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RepublicofGuyana FORMI3

APPLICATIONFORRENEWALOFPASSPORT

National

I.D. No.

Signatureofholder:

(1)I, the undersigned.........................................................................

(Full name in block capital letters)

born at(place) on...................................................................................(date of birth)

maiden name (if a married woman or widow)

at present residing at.

hereby make application for the renewal of the attached Republic of Guyana Passport

No:.issued to me aton the.

for a further period ofyears for the purpose of travelling to.

(2)

DECLARATION

I declare that I have not lost the status as a Citizen of the Republic of Guyana and that all the particulars given by me in respect of this application are

true.

I further declare that I have no other valid Passport or other Travel Document issued by the State of Guyana in my possession.

Signature of Applicant. . Date:

WARNING:-Applicants are warned that should any of the statements contained in their declarations prove to be untrue, the consequences to them

may be serious.

Two Photographs of the applicant must be presented with this application.

Photo

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NOTES

(1) Applications for the renewal of Republic of Guyana Passports should be presented personally to the

Passport Offices in Georgetown and New Amsterdam between 08:00 hours and 14:00 hours from Monday to

Friday. Applications will not be received on Saturdays, Sundays and National Holidays.

(2) Passports may be renewed for consecutive periods of one to five years, not exceeding a total of five years

FROM THE DATE OF EXPIRY. The fee is Three hundred dollars ($300.00) Guyana Currency in Revenue stamps

for which the Passport is renewed

N.B. Cash, Postal Order and Cheque wil l NOT be accepted

(3) Passports which have been in existence for fifteen years or which contain no further space are notrenewable, and the holder must apply for a new Passport.

Forofficialuseonly

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