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Passport Renewal Form (Adult)

Warning: Any false or misleading statement regarding this application and any supporting documentation, including concealment of any material fact, may be grounds for refusal to issue a passport, revocation of a valid passport or refusal of passport services and be subject to criminal prosecution. Your application will not be processed if you fail to complete all the mandatory sections of this form and/or refuse to consent to the exchange or disclosure of any personal information necessary for the provision of passport services.

Place of birth
Pictures

Provide the following information about two (2) people who are neither members of your family, who are 18 years of age or older and who have known you for at least two (2) years. They must agree to provide their contact information, as they may be contacted to confirm your identity.

1st reference
2nd reference

Contact form

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Call us

(+509) 3421-6901

Email us

infos@beltike.com

Write to us on whatsapp

+15702439425

Address

Haïti | 5, Rue Capois, local Triomphe – Champ de mars. USA | 30, 447 Broadway, 2e étage, New York, NY, New York, États-Unis, 10013