护照申请表模板.

护照填写申请表全集文档(可以直接使用，可编辑实用优质文档，欢迎下载）注：本表适用于按台（套）进行登记的设备。

注：本表适用于按使用单位进行登记的特种设备。

1 登记类别：填写本次办理使用登记的事由，如新设备首次启用、停用后启用、改造、使用单位更名、使用地址变更、过户、移装、达到设计使用年限等。

2 设备基本情况2.1设备种类、类别、品种：按照《特种设备目录》填写。

没有品种的划“-”。

2.2产品名称：按照产品铭牌或者产品合格证，产品数据表内容填写，也称设备名称。

2.4 型号（规格）：按照产品合格证、产品数据表或者相应的设计文件填写，有型号的填写型号，没有型号有规格的填写规格，与产品铭牌表述应当一致。

没有型号、规格的，划“-”。

2.5 产品编号：填写制造单位为产品编制的制造编号、出厂编号等，其产品合格证、产品数据表和产品铭牌表述应当一致。

2.6 注册代码：由登记机关按照设备代码的编制要求填写。

2.7设计使用年限：按照产品数据表提供的数据填写。

技术资料中未提供的，划“-”。

2.8 制造单位名称、日期：填写产品的制造单位名称及制造日期，其与产品合格证和产品铭牌表述应当一致。

2.9施工单位名称、日期：填写登记时最近一次从事安装或者改造、修理的施工单位的名称及施工日期。

2.10设备数量：压力管道填写本次登记时的压力管道长度（单位为“米”）。

气瓶填写本次登记时的数量（单位为“只”）。

3 设备使用情况3.1 使用单位名称：填写使用单位名称（全称），如果属于公民个人，则填写姓名。

使用单位名称应当与含有单位统一社会信用代码的证明文件一致，个人姓名应与身份证件一致。

3.2 使用单位地址：填写使用单位的注册地址，应包含所在的陕西省西安市、区（县）、街道（镇、乡）、小区（村）、门牌号等，并与营业执照等相关证照表述一致。

3.3使用单位统一社会信用代码：填写使用单位的统一社会信用代码。

如果属于公民个人，则填写个人身份证号。

3.4 邮政编码：填写使用单位所在地的邮政编码。

办理护照个人申请模板办理护照个人申请模板随着全球化的推进，越来越多的人愿意出国旅游、学习或工作。

然而，在计划出国行程前，我们需要先申请护照。

护照是国家对公民身份和国际出行的重要证明文件。

有了护照，我们才能合法地出入境，享受更多的国际便利。

本文将为您提供一份办理护照个人申请模板，帮助您更好地了解和顺利办理护照申请。

一、个人信息填写1. 申请人尊称：在这一部分，请您填写您的全名，确保与其他唯一识别信息明文件上的尊称一致。

2. 生日：请您在该栏目填写您的生日，确保准确性。

3. 性别：请在此处标明您的性别，通常有“男”和“女”两个选项。

4. 国籍：请填写您的国籍，即您在政府记录中所属的国家。

5. 唯一识别信息明文件类型及号码：请填写您当前持有的唯一识别信息明文件类型和号码，例如唯一识别信息、户口本等。

6. 婚姻状况：在此处请填写您的婚姻状况，通常有“已婚”和“未婚”两个选项。

7. 现住宅区域址：请在该栏目填写您目前的住宅区域址，并确保位置区域的准确性。

二、通信方式填写1. 通信方式号码：在这一部分，请您填写能够联系到您的通信方式号码，用于后续联系和确认事宜。

2. 电子邮件位置区域：请填写您的电子邮件位置区域，用于将申请进度和相关信息发送给您。

3. 紧急联系人尊称和通信方式：请填写一个紧急联系人的尊称和通信方式号码，以备不时之需。

三、申请类型选择1. 常规护照申请：大多数人的申请属于此类别，旨在办理一本普通的护照。

2. 公务/公务普通护照申请：如果您是一名公务员或者受聘于政府机构的员工，您可以选择此类别申请。

3. 预约护照申请：该申请类型适用于需要提前预约办理护照的情况。

4. ....四、支持文件准备1. 护照照片：请准备一张最近的彩色护照照片，确保照片质量清晰、大小合适。

2. 唯一识别信息明文件副本：请准备并提交您的唯一识别信息明文件的复印件，以证明您的身份和国籍。

3. 预约确认函：如果您选择了预约护照申请，您需要准备并携带预约确认函。

See page 2 of the instructions for detailed information on the completion and submission of this form.FAILURE TO PROVIDE INFORMATION REQUESTED ON THIS FORM, INCLUDING YOUR SOCIAL SECURITY NUMBER,MAY RESULT IN SIGNIFICANT PROCESSING DELAYS AND/OR THE DENIAL OF YOUR APPLICATION.APPLICATION FOR A U.S. PASSPORTPLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDSI applied:Place:Date:WHAT TO SUBMIT WITH THIS FORM:1. PROOF OF U.S. CITIZENSHIP (Evidence of U.S. citizenship that is not damaged, altered, or forged will be returned to you.)2. PROOF OF IDENTITY (You must present your original identification AND submit a photocopy of the front and back side with your passport application.)3. RECENT COLOR PHOTOGRAPH (Photograph must meet passport requirements – full front view of the face and 2x2 inches in size.)4. FEES (Please visit our website at for current fees.)WHERE TO SUBMIT THIS FORM:Please complete and submit this application in person to one of the following acceptance agents: a clerk of a federal or state court of record or a judge or clerk of a probate court accepting applications; a designated municipal or county official; a designated postal employee at an authorized post office; an agent at a passport agency (by appointment only); or a U.S. consulate official at a U.S. embassy or consulate, if abroad. To find your nearest acceptance facility,visit or contact the National Passport Information Center.1. PROOF OF U.S. CITIZENSHIPAPPLICANTS BORN IN THE UNITED STATES: Submit a previous U.S. passport or certified birth certificate. Passports that are limited in validity will need to be supplemented by other evidence. A birth certificate must include your full name, date and place of birth, sex, date the birth record was filed, the seal or other certification of the official custodian of such records (state, country, or city/town office), and the full names of your parent(s).- If the birth certificate was filed more than 1 year after the birth: It must be supported by evidence described in the next paragraph.- If no birth record exists: Submit a registrar's notice to that effect. Also, submit a combination of the following evidence: an early baptismal or circumcision certificate, hospital birth record, early census, school, medical, or family Bible records, or newspapers or insurance files. Notarized affidavits of persons having knowledge of your birth may be submitted in addition to some of the records listed above. Evidence should include your given name and surname, date and/or place of birth, and the seal or other certification of the office (if customary) and the signature of the issuing official. Visit for details.APPLICANTS BORN OUTSIDE THE UNITED STATES: Submit a previous U.S. passport, Certificate of Naturalization, Certificate of Citizenship, Report of Birth Abroad, or evidence described below:- If you Claim Citizenship through Naturalization of Parent(s): Submit the Certificate(s) of Naturalization of your parent(s), your foreign birth certificate (and official translation if the document is not in English), and proof of your admission to the United States for permanent residence.- If you Claim Citizenship through Birth Abroad to One U.S. Citizen Parent: Submit a Consular Report of Birth (Form FS-240), Certification of Birth (Form DS-1350 or FS-545), or your foreign birth certificate (and official translation if the document is not in English), proof of citizenship of your parent, your parents' marriage certificate, and an affidavit showing all of your U.S. citizen parents' periods and places of residence/physical presence in the United States and abroad before your birth.- If you Claim Citizenship through Birth Abroad to Two U.S. Citizen Parents: Submit a Consular Report of Birth (Form FS-240), Certification of Birth (Form DS-1350 or FS-545), or your foreign birth certificate (and official translation if the document is not in English), parents' marriage certificate, proof of your parents' citizenship, and an affidavit showing all of your U.S. citizen parents' periods and places of residence/physical presence in the United States and abroad before your birth.- If you Claim Citizenship through Adoption by a U.S. Citizen Parent(s): Submit evidence of your permanent residence status, full and final adoption, and your U.S. citizen parent(s) evidence of legal and physical custody. (NOTE: Acquisition of U.S. citizenship for persons born abroad and adopted only applies if the applicant was born on or after 02/28/1983.)ADDITIONAL EVIDENCE: You must establish your citizenship to the satisfaction of the acceptance agent and Passport Services. We may ask you to provide additional evidence to establish your claim to U.S. citizenship.NOTE: You may receive your newly issued document and your returned citizenship evidence in two separate mailings. If you are applying for both a passport book and passport card, you may receive three separate mailings; one with your returned citizenship evidence; one with your newly issued passport book, and one with your newly issued passport card.2. PROOF OF IDENTITYYou may submit items such as the following containing your signature AND a photograph that is a good likeness of you: previous or current U.S. passport book; previous or current U.S. passport card; driver's license (not temporary or learner's license); Certificate of Naturalization; Certificate of Citizenship; military identification; or federal, state, or municipal government employee identification card. Temporary or altered documents are not acceptable.You must establish your identity to the satisfaction of the acceptance agent and Passport Services. We may ask you to provide additional evidence to establish your identity. If you have changed your name, please see for instructions.IF YOU CANNOT PROVIDE DOCUMENTARY EVIDENCE OF IDENTITY as stated above, you must appear with an IDENTIFYING WITNESS who is a U.S. citizen, non-citizen U.S. national, or permanent resident alien who has known you for at least 2 years. Your witness must prove his or her identity and complete and sign an Affidavit of Identifying Witness (Form DS-71) before the acceptance agent. You must also submit some identification of your own.3. RECENT COLOR PHOTOGRAPHSubmit a color photograph of you alone, sufficiently recent to be a good likeness of you (taken within the last six months), and 2x2 inches in size. The image size measured from the bottom of your chin to the top of your head (including hair) should not be less than 1 inch and not more than 1 3/8 inches. The photograph must be color, clear, with a full front view of your face, and printed on thin paper with a plain light (white or off-white) background. The photograph must be taken in normal street attire, without a hat, head covering, or dark glasses unless a signed statement is submitted by the applicant verifying the item is worn daily for religious purposes or a signed doctor's statement is submitted verifying the item is used daily for medical purposes. Headphones, "bluetooth", or similar devices must not be worn in passport photographs. Any photographs retouched so that your appearance is changed are unacceptable. Snapshots, most vending machine prints, and magazine or full-length photographs are unacceptable. Digitized photos must meet the previously stated qualifications and will be accepted for use at the discretion of Passport Services. Visit our website at for details and information.4. FEES● If you are sixteen years of age or older: Your passport will be valid for 10 years from the date of issue except where limited by the Secretary of State to a shorter period. (See information below about the additional cost for expedited service.)● If you are under sixteen years of age: Your passport will be valid for 5 years from the date of issue except where limited by the Secretary of State to a shorter period. (see information below about the additional cost for expedited service.)BY LAW, THE PASSPORT FEES ARE NON-REFUNDABLE. PLEASE VISIT OUR WEBSITE AT FOR CURRENT FEES.● The passport processing, execution, and security fees may be paid in any of the following forms: Checks (personal, certified, or traveler's) with the applicant's full name and date of birth printed on the front; major credit card (Visa, Master Card, American Express, and Discover); bank draft or cashier's check; money order (U.S. Postal, international, currency exchange), or if abroad, the foreign currency equivalent, or a check drawn on a U.S. bank. All fees should be payable to the "Department of State" or if abroad, the appropriate U.S. embassy or U.S. consulate. When applying at a designated acceptance facility, the execution fee will be paid separately and should be made payable to the acceptance facility. NOTE: Some designated acceptance facilities do not accept credit cards as a form of payment.● For faster processing, you may request expedited service. Please include the expedite fee in your payment. Our website contains updated information regarding fees and processing times for expedited service. Expedited service is available only in the United States.● If you desire OVERNIGHT DELIVERY SERVICE for the return of your passport, please include the appropriate fee with your payment.● An additional fee will be charged when, upon your request, the U.S. Department of State verifies issuance of a previous U.S. passport or Consular Report of Birth Abroad because you are unable to submit evidence of U.S. citizenship.● For applicants with U.S. government or military authorization for no-fee passports, no fees are charged except the execution fee when applying at a designated acceptance facility.NOTE REGARDING MAILING ADDRESSES: Passport Services will not mail a passport to a private address outside the United States. If you do not live at the address listed in the "mailing address" then you must put the name of the person and mark it as "In Care Of." If your mailing address changes prior to receipt of your new passport, please contact the National Passport Information Center.If you choose to provide your email address in Item #6 on this application, Passport Services will use that information to contact you in the event there is a problem with your application or if you need to provide information to us.FEDERAL TAX LAWSection 6039E of the Internal Revenue Code (26 USC 6039E) requires you to provide your Social Security Number (SSN), if you have one, when you apply for a U.S. passport or renewal of a U.S. passport. If you have not been issued a SSN, enter zeros in box #5 of this form. If you are residing abroad, you must also provide the name of the foreign country in which you are residing. The Department of State must provide your SSN and foreign residence information to the Department of Treasury. If you fail to provide the information, you are subject to a $500 penalty enforced by the IRS. All questions on this matter should be directed to the nearest IRS office.If you send us a check, it will be converted into an electronic funds transfer (EFT). This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. The debit from your account will usually occur within 24 hours and will be shown on your regular account statement.You will not receive your original check back. We will destroy your original check, but we will keep the copy of it. If the EFT cannot be processed for technical reasons, you authorize us to process the copy in place of your original check. If the EFT cannot be completed because of insufficient funds, we may try to make the transfer up to two times and we will charge you a one-time fee of $25, which we will also collect by EFT.NOTICE TO CUSTOMERS APPLYING OUTSIDE A STATE DEPARTMENT FACILITYPassport service fees are established by law and regulation (see 22 USC 214, 22 CFR 22.1, and 22 CFR 51.50-56) and are collected at the time you apply for the passport service. If the Department fails to receive full payment of the applicable fees because, for example, your check is returned for any reason or you dispute a passport fee charge to your credit card, the Department of State will take action to collect the delinquent fees from you under 22 CFR Part 34 and the Federal Claims Collection Standards (see 31 CFR Parts 900-904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and no repayment arrangements have been made, the Department will refer the debt to the Department of Treasury for collection. Debt collection procedures used by Treasury may include referral of the debt to private collection agencies, reporting of the debt to credit bureaus, garnishment of private wages and administrative offset of the debt by reducing or withholding eligible federal payments (e.g. tax refunds, social security payments, federal retirement, etc.) by the amount of your debt,including any interest penalties or other costs incurred. In addition, non-payment of passport fees may result in the invalidation of your passport. An invalidated passport cannot be used for travel.REMITTANCE OF FEESOTHER USES OF SOCIAL SECURITY NUMBERS PAPERWORK REDUCTION STATEMENTPublic reporting burden for this collection of information is estimated to average 85 minutes per response, including the time required for searching existing data sources, gathering the necessary data, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: A/GIS/DIR, Room 2400 SA-22, U.S. Department of State,Washington, DC 20520-2202.IMPORTANT NOTICE TO APPLICANTS WHO HAVE LOST OR HAD A PREVIOUS PASSPORT BOOKAND/OR PASSPORT CARD STOLEN A United States citizen may not normally bear more than one valid or potentially valid U.S. passport book or more than one valid or potentially valid U.S. passport card at a time. Therefore, when a valid or potentially valid U.S. passport book or U.S. passport card cannot be presented with a new application, it is necessary to submit a Form DS-64, Statement Regarding a Lost or Stolen Passport. Your statement must detail why the previous U.S. passport book or U.S. passport card cannot be presented.The information you provide regarding your lost or stolen U.S. passport book or passport card will be placed into our Consular Lost or Stolen Passport System. This system is designed to prevent the misuse of your lost or stolen U.S. passport book or passport card. Anyone using the passport book or passport card reported as lost or stolen may be detained upon entry into the United States. Should you locate the U.S. passport book or passport card reported lost or stolen at a later time, report it as found and submit it for cancellation. It has been invalidated. You may not use that passport book or passport card for travel.PROTECT YOURSELF AGAINST IDENTITY THEFT!REPORT YOUR LOST OR STOLEN PASSPORT BOOK OR PASSPORT CARD!For more information or to report your lost or stolen passport book or passport card by phone, call NPIC or visit our website at .Your Social Security Number will be provided to Treasury, used in connection with debt collection and checked against lists of persons ineligible or potentially ineligible to receive a U.S. passport, among other authorized uses.ACTS OR CONDITIONS(If any of the below-mentioned acts or conditions have been performed by or apply to the applicant, the portion which applies should be lined out, and a supplementary explanatory statement under oath (or affirmation) by the applicant should be attached and made a part of this application.) I have not, since acquiring United States citizenship/nationality, been naturalized as a citizen of a foreign state; taken an oath or made an affirmation or other formal declaration of allegiance to a foreign state; entered or served in the armed forces of a foreign state; accepted or performed the duties of any office, post, or employment under the government of a foreign state or political subdivision thereof; made a formal renunciation of nationality either in the United States, or before a diplomatic or consular officer of the United States in a foreign state; or been convicted by a court or court martial of competent jurisdiction of committing any act of treason against, or attempting by force to overthrow, or bearing arms against, the United States, or conspiring to overthrow, put down, or to destroy by force, the government of the United States.Furthermore, I have not been convicted for a federal or state drug offense or convicted for "sex tourism" crimes statute and I am not the subject of an outstanding federal, state or local warrant of arrest for a felony; a criminal court order forbidding my departure from the United States; a subpoena received from the United States in a matter involving federal prosecution for, or grand jury investigation of, a felony.PRIVACY ACT STATEMENTAUTHORITIES: Collection of the information solicited on this form is authorized by Titles 8, 22, and 26 of the United States Code, and other applicable laws and regulations, including 22 USC 211a et seq.; 8 USC 1104; 26 USC 6039E, Section 236 of the Admiral James W. Nance and Meg Donovan Foreign Relations Authorization Act, Fiscal Years 2000 and 2001; Executive Order 11295 (August 5, 1966); and 22 CFR parts 50 and 51.PURPOSE: The primary purpose for soliciting the information is to establish citizenship, identity, and entitlement to issuance of a U.S. passport. ROUTINE USES: The information solicited on this form may be made available as a routine use to other government agencies and private contractors to assist the U.S. Department of State in adjudicating passport applications and requests for related services, and for law enforcement, fraud prevention, border security, counterterrorism, litigation activities, and administrative purposes. The information may be made available to foreign government agencies to fulfill passport control and immigration duties. The information may also be provided to foreign government agencies, international organizations and, in limited cases, private persons and organizations to investigate, prosecute, or otherwise address potential violations of law or to further the Secretary's responsibility for the protection of U.S. citizens and non-citizen nationals abroad. The information may be made available to the Department of Homeland Security and private employers for employment verification purposes. For a more detailed listing of the routine uses to which this information may be put see the Department of State's Prefatory Statement of Routine Uses relative to the Privacy Act (Public Notice 6290 of July 15, 2008) and the listing of routine users set forth in the System of Records Notices for Overseas Citizen Services Records (State-05) and Passport Records (State-26) published in the Federal Register.Your social security numbers will be provided to the U.S. Department of Treasury and failure to provide it may subject you to a penalty, as described in the Federal Tax Law provision. It also may be used for identification verification for passport adjudication and in connection with debt collection, among other purposes as authorized and generally described in this section. Providing your social security number and other information requested on this form otherwise is voluntary, but failure to provide the information requested on this form may result in processing delays or the denial of your U.S. passport application.CONSEQUENCES OF FAILURE TO PROVIDE INFORMATION: Failure to provide the information requested on this form may result in Passport Services' refusal to accept your application or result in the denial of a U.S. passport.ELECTRONIC PASSPORT STATEMENTThe cover of the electronic passport book is printed with a special symbol representing the embedded chip. The symbol will appear in NOTICE TO APPLICANTS FOR OFFICIAL, DIPLOMATIC, OR NO-FEE PASSPORTSYou may use this application if you meet all of the provisions listed on Instruction Page 2, however you must CONSULT YOUR SPONSORING AGENCY FOR INSTRUCTIONS ON PROPER ROUTING PROCEDURES BEFORE FORWARDING THIS APPLICATION. Your completed passport will be released to your sponsoring agency for forwarding to you.Submit a recent, color photograph。

申请编号条形码中国公民因私出国（境）申请表以下内容由申请人填写（请用正楷字及兰黑色或黑色墨水水笔书写）：身份证号码姓名性别拼音姓拼音名民族出生日期年月日出生地婚姻状况政治面貌文化程度联系电话户口所在地址所属派出所家庭现住址邮政编码本人身份□国家工作人员□国有大中型企业中层以上管理人员□金融、保险系统人员□国有控股、参股企业中的国有股权代表□军人□其他人员服务处所职务职称服务处所地址联系电话前往国家或地区属第（）次申请因私出国（境）出国事由□定居□探亲□商务□劳务□留学□旅游□其他申请证件种类类别□普通护照首次申领□普通护照补发□普通护照换发□普通护照失效重新申领□普通护照变更加注普通护照变更加注类别：（）普通护照变更加注内容：（）普通护照换发、补发原因：（）原护照号码签发地有效期至年月日家庭主要成员称谓姓名出生日期工作单位、职务家庭住址本人简历（从参加工作开始填写）取证方式□邮政速递□到公安机关领取邮寄地址及邮政编码收件人姓名联系电话福建省公安厅出入境管理处监制此表不收费贴照片处近期正面免冠半身白色或淡蓝色背景彩色照片照片大小：48X33mm 头部宽度：21- 24mm 头部长度：28- 33mm特别声明：1、本人知道，凡属于登记备案的国家工作人员申办普通护照必须由单位出具意见，否则，由此造成的一切后果由本人承担；2、本申请表格所填内容正确无误，所提交的身份证明文件和照片真实有效。

如有虚假将承担法律责任。

申请人签名：年月日不满十六周岁的申请人，办理申请时，须由监护人陪同。

监护人须作出如下声明：本人是申请人的，依法拥有对申请人的监护权，同意申请人提出申请，本人的居民身份证号码：监护人签名：年月日。

个人护照申请书尊敬的国家出入境管理局：我谨向贵局提交个人护照申请书，请您予以审批。

我是一名中华人民共和国公民，现年XX岁，性别XX，身份证号码XXXXXXXXXXXXXXXX，户口所在地为XX省XX市XX县（区）。

我因工作、学习、旅游等原因，需要出国（境）旅行，为了便于出入国（境），特申请办理普通护照。

我深知护照是公民出入国（境）的重要身份证件，我将严格遵守国家的法律法规，不得利用护照从事违法犯罪活动。

我将妥善保管护照，不得损毁、涂改、转借或者利用护照进行其他违法活动。

我申请的护照种类为普通护照，申请理由如下：1. 工作原因：我现正在XX公司工作，因公司业务需要，我需要出国（境）进行商务考察、洽谈合作等。

持有普通护照将便于我出入国（境），更好地完成工作任务。

2. 学习原因：我计划在XX国家攻读硕士学位，需要出国（境）进行留学申请、入学考试等。

持有普通护照将便于我出入国（境），更好地实现我的留学梦想。

3. 旅游原因：我非常喜欢旅游，希望通过出国（境）旅游，拓宽自己的视野，丰富自己的人生经历。

持有普通护照将便于我出入国（境），更好地享受旅游的乐趣。

为了办理普通护照，我已提交了以下材料：1. 填写完整的《中华人民共和国普通护照申请表》。

2. 近期免冠彩色护照照片若干张。

3. 有效的居民身份证原件及复印件。

4. 户口簿原件及复印件。

5. 工作证明或者在读证明等相关材料。

6. 其他必要的材料。

我保证提交的上述材料真实、完整、有效。

如有任何虚假陈述，本人愿意承担相应的法律责任。

敬请国家出入境管理局审批我的普通护照申请，并希望能尽快收到您的回复。

在此感谢您的关注和支持！此致敬礼！申请人：XX申请日期：XXXX年XX月XX日。

个人护照申请书格式模板：中华人民共和国外交部：我，（姓名），性别：（男/女），出生日期：（年/月/日），民族：（民族），身份证号码：（身份证号码），现居住地址：（地址），特此向贵部申请办理个人护照。

一、申请原因1. 我计划前往（目的地国家/地区）进行（旅游/商务/探亲/留学等）活动，以便更好地了解外部世界的发展动态，拓宽视野，丰富人生经历。

2. 持证人需参加（国际会议/交流项目/竞赛等），以促进（学术交流/技艺传承/友谊交流等）。

3. 其他合法理由。

二、申请材料1. 填写完整的《中华人民共和国护照申请表》。

2. 近期免冠彩色护照照片若干张。

3. 有效的身份证原件及复印件。

4. 户口簿原件及复印件。

5. 如有未成年子女，需提供出生证明和户口簿原件及复印件。

6. 如有曾用名，需提供相关证明文件。

7. 如有护照遗失、损毁或被盗情况，需提供相关证明文件。

8. 其他可能需要提供的材料。

三、申请方式1. 申请人可向当地出入境管理局提交申请，也可通过邮政服务、网上预约等方式办理。

2. 申请人需按照当地出入境管理局的规定，提交相关材料，并按要求参加面试、体检等环节。

3. 申请人需按照当地出入境管理局的规定，缴纳相应的工本费和邮寄费。

四、申请时间1. 当地出入境管理局收到完整申请材料后，将在规定时间内进行审核。

2. 审核通过后，将在规定时间内制作并寄送护照。

五、注意事项1. 申请人应对所提供的材料真实性负责，如有虚假情况，将承担相应法律责任。

2. 申请人应保持联系方式畅通，以便接收出入境管理局的相关通知。

3. 申请人应关注当地出入境管理局的官方网站和微信公众号，了解办理进度和相关规定。

特此申请。

申请人：（签名）年月日。

竭诚为您提供优质文档/双击可除
护照表格填写范本
篇一：护照填写申请表
篇二：护照申请表模板
中华人民共和国普通护照申领表
以下内容由申请人填写（请用正楷字及蓝黑色或黑色墨水水笔书写，其他颜色或圆珠笔填写不予受理）：申请编号条形码
贴照片处
近期正面免冠半身
白色或淡蓝色背景彩色照片
照片大小：48x33mm头部宽度：21-24mm头部长度：
28-33mm
特别声明：
1、本人知道，凡属于登记备案的国家工作人员申办普通护照必须由单位出具意见，否则，由此造成的一切后果由本人承担；
2、本申请表格所填内容正确无误，所提交的身
份证明文件和照片真实有效。

如有虚假将承担法律责任。

申请人签名：
月日
不满十六周岁的申请人，办理申请时，(护照表格填写范本)须由监护人陪同。

监护人须作出如下声明：本人是申请人的依法拥有对申请人的监护权，同意申请人提出申请，本人的身份证件号码：①
②
监护人签名：
①
②
月日
篇三：各国出入境卡填写范本-word范文
各国出入境卡填写范本
1.澳大利亚出入境卡范本
2.新西兰出入境卡
3.泰国入境卡
1)正面
2)背面
印度
1)入境卡
4.。

FAILURE TO PROVIDE INFORMATION REQUESTED ON THIS FORM, INCLUDING YOUR SOCIAL SECURITY NUMBER,MAY RESULT IN SIGNIFICANT PROCESSING DELAYS AND/OR THE DENIAL OF YOUR APPLICATION.U.S. PASSPORT APPLICATIONWHAT TO SUBMIT WITH THIS FORM:1.PROOF OF U.S. CITIZENSHIP: Evidence of U.S. citizenship AND a photocopy of the front (and back, if there is printed information) must be submitted with your application. The photocopy must be on 8 ½ inch by 11 inch paper, black and white ink, legible, and clear. Evidence that is not damaged, altered,or forged will be returned to you. Note: Lawful permanent resident cards submitted with this application will be forwarded to U.S. Citizenship and Immigration Services, if we determine that you are a U.S. citizen.2.PROOF OF IDENTITY: You must present your original identification AND submit a photocopy of the front and back with your passport application.3.RECENT COLOR PHOTOGRAPH: Photograph must meet passport requirements – full front view of the face and 2x2 inches in size.4.FEES: Please visit our website at for current fees.HOW TO SUBMIT THIS FORM:Complete and submit this application in person to a designated acceptance agent: a clerk of a federal or state court of record or a judge or clerk of a probate court accepting applications; a designated municipal or county official; a designated postal employee at an authorized post office; an agent at a passport agency (by appointment only); or a U.S. consular official at a U.S. Embassy or Consulate, if abroad. To find your nearest acceptance facility, visit or contact the National Passport Information Center at 1-877-487-2778.Follow the instructions on Page 2 for detailed information to completion and submission of this form.If you are 16 years of age or older : Your U.S. passport will be valid for 10 years from the date of issue except where limited by the Secretary of State to a shorter period.If you are under 16 years of age : Your U.S. passport will be valid for five years from the date of issue except where limited by the Secretary of State to a shorter period.PASSPORT VALIDITY LENGTHPLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS● The passport application fee, security surcharge, and expedite fee may be paid in any of the following forms: Checks (personal, certified, or traveler's) with the applicant's full name and date of birth printed on the front; major credit card (Visa, Master Card, American Express, and Discover); bank draft or cashier's check; money order (U.S. Postal, international, currency exchange), or if abroad, the foreign currency equivalent, or a check drawn on a U.S. bank. All fees should be payable to the "U.S. Department of State" or if abroad, the appropriate U.S. Embassy or U.S. Consulate. When applying at a designated acceptance facility, the execution fee will be paid separately and should be made payable to the acceptance facility. NOTE: Some designated acceptance facilities do not accept credit cards as a form of payment.● For faster processing , you may request expedited service. Please include the expedite fee in your payment. Our website contains updated information regarding fees and processing times for expedited service. Expedited service is only available for passports mailed in the United States and Canada.● OVERNIGHT DELIVERY SERVICE is only available for passport book mailings in the United States. Please include the appropriate fee with your payment.● An additional fee will be charged when, upon your request, the U.S. Department of State verifies issuance of a previous U.S. passport or Consular Report of Birth Abroad because you are unable to submit evidence of U.S. citizenship.● For applicants with U.S. government or military authorization for no-fee passports , no fees are charged except the execution fee when applying at a designated acceptance facility. PROOF OF U.S. CITIZENSHIPYou may submit items such as the following containing your signature AND a photograph that is a good likeness of you: previous or current U.S. passport book; previous or current U.S. passport card; driver's license (not temporary or learner's license); Certificate of Naturalization; Certificate of Citizenship;military identification; or federal, state, or municipal government employee identification card. Temporary or altered documents are not acceptable.You must establish your identity to the satisfaction of the acceptance agent and Passport Services. We may ask you to provide additional evidence to establish your identity. If you have changed your name, please see for instructions.IF YOU CANNOT PROVIDE DOCUMENTARY EVIDENCE OF IDENTITY as stated above, you must appear with an IDENTIFYING WITNESS, who is a U.S.citizen, non-citizen U.S. national, or permanent resident alien that has known you for at least two years. Your witness must prove his or her identity and complete and sign an Affidavit of Identifying Witness (Form DS-71) before the acceptance agent. You must also submit some identification of your own.Submit a color photograph of you alone, sufficiently recent to be a good likeness of you (taken within the last six months), and 2x2 inches in size. The image size measured from the bottom of your chin to the top of your head (including hair) should not be less than 1 inch, and not more than 1 3/8 inches. The photograph must be in color, clear, with a full front view of your face. The photograph must be taken with a neutral facial expression (preferred) or a natural smile, and with both eyes open and be printed on photo quality paper with a plain light (white or off-white) background. The photograph must be taken in normal street attire, without a hat, or head covering unless a signed statement is submitted by the applicant verifying that the hat or head covering is part of recognized, traditional religious attire that is customarily or required to be worn continuously when in public or a signed doctor's statement is submitted verifying the item is used daily for medical purposes. Headphones, "bluetooth", or similar devices must not be worn in the passport photograph. Glasses or other eyewear are not acceptable unless you provide a signed statement from a doctor explaining why you cannot remove them due to medical reasons (e.g.,during the recovery period from eye surgery). Any photograph retouched so that your appearance is changed is unacceptable. A snapshot, most vending machine prints, hand-held self portraits, and magazine or full-length photographs are unacceptable. A digital photo must meet the previously stated qualifications, and will be accepted for use at the discretion of Passport Services. Visit our website at for details and information.FEES ARE LISTED ON OUR WEBSITE AT . BY LAW, THE PASSPORT FEES ARE NON-REFUNDABLE.PROOF OF IDENTITYCOLOR PHOTOGRAPHFEESAPPLICANTS BORN IN THE UNITED STATES: Submit a previous U.S. passport or certified birth certificate. Passports that are limited in validity will need to be supplemented by other evidence. A birth certificate must include your full name, date and place of birth, sex, date the birth record was filed, the seal or other certification of the official custodian of such records (state, county, or city/town office), and the full names of your parent(s).- If the birth certificate was filed more than 1 year after the birth : It must be supported by evidence described in the next paragraph.- If no birth record exists : Submit a registrar's notice to that effect. Also, submit a combination of the evidence listed below, which should include your given name and surname, date and/or place of birth, and the seal or other certification of the office (if customary), and the signature of the issuing official. ● A hospital birth record;● An early baptismal or circumcision certificate;● Early census, school, medical, or family Bible records;● Insurance files or published birth announcements (such as a newspaper article); and● Notarized affidavits (or DS-10, Birth Affidavit) of older blood relatives having knowledge of your birth may be submitted in addition to some of the records listed above.APPLICANTS BORN OUTSIDE THE UNITED STATES : Submit a previous U.S. passport, Certificate of Naturalization, Certificate of Citizenship, Consular Report of Birth Abroad, or evidence described below:- If you claim citizenship through naturalization of parent(s): Submit the Certificate(s) of Naturalization of your parent(s), your foreign birth certificate (and official translation if the document is not in English), proof of your admission to the United States for permanent residence, and your parents'marriage/certificate and/or evidence that you were in the legal and physical custody of your U.S. citizen parent, if applicable.- If you claim citizenship through birth abroad to at least one U.S. citizen parent : Submit a Consular Report of Birth (Form FS-240), Certification of Birth (Form DS-1350 or FS-545), or your foreign birth certificate (and official translation if the document is not in English), proof of U.S. citizenship of your parent, your parents' marriage certificate, and an affidavit showing all of your U.S. citizen parents' periods and places of residence/physical presence in the United States and abroad before your birth.- If you claim citizenship through adoption by a U.S. citizen parent(s): Submit evidence of your permanent residence status, full and final adoption , and your U.S. citizen parent(s) evidence of legal and physical custody. (NOTE : Acquisition of U.S. citizenship for persons born abroad and adopted only applies if the applicant was born on or after 02/28/1983.)ADDITIONAL EVIDENCE: You must establish your citizenship to the satisfaction of the acceptance agent and Passport Services. We may ask you to provide additional evidence to establish your claim to U.S. citizenship. Visit for details.NOTE REGARDING MAILING OF YOUR PASSPORT(S)Passport Services will not mail a U.S. passport to a private address outside the United States or Canada. If you do not live at the address listed in the "mailing address", then you must put the name of the person and mark it as "In Care Of" in item # 8. If your mailing address changes prior to receipt of your new passport, please contact the National Passport Information Center.If you choose to provide your email address in Item #6 on this application, Passport Services may use that information to contact you in the event there is a problem with your application or if you need to provide information to us.You may receive your newly issued passport book and/or card and your returned citizenship evidence in two separate mailings. If you are applying for both a U.S. passport book and passport card, you may receive three separate mailings; one with your returned citizenship evidence, one with your newly issued passport book, and one with your newly issued passport card.FEDERAL TAX LAWSection 6039E of the Internal Revenue Code (26 U.S.C. 6039E) and 22 U.S.C 2714a(f) require you to provide your Social Security number (SSN), if you have one, when you apply for or renew a U.S. passport. If you have never been issued a SSN, you must enter zeros in box #5 of this form. If you are residing abroad, you must also provide the name of the foreign country in which you are residing. The U.S. Department of State must provide your SSN and foreign residence information to the U.S. Department of the Treasury. If you fail to provide the information, your application may be denied and you are subject to a $500 penalty enforced by the IRS. All questions on this matter should be referred to the nearest IRS office.NOTICE TO CUSTOMERS APPLYING OUTSIDE A DEPARTMENT OF STATE FACILITYIf you send us a check, it will be converted into an electronic funds transfer (EFT). This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. The debit from your account will usually occur within 24 hours and will be shown on your regular account statement.You will not receive your original check back. We will destroy your original check, but we will keep the copy of it. If the EFT cannot be processed for technical reasons, you authorize us to process the copy in place of your original check. If the EFT cannot be completed because of insufficient funds, we may try to make the transfer up to two times, and we will charge you a one-time fee of $25, which we will also collect by EFT.FEE REMITTANCEPassport service fees are established by law and regulation (see 22 U.S.C. 214, 22 C.F.R. 22.1, and 22 C.F.R. 51.50-56), and are collected at the time you apply for the passport service. If the Department fails to receive full payment of the applicable fees because, for example, your check is returned for any reason or you dispute a passport fee charge to your credit card, the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34, and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900-904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and no repayment arrangements have been made, the Department will refer the debt to the U.S. Department of Treasury for collection. Debt collection procedures used by U.S. Department of Treasury may include referral of the debt to private collection agencies, reporting of the debt to credit bureaus, garnishment of private wages and administrative offset of the debt by reducing, or withholding eligible federal payments (e.g., tax refunds, social security payments, federal retirement, etc.) by the amount of your debt, including any interest penalties or other costs incurred. In addition, non-payment of passport fees may result in the invalidation of your passport. An invalidated passport cannot be used for travel.USE OF SOCIAL SECURITY NUMBERYour Social Security number will be provided to U.S. Department of Treasury, used in connection with debt collection and checked against lists of persons ineligible or potentially ineligible to receive a U.S. passport, among other authorized uses.NOTICE TO APPLICANTS FOR OFFICIAL, DIPLOMATIC, OR NO-FEE PASSPORTSYou may use this application if you meet all of the provisions listed on Instruction Page 2; however, you must CONSULT YOUR SPONSORING AGENCY FOR INSTRUCTIONS ON PROPER ROUTING PROCEDURES BEFORE FORWARDING THIS APPLICATION. Your completed passport will be released to your sponsoring agency for forwarding to you.PROTECT YOURSELF AGAINST IDENTITY THEFT!REPORT YOUR LOST OR STOLEN PASSPORT BOOK OR PASSPORT CARD!For more information regarding reporting a lost or stolen U.S. passport book or passport card (Form DS-64), or to determine your eligibility for a passport renewal (Form DS-82), call NPIC at 1-877-487-2778 or visit .NOTICE TO U.S. PASSPORT CARD APPLICANTSThe maximum number of letters provided for your given name (first and middle) on the U.S. passport card is 24 characters. The 24 characters may be shortened due to printing restrictions. If both your given names are more than 24 characters, you must shorten one of your given names you list on item 1 of this form.U.S. passports, either in book or card format, are only issued to U.S. citizens or non-citizen U.S. nationals. Each person must obtain his or her own U.S. passport book or U.S. passport card. The passport card is a U.S. passport issued in card format. Like the traditional U.S. passport book, it reflects the bearer's origin, identity, and nationality, and is subject to existing passport laws and regulations. Unlike the U.S. passport book, the U.S. passport card is valid only for entry at land border crossings and sea ports of entry when traveling from Canada, Mexico, the Caribbean, and Bermuda. The U.S. passport card is not valid for international air travel.ELECTRONIC PASSPORT STATEMENTThe cover of the electronic passport book is printed with a special symbol representing the embedded chip. The symbol will appear inACTS OR CONDITIONSIf any of the below-mentioned acts or conditions have been performed by or apply to the applicant, the portion which applies should be lined out, and a supplementary explanatory statement under oath (or affirmation) by the applicant should be attached and made a part of this application.I have not, since acquiring United States citizenship/nationality, been naturalized as a citizen of a foreign state; taken an oath or made an affirmation or other formal declaration of allegiance to a foreign state; entered or served in the armed forces of a foreign state; accepted or performed the duties of any office, post, or employment under the government of a foreign state or political subdivision thereof; made a formal renunciation of nationality either in the United States, or before a diplomatic or consular officer of the United States in a foreign state; or been convicted by a court or court martial of competent jurisdiction of committing any act of treason against, or attempting by force to overthrow, or bearing arms against, the United States, or conspiring to overthrow, put down, or to destroy by force, the government of the United States. Furthermore, I have not been convicted of a federal or state drug offense or convicted of a "sex tourism" crimes statute, and I am not the subject of an outstanding federal, state, or local warrant of arrest for a felony; a criminal court order forbidding my departure from the United States; a subpoena received from the United States in a matter involving federal prosecution for, or grand jury investigation of, a felony.PRIVACY ACT STATEMENTAUTHORITIES: Collection of this information is authorized by 22 U.S.C. 211a et seq.; 8 U.S.C. 1104; 26 U.S.C. 6039E, 22 U.S.C. 2714a(f), Section 236 of the Admiral James W. Nance and Meg Donovan Foreign Relations Authorization Act, Fiscal Years 2000 and 2001; Executive Order 11295 (August 5, 1966); and 22 C.F.R. parts 50 and 51.PURPOSE: We are requesting this information in order to determine your eligibility to be issued a U.S. passport. Your Social Security number is used to verify your identity.ROUTINE USES: This information may be disclosed to another domestic government agency, a private contractor, a foreign government agency, or to a private person or private employer in accordance with certain approved routine uses. These routine uses include, but are not limited to, law enforcement activities, employment verification, fraud prevention, border security, counterterrorism, litigation activities, and activities that meet the Secretary of State's responsibility to protect U.S. citizens and non-citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State-05, Overseas Citizen Services Records and State-26, Passport Records.DISCLOSURE: Providing information on this form is voluntary. Be advised, however, that failure to provide the information requested on this form may cause delays in processing your U.S. passport application and/or could result in the refusal or denial of your application.Failure to provide your Social Security number may result in the denial of your application (consistent with 22 U.S.C. 2714a(f)) and may subject you to a penalty enforced by the Internal Revenue Service, as described in the Federal Tax Law section of the instructions to this form. Your Social Security number will be provided to the Department of the Treasury and may be used in connection with debt collection, among other purposes authorized and generally described in this section.PAPERWORK REDUCTION ACT STATEMENTPublic reporting burden for this collection of information is estimated to average 85 minutes per response, including the time required for searching existing data sources, gathering the necessary data, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: U.S. Department of State, Bureau of Consular Affairs, Passport Services, Office of Legal Affairs and Law Enforcement Liaison, 44132 Mercure Cir, P.O. Box 1227, Sterling, Virginia 20166-1227DS-11 06-2016Attach a color photograph taken within the last six months18.Travel Plans Departure Date (mm/dd/yyyy)Return Date (mm/dd/yyyy)Countries to be Visited Apartment/Unit 19.Permanent Address - If P.O. Box is listed under Mailing Address or if residence is different from Mailing Address.Street/RFD # or URB (No P.O. Box )13.Occupation (if age 16 or older)14.Employer or School (if applicable)Home Cell Work 12.Additional Contact Phone NumberMother/Father/Parent - First & Middle Name Last Name (at Parent's Birth) Date of Birth (mm/dd/yyyy) Place of Birth 10.Parental Information Male FemaleYesNo U.S. Citizen?Sex Date of Birth (mm/dd/yyyy)Name of Applicant (Last, First, & Middle)--Mother/Father/Parent - First & Middle Name Last Name (at Parent's Birth) Date of Birth (mm/dd/yyyy) Place of Birth Male Female YesNo U.S. Citizen?Sex ----If yes, complete the remaining items in #11. Date of Marriage(mm/dd/yyyy)11.Have you ever been married?Full Name of Current Spouse or Most Recent Spouse Date of Birth (mm/dd/yyyy)Have you ever been widowed or divorced?Place of BirthYes No Widow/Divorce Date (mm/dd/yyyy)Yes NoYesNo U.S. Citizen?--15.Height 16. Hair Color 17. Eye Color City Zip CodeState 21.Have you ever applied for or been issued a U.S. Passport Book or Passport Card?Name as printed on your most recent passport book Yes No If yes, complete the remaining items in #21.PLEASE DO NOT WRITE BELOW THIS LINE - FOR ISSUING OFFICE ONLY 20.Emergency Contact - Provide the information of a person not traveling with you to be contacted in the event of an emergency.Name Address: Street/RFD # or P.O. Box Apartment/UnitCity State Zip CodePhone Number Relationship Name as printed on your most recent passport cardStatus of your most recent passport book:Submitting with application Stolen LostIn my possession (if expired )Status of your most recent passport card:Submitting with application Stolen Lost In my possession (if expired )Most recent passport book number Most recent passport book issue date (mm/dd/yyyy)Most recent passport card number Most recent passport card issue date (mm/dd/yyyy)*DS 11 C 09 2013 2 *Name as it appears on citizenship evidenceBirth Certificate SR CR City Filed:Issued:Passport C/R S/R Per PIERS #/DOI:Attached:P/C of ID DS-5520DS-3053DS-64DS-5525PAW DS-71NPIC IRL Citz W/S Report of Birth Filed/Place:Nat. / Citz. Cert. USCIS USDC Date/Place Acquired:A#Other:P/C of Citz 姓名出生年月日爸爸或妈妈的名 姓（父母的信息）月日年出生地（CHINA)爸爸或妈妈的名姓月日年出生地（CHINA)B lack Black (如在国外更换护照需要填写，在中国则不需要填写）紧急联系人姓名地址X X X 护照姓名护照号码护照签发日期。