructions
This Passport Application Form must be filled out completely, signed and notarize prior to submission to the FSM Passport Office. Please print all information in Block Letters.
For new applicant or renewal of expired passport the following documents are required.
New Passport (New Applicant)
Court Registered Birth Certificate
Two Identical Passport Photos of the applicant (size: 1 3/16 x 1 ¾ passport photo)
Court Registered Marriage Certificate for maiden name change
In cases of unavailability of records of Birth Certificate, a court registered Baptismal Certificate can be submitted with your application form.
If basis of FSM Citizen is Naturalization provide copy of Naturalization Certificate
Passport Renewal
The expired passport must be submitted with your Application Form
Two Identical passport photos of the applicant (size: 1 3/16 x 1 ¾ passport photo)
Payment of passport renewal fee payable to the FSM National Treasury in the amount indicated above.
Passport Replacement
A passport that is lost, stolen, damaged or mutilated may be replaced. Application for a replacement shall be made by submitting an Application Form, the passport itself if available, a sworn affidavit detailing the circumstances surrounding the loss, theft, damage or mutilation of the passport; replacement fee in money order or cashiers check payable to the FSM National Treasury, and two identical passport photos of the applicant. The Replacement fee for lost, stolen, damage and mutilated shall be $75.00
A passport that has no remaining blank visa pages before the date of expiration may be replaced. Application for a replacement shall be made by submitting an Application Form, the passport, a fee of $50.00 in money order or cashiers check payable to FSM National Treasury and two identical passport photos
A passport issued to an infant under 12 months may be replaced. Application for a replacement shall be made by submitting an Application Form, the passport itself, two identical passport photos and a passport fee of $50.00
Applicants who are under the age of 14 but are capable of signing the application should sign the application. However, a signature of a parent or guardian shall also be required for applicants under the age of 14. Applicants who are 14 or older but are unable to sign the application due to incapacity or disability shall, in their own handwriting, place an "X" in the signature box. In the event an applicant's incapacity or disability prevents the applicant from placing an "X" in the signature box, the signature box shall remain vacant and the application shall be accompanied by a written statement of a close relative, legal guardian, or medical doctor attesting to the applicant's inability to sign the application. In such circumstances, a parent, legal guardian, or other close relative shall sign the application in the space provided for parents and guardians signature on the application form.
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