Application form for a passport for 5 years of a new sample. Application form for an old passport

Main distinguishing feature old passport in the absence of electronic data carriers. Its cost is less than that of a new one, it is valid for 5 years. The rules for filling out the questionnaire are also different. Consider an example of filling out an application for an old-style passport.

What are the rules for filing

Form

Information can be entered on a computer and printed out double-sided. It is also possible to fill in block letters by hand in ink or black ink. of blue color. Write without editing.

Personal data
Indicate your full name, surname and patronymic.
By placing a cross in the desired square, indicate your gender. If the questionnaire is not filled out manually, then the letter “X” can be used.
The format in which you need to specify the date is DD.MM. YYYY.
"Place of birth" - in this column, write information from ext. passports.
If you had a change of surname or name, then you need to indicate the old data, the registry office and the locality where the change was registered and, of course, the date of this change. For persons who change their surname more than once, there is a separate sheet where they can list them all. This is app #2.
In paragraph 6, you should write the registration address and the date from which you are registered at such an address.


7 paragraph for persons who do not live at the place of registration, or have temporary registration. You must specify the registration period.
Enter a phone number where you can be called.
Enter an email address (optional).

Application №2

Passport data

Enter the information from your ext. passports - number, series, date issued, date of issue.
If you had access to information of particular importance or to state secrets, then indicate the company, as well as the year, even if, in your opinion, the statute of limitations has passed a long time ago.
Maybe you entered into a contract that restricts leaving your home state due to access to classified data. If the restriction period has not expired, then you simply will not be issued a passport. If you hide the existence of such an agreement, it will be considered that you knowingly submitted false information and you will definitely be denied a passport.
Enter in this paragraph the information and the issued active passport.

Information about children and employment

Count 10 years from the date of filling out the questionnaire and look in the work book. Whether you studied or worked, or were just at home, all this is needed in chronological order indicate in Appendix No. 2. If there was a break between places of study or work for more than 1 month, then you need to write “temporarily did not work”, and in the column “organization address” simply indicate your home address at that time. This also applies to retirees.

If you occupied more than one position at the first place of work, but several, then you also need to write about this.

Appendix No. 2a



Indicate in this column information about children under the age of 14 years. This is not mandatory, since starting from 2010, a child traveling abroad must have their own new or old passport.

Now put the date and your own signature. Try to place the signature in the designated field, it is impossible to go beyond it.

All remaining columns are to be filled in by FMS employees. The application is submitted in 2 copies.

For minors

You may need a sample of filling out the form for an old-style passport for minors.



The differences between the form for a children's passport is that instead of information from the work book, on reverse side Parents' information must be entered. From children who are already 14 years old, a personal signature is required. To issue a child's passport, you need only 1 copy of the application.

In our article, we want to talk about how to fill out an application for an old-style passport. Although it is gaining more and more popularity, there are still many supporters of the usual document. Still, it is much cheaper, and the vaunted advantages of a modern passport cannot always and everywhere be used. It is for this reason that many prefer to draw up a verified old-style document.

Documents for filling out the application for a passport

When drawing up documents, many citizens have a question about how to fill out an application for an old-style international passport. It is this paper that is puzzling, but the procedure itself is impossible without it.

So, an application, or it is also called a questionnaire, is filled out on a computer on both sides and must be in two copies. Strikethroughs and corrections are not allowed under any circumstances. Filling out the questionnaire implies the complete accuracy of the information. If the data turns out to be incorrect, then the FMS employee has the right to refuse to issue a passport for you. All information provided by you is carefully checked, if not immediately upon receipt of documents, then in the process of paperwork.

Speaking about how to fill out an application for an old-style international passport, it is worth noting that this will require a number of your documents:

  1. Passport of a citizen of Russia (absolutely all completed pages).
  2. An existing passport, or rather, its first page with a photograph.
  3. Marriage document, if you have already changed your last name.
  4. The postal code of the place where you are registered.
  5. Mobile and home phone numbers.
  6. Your workbook, from which data on your activities over the past decade will be taken.

Instructions for filling out the application in detail (points 1-5)

Let's take a detailed look at the points on how to fill out an application for an old-style international passport.

  • The first paragraph specifies full name(FULL NAME.).
  • In the second - we mark our gender in the desired cell with a cross.
  • The third section indicates the date of birth.
  • In the fourth, you need to completely accurately indicate the place of your birth, and this is done exactly as indicated in the passport.
  • In the fifth paragraph, you need to indicate whether you previously had a different surname or patronymic, first name. At the same time, they are indicated in full, and you also need to enter the city in which such changes were registered. This column can be filled in by both men and women. If the data has been changed repeatedly, then, of course, it will not be possible to indicate all the information in the application. It is for this case that it has Appendix No. 2 to the application for a passport.

Filling out the application from 6 to 11 points

Features of some sections

You should pay attention to filling out points 11 and 12. Inaccurate information is the reason for the refusal to issue any document, including a passport.


In the eleventh paragraph, you should indicate whether you were given access to particularly important or secret information during your work or study. If such a fact took place in your biography, then you put a tick in the “yes” column. In this case, it is necessary to indicate the date and name of the organization where this took place.

Completion of 11-15 sections

Filling out an application for old passport, in the twelfth paragraph, you should indicate whether you have entered into an agreement that may restrict your exit from the country, since you have information of particular importance, which is a state secret. If there was a similar situation in your life, then you must indicate the place and date of this event.

The thirteenth paragraph is filled in by those citizens who already have a passport in their hands. Here you should enter the serial number and the date of issue of this document.

We provide a sample application for an old passport in our article.

The fourteenth point is perhaps the largest. It provides information about your studies, as well as labor activity during the last decade.

Dates and names, location of organizations are indicated in full. If there were periods when you did not work and did not study for more than one month, then this must be indicated. This is possible, for example, between the end of school educational institution and university admissions. If a person is currently a pensioner and does not work, then this is also reflected in the corresponding column. If a situation arises when you do not have enough space to present all the necessary information in this paragraph, there is a special appendix No. 2a.

As you can see, it is not so quick to fill out an application for an old-style international passport, since you need to correctly indicate a sufficiently large amount of information about yourself.

You will need the fifteenth section if you want to enter your child's new issued passport. To do this, you need to fill out a special application number 2b, where you indicate all the data about the child.

When filling out an application for issuing an old-style international passport, you need to remember that if you have ever had a criminal record or penalties were imposed on you, then one more paper should be added to all documents that confirms the payment of the fine and it will be impossible to issue a passport if you are currently under investigation or have signed a document not to leave.

What to do after completing the application?

So, you filled out the questionnaire, printed it out. A sample application for an old passport is given by us in the article. What to do next? You must certify your document with your signature. However, this is done with an employee of the Federal Migration Service during the provision of all papers.

Now the entire package of documents must be submitted to the FMS: an old-style international passport, an application, copies of the originals, etc.

Documents for issuing a passport

In addition to the application, the FMS will need to provide a number of documents for issuing a passport:

  1. The questionnaire and annexes to it are submitted in several copies.
  2. Photo. Their number depends on the place of submission (from three to five). According to the rules, the photo must be color or black and white in full face on matte paper.
  3. You will also need photographs of the child if you want to include it in the document (only a child under 14 years old can be included in the passport).
  4. Document confirming the payment of the fee.
  5. A copy of your work book. It is not required by law, but some departments may require it, so it is best to have it with you.
  6. For men, a document from the military registration and enlistment office is required.
  7. A document certifying the citizenship of the Russian Federation (passport).

By submitting an application to the FMS, you will not be able to keep the old passport. He surrenders, and after a while you will be given a new one instead.

If you want to enroll your child, you will also need to bring their birth certificate with you. There must be some document confirming Russian citizenship.

Terms of registration

So, when the documents are submitted, it remains to wait for the issuance of a new passport. How long can it take? The law establishes the deadline for issuing a document - one month, if the papers were filed at the place of permanent registration. In the event that the application is submitted at your place of residence, i.e. temporary registration, the period increases to four months.

Submitted documents are subject to mandatory verification using requests. Including the access of a citizen to classified information is checked. As a rule, all verifications do not take more than fourteen days. The FSB deals with this, and only then sends the documents to the FMS, which, in fact, carries out the issuance of passports. Children and military personnel are not subjected to thorough checks.

In addition, there is a reconciliation with the databases of the traffic police, bailiffs for the presence of debts, unpaid fines, and other offenses.

Instead of an afterword

In our article, we tried to cover in detail the issue of filling out a questionnaire for obtaining an old-style passport. We hope that our information will be useful to you, and if necessary, you can easily cope with the application.

On this page you can download the application form for an old-style passport in word format(*.doc):

An example of filling out a questionnaire

In order to apply for a passport, you first need to fill out an application form. Many people who want to fill out the form on their own often make mistakes, because the normative legal framework is being updated.

Below is an example of filling out a questionnaire for obtaining a passport.

  1. Personal data (full name of the Applicant) are indicated. Example (hereinafter italicized), Petrov Petr Petrovich.
  2. Date of birth of the Applicant. June 15, 1981.
  3. The place of birth is indicated in the same way as on a civil passport. Serpukhov, Moscow Region.
  4. The place of residence is indicated. 123450 Serpukhov, st. Pavlova, house 2, apt. 19, tel. 120–22-11.
  5. Citizenship. Is written Russia or RF.
  6. Passport number, date and place of issue. 45 00 No. 188429, issued on July 10, 2006 by the 3rd police department of the city of Serpukhov, Moscow Region, subdivision code 660-120.
  7. Explanation of the purpose of obtaining an old-style passport. The phrase is entered in the column: For temporary trips abroad.
  8. Choose one of the proposed options: primary, instead of used, spoiled, lost. Instead of what was lost. (it is necessary to attach a certificate from the police to verify the loss).
  9. The following three items of the sample questionnaire require special attention.. Completely accurate information must be provided. An attempt to hide the reality can lead to irreversible consequences - a refusal to obtain a passport by a state agency.

  10. If, at any stage in the life of the Applicant, there has been access to classified data classified as state secret, it is necessary to name the organization, terms and form of admission and termination to secret sources. Form No. 3 from 2004 to 2007, military unit 12903, Arkhangelsk. It also indicates the presence or absence of contractual obligations. Not really.
  11. Applicants of military age, that is, from 18 to 27, must give an affirmative or negative answer, attaching a military ID or a certificate from the military registration and enlistment office.
  12. If there is a criminal record in the history of the Applicant, it is necessary to indicate this by attaching documents confirming the removal of charges against you or the removal of a criminal record. In the case of being under investigation, the issuance of a passport is not possible.
  13. You must give an affirmative or negative answer.
  14. The field is not filled.
  15. List of places of employment for ten years. Breaks from work up to 1 month. are specified additionally. If there are not enough columns to list all the places of work by the Applicant, then use Annex to the questionnaire .
  16. Information on the previous ORP is indicated (all data of the document if you already had a foreign passport). For example: 45 No. 0045667 issued on September 15, 2000. FMS - 120.
  17. The final paragraph, where the Applicant signs and the date of filling out the questionnaire. Here He confirms that all the data provided by him do not contain false information.

The completed application must be certified by the management at the place of work. The application must be sealed and signed by the head. If the Applicant is a student, then certification is carried out in the dean's office. At the time of filling out the form by persons without a specific occupation, the questionnaire is not certified by anyone. Retired applicants also do not certify the document.

Attention: the certification of the questionnaire for the old-style passport by the Applicant himself or by persons who are related to him is prohibited by law.

The presented sample will help you better understand the issues that arise during the application process.

The application form for an old-style passport, as well as a new one, is filled out either on a computer or by hand in black or dark blue ink, in block letters. Handwriting must be legible. Those items that are duplicated with passport data - it is better to fill out on the basis of a passport so that later there are no misunderstandings when submitting a document. Download questionnaires you can in the section ""

Instructions for filling out the old-style questionnaire

1. Enter your personal data - Last name, first name and patronymic

2. Gender, put a cross "X" in the box, male or female.

3. We write the date, month and year of birth. Example "09/21/1972"

4. In this line, enter the place of birth exactly as it is written in the passport. Example "Mr. Samara

5. If you did not change your last name, then enter "Name did not change (a)". If the surname was changed, then “Until 2000, Petrova, Moscow, Khamovniki registry office.” If the full name was changed repeatedly, all the information will not fit. To do this, today, there is an application for changing personal data, which must be filled out.

6. We write the address of our permanent residence and the date of registration, in the appropriate lines, regardless of your location. If your passport does not have a registration stamp, leave all lines blank.

7. If you have a residence permit in another region, and apply for a passport in Moscow, fill out this item in accordance with the requirements. You have a temporary registration in Moscow, put "X" in the square of the place of residence, and indicate the period of registration. No registration - "X" in the square of the actual location in Moscow.

8. Specify the phone number where you can be contacted

9. Enter your email address (optional)

10. Passport data are indicated. Pay attention to who issued your internal passport. Write in the same way in the questionnaire.

IMPORTANT! Pay close attention to filling out points 11 and 12. If the information is unreliable, you may be denied the issuance of a passport.

11. If you have ever issued a passport, indicate the series, number and date of issue of the previous passport, as well as the organization that issued it.

12. Fill in information about studies and work for the last 10 years. Dates are written in the format MM.YYYY (for example, 12.2001); in the location column, the full address must be indicated (Moscow, M. Dmitrovskaya st., 8).

IMPORTANT! If you have not worked or studied for more than a month, you must indicate this. If you are currently a non-working pensioner, then this must also be reflected in the questionnaire. After the phrase “TEMPORARILY DID NOT WORK (A)” or “TEMPORARILY DID NOT WORK (A) AND DID NOT STUDY (AS)”, or “I AM RETIRED”. The third column indicates the place of permanent registration during this period of time. If, when filling out 14 points, there are not enough lines to list all places of work, then Appendix No. 2a to the questionnaire for an old-style international passport is filled in (download on the website of the FMS of Russia http://www.fms.gov.ru/government_services/passport/)

13. If you want to enter information about children, then you need to fill out this item and the corresponding application (download http://ufms.region73.ru/ufms_new/index.php?option=com_content&view=article&id=972:-14-&catid= 60:2009-09-09-05-53-55&Itemid=158)

Rules for filling out the questionnaire for children

1. In this paragraph, indicate the last name, first name and patronymic of the child.

2. Here you need to put a cross in the square, depending on the gender of the child.

3. Enter your date of birth.

4. Carefully look at the birth certificate or passport (for children from 14 to 18 years old) and indicate the place of birth, exactly as written in the document. For example: St. Petersburg

5. Put the appropriate cross on the change of full name. If there was a change of surname, name, patronymic, indicate the relevant information.

6. Specify the address of permanent residence and the date of registration.

7. Leave blank if documents are submitted at the place of permanent residence. Fill in, in case of submission of documents at the place of registration or actual residence.

8. Data of a birth certificate or passport of a citizen of the Russian Federation (for children from 14 to 18 years old). In the line "Issued by" write strictly in accordance with the identity document. For example: XX-MYu, 784638, 09/08/2010, Khoroshevsky department of the registry office of the Moscow registry office.

9. If the child has or had a foreign passport, the data of the previously issued foreign passport: series, number, date of issue and the authority that issued the passport

IMPORTANT! At the bottom you will see a rectangle where the signature of a child over 14 is put. Don't rush to put it on. The inspector must verify the authenticity of the signature. The child will sign in the FMS department, with an employee of the relevant service. Children under 14 do not sign, this rectangle will remain empty.

ATTENTION! On the reverse side of the questionnaire for a passport, the data of the legal representative are indicated, i.e. one of the child's parents

10. Indicate the last name, first name and patronymic of the legal representative.

11. Put a cross in the box depending on the gender of the applicant.

12. Specify the date of birth of the applicant.

13. Place of birth of the applicant, strictly as indicated in the passport of the Russian Federation.

14. The address of permanent residence and the date of registration are indicated.

15. If the documents are submitted at the place of permanent residence, this item remains empty, if at the place of registration or actual stay, fill in.

16. Specify a contact phone number.

17. Enter an email address (optional).

18. Specify the data of the passport of the Russian Federation of the legal representative. In the line "issued by" it is written strictly as in the passport of a citizen of the Russian Federation.

At the bottom of the questionnaire for an old-style international passport for a child, the date of completion and the signature of the legal representative are put. This must be done when submitting documents, the representative of the relevant service will ask you to sign.

IMPORTANT! After filling out the application, it is printed on both sides on one sheet of A4!

The questionnaire is not verified.

If you have any questions about filling out the questionnaire, you can ask them in the heading "". We will always answer your questions and provide qualified assistance.