APPLICATION FORM FOR THE RENEWAL OF

TRINIDAD AND TOBAGO MACHINE READABLE PASSPORT

(APPLICANTS 16 YEARS AND OVER)
WARNING TO ALL APPLICANTS

PLEASE PRINT INFORMATION IN BLOCK LETTERS

USING DARK BLUE OR BLACK INK PEN

Any such person who makes a written or oral statement knowingly to be false or
misleading is guilty of an offence and is liable to be fined and to imprisonment.

FOR OFFICIAL USE ONLY

PASSPORT
TYPE
EXPEDITED
PRE-PAID
SHIPPING
1.

___________

ORIGIN

_____________

RECEIPT#

__________________

PASSPORT#

___________________

___________

PICK UP

_____________

DATE

__________________

DATE OF ISSUE

___________________

___________

REASON FOR
APPLICATION

______________

VALID TO

___________________

SURNAME

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/_____/___/

FIRST NAME

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/_____/___/

MIDDLE NAMES(S )

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/_____/___/___/

MAIDEN NAME
(SURNAME AT BIRTH)

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/_____/___/___/___/___/

FORMER NAME

2.

SURNAME

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/ ___/___/___/___/___/___/__/__/___/

FIRST

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/__/__/

PERSONAL INFORMATION
DATE OF BIRTH ______/_______/______
Day
Month Year

SEX MALE [ ] FEMALE [ ]

HEIGHT (CM) __________

COUNTRY OF BIRTH___________________________ COLOUR OF EYES /___/___/___/___/___/___/___/

MARITAL STATUS: SINGLE [ ] MARRIED [ ] WIDOWED [ ] DIVORCED [

] SEPARATED [

PLACE OF BIRTH ________________________

HAIR COLOUR /___/___/___/___/___/___/__/

] OTHER [ ]

OCCUPATION / PROFESSION /___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/__/

HOME ADDRESS
/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/
/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/
MAILING ADDRESS (IF DIFFERENT FROM HOME ADDRESS)
/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/
/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/
WORK ADDRESS (OR IF RESIDENT ABROAD, LOCAL ADDRESS)
/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/
/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/
NAME OF FIRM / ORGANIZATION
/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/
CONTACT INFORMATION

3.

HOME TEL. NO.

/___/___ /___/___/___/___/___/___/

MOBILE NO.

OFFICE TEL. NO.

/___/___ /___/___/___/___/___/___/

E-MAIL ADDRESS /___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/

MARRIED WOMEN
PRESENT MARRIAGE
HUSBANDS NAME

DATE OF MARRIAGE _______/_______/_______

Day
Month Year

/___/___ /___/___/___/___/___/___/___/___/___/___/___/___/___/

PLACE OF MARRIAGE ____________________________________

SURNAME

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/

FIRST NAME

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/

NATIONALITY

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/

PREVIOUS MARRIAGE (S)

Date of Marriage (Day/Month/Year)

Husbands Name in Full

Place of Marriage

Husbands Nationality

(*N.B. *this form will become void if the Specimen Signature touches the Border)
Specimen Signature of Applicant

4.

PARTICULARS OF PASSPORT TO BE RENEWED

PASSPORT NUMBER

5.

DATE OF ISSUE (Day/Month/Year)

PLACE OF ISSUE

CITIZENSHIP INFORMATION
ARE YOU NOW OR HAVE YOU EVER BEEN A CITIZEN OF ANY COUNTRY OTHER THAT THE REPUBLIC OF TRINIDAD AND TOBAGO? YES [ ] NO [ ]
If yes, please provide details below
COUNTRY

CITIZENSHIP BY

CERTIFICATE NO.

ISSUE DATE (Day/Month/Year)

1.
2.

6.

PERMISSION FROM PARENT / LEGAL GUARDIAN FOR APPLICANTS UNDER 18 YEARS OF AGE
FIRST NAME

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/_/___/___/___/___/___/___/

SURNAME

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/_/___/___/___/___/___/___/

Solemnly declare that I am the ____________________________________________________ of the Applicant, and hereby give permission to
(RELATIONSHIP)
FIRST NAME

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/_/___/___/___/___/___/___/

SURNAME

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/_/___/___/___/___/___/___/

To apply for the renewal of his/her Trinidad and Tobago Passport

I.D. / Passport# of Parent / Legal Guardian _________________________________
Dated

7.

_______/_______/______

Date of Issue _________/________/_________

Signature of Parent/Legal Guardian

REFERENCES
Please provide the following information with respect to two persons who are not relatives and have known you for at least three years. These persons may
be contacted to confirm your identity.
(i)
NAME

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/_____/___/___/___/

TEL. CONTACT /___/___/___/___/___/___/___/___/___/___/_____/___/___/

(ii)
NAME

/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/_____/___/___/___/

TEL. CONTACT /___/___/___/___/___/___/___/___/___/___/_____/___/___/

8.

DECLARATION OF APPLICANT
I___________________________________________________________________________solemnly declare that:
i.
ii.
iii.
iv.

I am a citizen of the Republic of Trinidad and Tobago.

The statements made in this application are true and correct.
The attached photograph enclosed is a true likeness of myself.
I shall report to the Immigration Division or the nearest Republic of Trinidad and Tobago Overseas Mission any change in my citizenship.

DATED

___________/___________/__________
Day
Month
Year

I.D. / PASSPORT#

__________________________________

DATE OF ISSUE

__________/__________/____________
Day
Month
Year

Signature

FOR OFFICIAL USE ONLY

MARRIAGE CERTIFICATE NO.__________________________________

ENTRY NO.___________________

ISSUE DATE _______/________/_______

DEED POLL NO. ______________________________________________

DATED__________/__________/____________

SWORN DECLARATION_________________________________________

DATED__________/__________/____________

REF.___________

OTHER INFORMATION (Where Necessary)

_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
OFFICERS SIGNATURE

_____________________________________

DATE

____________/___________/____________
Day

Month

Year

OFFICERS STAMP

Consulate General of the Republic of Trinidad and Tobago

125 Maiden Lane, 4th Floor, New York, NY 10038, U.S.A.
Tel.: (212)682-7272 Fax: (212)232-0368 e-mail: consulate@ttcgny.com Website: www.ttcgny.com

GUIDELINES FOR THE RENEWAL OF MACHINE READABLE PASSPORT (MRP)

Persons eighteen (18) years and over applying in person at the Consulate
General when information on your application form is the same as that on your
previous passport application

A. Documents required:
1. Completed passport application form Application form for the Renewal of
Trinidad and Tobago Machine Readable Passport (form with green border)
2. Original Trinidad and Tobago passport.
3. One legible colour photocopy of the bio-data page of your passport (page with
your photograph).
4. Money order for US$72.00 payable to The Consulate General of Trinidad and
Tobago

B. Checking the status of your passport application

1. Visit the Consulates General website www.ttcgny.com and insert your
Application ID number in the Application Status app.

NB. All original documents will be returned to you.

2015-05-12