f'or fsm passport - Micronesia Embassy
f'or fsm passport - Micronesia Embassy
f'or fsm passport - Micronesia Embassy
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t.<br />
2.<br />
INSTRUCTIONS F'OR FSM PASSPORT APPLICATION<br />
Revised January 2006<br />
Only FSM citizens may apply for an FSM <strong>passport</strong>. FSM <strong>passport</strong>s are issued ONLY by<br />
the FSM Department of Justice; Division of Immigration & Labor as listed below:<br />
Chiel Division of Immigration<br />
FSM Department of Justice<br />
P.O. Box PS 105<br />
Palikir, Pohnpei FM 96941<br />
Please submit only one (l) <strong>passport</strong> application. The application must be complete,<br />
signed and notarized. The application must be accompaniedby 2 color <strong>passport</strong> photos;<br />
<strong>passport</strong> fee; birth certificate (if first time applicant), affrdavit (if <strong>passport</strong> is lost, stolen<br />
or damaged) and postage fees.<br />
PHOTOS: Submit two (2) recent identical <strong>passport</strong> photos. Photos should be color. Do<br />
not sign the front of the photographs. When having picture taken: do not use sunglasses,<br />
sleeveless shirts, large combs or other articles that stick out from head. Do not use leis,<br />
hats, earrings, or other items distracting to the photograph. Official and Diplomatic<br />
<strong>passport</strong> applicants must wear appropriate attire.<br />
3. BIRTH CERTIFICATE: Only required if you are a first time applicant.<br />
4. FEES: Passport fees are $50. Please send money order or cashier's check payable to<br />
FSM Treasury. Do not send cash or personal checks. The <strong>passport</strong> fee to replace a<br />
<strong>passport</strong> that is not expired but that has been lost, damaged or stolen is $75.<br />
5.<br />
6.<br />
-<br />
AFFIDAVIT: If your <strong>passport</strong> has been lost, stolen or damaged, you MUST submit a<br />
notarized affidavit with your application. You must submit one of the following:<br />
Affidavit for Lost Passport, Affidavit for Damaged Passport, or Affidavit for Stolen<br />
Passport.<br />
POSTAGE FEES: FSM Citizens who apply for a <strong>passport</strong> from the USA must also<br />
include a money order (no cash or personal checks), payable to FSM Postmaster General,<br />
to cover cost of postage from FSM to US for completed <strong>passport</strong>. The FSM Government<br />
is no longer able to cover this expense. Please include a total of $ 1 3 .00 to cover cost of<br />
postage. The $13.00 will cover $4.05 for priority mailing (up to 1 lb.) and registered mail<br />
services (1 booklet $8.50 or 2 booklets $8.77). You must be sure that your correct<br />
mailing address is on your application.<br />
Recommendations: The FSM <strong>Embassy</strong> in Washington recommends that you keep your<br />
<strong>passport</strong> current at all times. In the case that you are renewing your <strong>passport</strong>, please<br />
remove your I-94 from your expired <strong>passport</strong> and keep it in a safe place. You may attach<br />
your I-94 in your new <strong>passport</strong> when you receive it.<br />
8.<br />
For more information, please contact the following offices:<br />
FSM Immigration Headquarters 011 (691) 320-5844<br />
Email: imhq@mail.fm<br />
FSM <strong>Embassy</strong>, Washington, DC (202) 223-4383 or the website at<br />
http://w*'w. <strong>fsm</strong>embassydc. or g
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(Give Deposition ofdooment ifnct srbuitted)<br />
Itreiglre _Fet:<br />
l l SIGNATURE<br />
Subaaibed ard surom o before rB this: Dayof<br />
NOTARY<br />
PERSONALDESCRIPTION<br />
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Distinguiching noad$ q features:<br />
Evidence rnry be addrced as follows ttut tre applicarf is a citizen of tre Federated States of Microrpsi4 that he is not a rntional of any<br />
foreign courfry, and fiat he does not bear allegiance to any foreign country. (A corrylete staternent stpuld be furnisbed urder this zubdivision<br />
indicating tre natue of the widence wtrich was obtaine4 such as (l) records as to birth, nrarriage, etc. (2)Penqnl interrogation of trc<br />
applicaff, (3Interrogation of rnembers of tbe claq tribe, or comrnrnity, or (4) Whateraer other investigation is neessary in order to esablish<br />
ttr,at the applicant is a citizen ofthe Federated States of <strong>Micronesia</strong>)<br />
I tueby cenify that I am s*isfied tlat ttre applcant is a citizen of tbe Federated Sttes of Micruresi4 and tbat he./she does not owe<br />
allegiarrce o any foreigrrcoury.<br />
Age:<br />
IMMIGRATION AND LABOR OFFICER<br />
Date<br />
20
AFFIDAVIT<br />
FOR LOST/DAMAGED OR STOLEN FSM PASSPORT<br />
Application for Renewal or Replacment of FSM Passport<br />
I, _____________________________, citizen of the Federated States of <strong>Micronesia</strong><br />
(Full legal name as shown on <strong>passport</strong>)<br />
(FSM), born in __________________ State in the FSM on ____________________,<br />
(Place of Birth) (Date of Birth)<br />
hereby verify and confirm that I am applying for a renewal or replacement FSM <strong>passport</strong><br />
because my previous FSM <strong>passport</strong> was:<br />
( ) damaged and hereby attached to this application<br />
( ) stolen<br />
( ) lost<br />
I swear that this statement is true and hereby submit my application for a new FSM<br />
<strong>passport</strong>.<br />
* This affidavit must be notarized.<br />
Signature________________________________<br />
Date ________________________________