Application for a Republic of China (Taiwan) Ordinary Passport (for use of a national abroad)

Note: □None (decommissioned)

National ID Card No.’ is not applicable. Fill in other spaces wherever is appropriate for the purposes of contact or emergency help.
is any omission or unrecognizable part, the authority may request the applicant for correction. Once any falsehood is found, the authority shall deal with it in accordance with law. Sections 1 to 8 are a must. Fill in ‘Nil’ if ‘Also known as’ or
Note: The columns with red frames are filled in by the authority. An applicant should fill in information in other columns in black (or dark blue) with block letters, full and detailed. Abbreviations or cursive styles are not allowed. If there

1Use two identical photographs taken within the Authority

last six months: color, 35x45mm, front, profile, □Male at enlistment age
hatless, clear facial features, uncovered ears,
Identity □Overseas Chinese male at enlistment
neutral facial expressions, mouth closed (teeth not age Date of receipt
shown), white background, glossy paper (no tinted
eyeglasses unless medically necessary). Paste one Overseas Chinese status □Yes □No Passport no.
photograph here; paste the other by its left edge to
the box on the left.
2. The length from the top of the head to the □First-time Application □Renewal
bottom of the chin must be between 32mm to □Lost Replacement Date of issue
36mm. The head or hair must not touch the top of
the photograph.
3. When wearing eyeglasses (thick frames not
Date of expiry
allowed), the frames must not cover any part of Notes Auditor's
the eyes.
4. Photomontages are not allowed. signature
Foreign □NoYes USA (country name)
1. Name

8. Residential Status and Certificates

Chinese name 林美華 Passport
Residence
Permit
□No □Yes_________(country name)
Name must match that on National ID Card or household registration certificate

Visa Type_______________□No
English name
(Surname first) LIN, MAY-HUA Credential
No.
4321567891
(Fill in either
(Please fill in the column in capital letters.)
This should be the same with the previous passport Please present of the above
certificate(s) when not using transliteration of Chinese name. three)
United States
Also Known As MAY LIN Issuing
Department of States
(Please fill in the column in capital letters.) Authority
Please present certificate(s).
Domestic: Foreign: (yyyy/mm/dd)
Province: City: Date of issue
2. Place of birth
USA 2 0 1 9/0 9/0 5
(yyyy/mm/dd)
Date of expiry
(Name of Nation) 2 0 2 4/0 9/0 5
1 4/0 1 /0 1 420 1 Wisconsin Ave., N W
information
9. Residence contact

3. Date of birth (yyyy/mm/dd) 2 0

4. Sex □Male ▓ Female Residence Washington, DC 20016, USA
5. National ID Card no. □□□□□□□□□□ Address
Residence Permit no. of □□□□□□□□□□
Taiwan ROC
(office) 202-895-1800
6. Have you ever possessed a Republic of China (Taiwan) passport? Phone
(home)
□Yes □No Number
(mobile)
(If Yes, please continue the following four columns)
E-mail
7.
X 0 0 6 5 4 3 2 1 1 Contact 王小明
10. Contact information in Taiwan: □Yes

Information
Passport no.
person's
of the most
recent
name
Republic of Passport date of issue 10051
China (yyyy/mm/dd)
2 0 1 4/0 2/2 0
(Taiwan) Date of expiry Address in 台北市中正區濟南路一段 2-2 號
passport (yyyy/mm/dd)
2 0 1 9/ 0 2 / 2 0 Taiwan 5F
Issuing authority Ministry of Foreign Affairs
(office) (02)2343-2888
Phone no. (home)
(mobile)
□No

E-mail [email protected]

Continue on other side.

*For first-time applicants who do not have preferences for spellings, Scheme of the Chinese Phonetic Alphabets (Hanyu Pinyin) is recommended for
transliterating the Chinese name into English. Yet, phonetic transcription of the "surname" should be the same with the ones of the relatives to avoid
confusion.
 For the first-time applicant, please paste copies of nationality proof (e.g. parent's nationality document(s)
years of age and unable to sign, please use fingerprints or seal instead of signature.
For applicants under 7 years of age and applicants under guardianship, please ask the legal representative to sign, such as OOO (mother’s representative); for applicants who are over 18
Note:Ⅰ、Sections 11. 12. Must be filled out. Ⅱ、Regarding signature, Applicants should sign in person at the “ Applicant's signature” regardless of whether they are applying or not.

together with applicant's birth certificate/Resident Certificate for the Taiwan Area) inside the box and
present the originals for verification. A copy of “parent's Agreement on Child's Surname” should be filled
out and submitted herewith.

For minor applicant under the age of 18, please paste a parent's or a guardian's (the original guardianship
certificate should be presented for verification) copy of the identification certificate and present the
original for verification.

The form must be signed by the applicant or, if a I hereby declare that I have received a passport of
minor, the legal guardian. 林 美 華 (name of the passport bearer), and that
I hereby declare that the information provided, as the information and picture in the passport are
well as all certificates and photographs affixed, are accurate.
correct and genuine, and that I bear legal
Recipient's signature: _________________
responsibility for them.
陳 小 花
12. Recipient's Signature

Agent's Signature:
Applicant's signature 林 美 華(母代)_
Phone no: _____________________
Signature of authorized
11. Signature

Person _____________________ Certificate name: ____________________

If the applicant is a national without household Certificate no: _____________________
registration in ROC, he/she should Apply for an
entry/exit permit when entering the country. *If the recipient is not the applicant him/herself, an
identification certificate should be presented for
verification.
Being the □father mother □legal guardian of
the applicant, who is a minor under the age of 18, I *When one applying by mail, a copy of the receipt of
hereby sign this application for a passport on his/her the registered mail or the express delivery should be
behalf. pasted in the recipient's signature column or other
blank area, and the date of delivery should be
Signature: 陳 小 花 indicated.