EMBASSY OF ST. KITTS AND NEVIS

Please print out this application and fill it in by hand.

SAINT CHRISTOPHER (ST. KITTS) AND NEVIS

Please write your name in block letters. (Surname)                                        (Christian Names)

Form A
Application for a Passport

IMPORTANT. Read instructions carefully before completing the form.
A member of the applicant's immediate family is not acceptable as a recommender.

INSTRUCTIONS

HOW TO COMPLETE FORM

(A) All applicants should complete Sections 1, 2, 6, 7 and if appropriate to their own application, Sections 3 and 4.

(B) Children under 16 years of age can normally be included (without extra charge) on the passport of the parent who, in completing the application form must also enter particulars of the children under Sectiion 5. The consent of the legal guardian required for the inclusion of a child on the passport. Application for the addition of children to an existing passport should be made by completing a Child Addition form.

Should separate passport be required for a child under 16, application by or with the written consent of the legal guardian can be made on Form "B".

(C) Signing the form. The application form must be signed in Section 7 by the applicant. Section 8 should be completed by the person verifying the declaration who should be a Member of the National Assembly, Island Assembly, Justice of the Peace, Notary Public, Minister of Religion, Medical or Legal Practitioner, Senior Civil Servant, Senior Bank Official, Gazetted Police Officer, or any person of similar standing PERSONALLY ACQUAINTED with the applicant.

The Fee for the Passport is one-hundred dollars ($100.00) (payable in Stamps) for 10 years.

DOCUMENTS TO BE PRODUCED

(D) (i) All applicants should produce birth certificates or certificates of naturalization or registration as citizens of St Christopher (St. Kitts) and Nevis as the case may require.

      (ii) Married women (including widows and women whose marriages have been terminated) should produce documents specified in (i) above along with Marriage Certificate and applicants who are divorced should produce evidence of divorce. A married woman claiming citizenship by marriage should also submit the birth certificate of her husband.

      (iii) For children under 16 to be included in the passport, the children's birth certificates are required. If the applicant is not the legal guardian a letter of consent from the father/mother or other legal guardian or guardian is required.

Documents as for all applicants (see paragraph (i) above; the written consent of the legal guardian is also required, except where applicant is married.

NOTE:- Where an Order or Direction has been made by the High Court or in chambers, or by a Magistrate regarding the custody of a child such Order must be produced or the nature of direction stated.

      (iv) Change of Name. If the applicant has changed his or her name, the deed poll recording the change or other evidence to show how and when it was changed must also be submitted. A Birth Certificate with note of change of name is regarded as evidence that a change of name has been effected.

      (v) Persons born outside of St. Christopher (St. Kitts) and Nevis as constituted on 19th September, 1983 and all persons claiming Citizenship by naturalization or registration, must complete Section 4 and may be required to produce documentary evidence in support of the statements made therein.

      (vi) A Police Certificate should also be produced.

PHOTOGRAPHS

Three copies of a recent photograph of the applicant must be included with the application. These photographs should be taken full face, without a hat and must not be mounted. The size of the photographs must not be more than 2½ inches by 2 inches or less than 2 inches by 1½ inches. The photographs must be printed on normal thin photographic paper and must not be glazed on the reverse side. The recommender is also required to endorse the reverse side of one copy of the photographs with the words: "I certify that this is a true likeness of the applicant Mr./Mrs./Miss                                        " and add his signature.

1 Surname (in block capitals)                                                                         State whether
                       Mr. / Mrs. / Miss
Christian Names (in full; in block capitals)
State whether
married,
single or
marriage
dissolved
Maiden Name (if applicant is woman who is or has been married)
Has name been changed (otherwise than by marriage)?
yes / no
If so, state original name
PERSONAL DESCRIPTION
Height
Applicant: ft. in.
Wife: ft. in.
Age last birthday
Place of birth
Date of birth
Colour of Eyes
Applicant:
Wife:
Profession

Occupation
Colour of hair
Applicant:
Wife:
Present address (in block capitals)
Special Peculiarities
Applicant:
Wife:
2 CITIZENSHIP State whether Citizen of St. Christopher and Nevis by
Particulars of Certificate of Citizenship Number of Certificate
Place of Issue
Date of Issue
3 PERSONS WHO ARE CITIZENS OF ST. CHRISTOPHER (ST. KITTS) AND NEVIS BY MARRIAGE ONLY
(a) Particulars of spouse or former spouse
Name of spouse or former spouse
Place of marriage
Date of marriage
Spouse's place of birth
Spouse's date of birth
4 PERSONS BORN ABROAD
A. If applicant's birth was registered as a Citizen of St. Christopher (St. Kitts) and Nevis abroad state:-
Name of Consulate
Date of Registration
Place and date of father's / mother's birth
B. Particulars of applicant's father/mother
  1. If born in St. Christopher (St. Kitts) and Nevis
    Place of birth   Date of birth
  2. If citizen of St. Christopher (St. Kitts) and Nevis by naturalization or registration
    No. of certificate   Date and place of issue
5 CHILDREN UNDER 16 (If to be included in the passport)
Christian Names in full


Surname


Place of Birth


Date of Birth


Sex and Relationship to Applicant


6 PASSPORT REQUIRED FOR TRAVELLING TO

PURPOSE OF TRAVEL

7 DECLARATION
  1. I declare that the information given in the application is correct to the best of my knowledge and belief, and
  2. That I have not lost the status of Citizenship of St. Christopher (St. Kitts) and Nevis.
  3. That I have not previously held or applied for any passport whatever or
  4. That all previous passports granted to me have been cancelled other than passport No. which is now attached and that I have made no other application for a passport since the attached passport was issued to me.
Delete "C" or "D" whichever is inapplicable.

Signature                                                                               Date                                              
NOTE: If you have had a passport which has been lost, delete C and D and complete Section 9 of this form.

8 RECOMMENDER: I declare that to the best of my personal knowledge and belief the above-made declarations and description of the said Mr./Mrs./Miss                                                                               are true, and that I can from my personal knowledge of him/her vouch him/her as a fit and proper person to receive a passport. I have known the applicant for                                  years.

Signature                                                                               Date                                              

Full Name                                                                           Address                                              

Profession                                                                                                                                       

IMPORTANT: Applicants and recommenders are warned that should any statement contained in their respective declarations prove to be untrue, the consequences to them may be serious. The attention of persons who are asked to sign this declaration is specially called to the fact that it can only be signed from Personal Knowledge of the applicant and not from information obtained from other persons.

9 (See note, Section 7)
PARTICULARS OF PREVIOUS PASSPORT WHICH HAS BEEN LOST OR IS NOT AVAILABLE FOR PRESENT USE

No. issued at on

Bearer's names

Circumstances in which passport was lost or destroyed, or other reason for its non-availability

Place and date of loss

What measures were taken at the time to report loss and to obtain recovery?

Has loss been reported to the Police?

I certify that the above particulars are correct and undertake in the event of the passport coming again into my possession to return it to the Passport Office.

Date                                               Signed                                                                              

Specimen Signature Please sign on all three lines)

                                                                                             

                                                                                             

                                                                                             

FOR OFFICIAL USE
DOCUMENTS PRODUCED TO BE NOTED HERE
If, pending divorce proceedings, any judicial order or direction is made regarding the custody of any child whose name is to be included in the passport, state nature of the order or direction below.
SUPPLEMENTARY INFORMATION

FOR OFFICIAL USE ONLY