Your Passport Application

What to do now
Your passport details: Application 2663291843
Miss Annaliese Lintilla Spitzer, Adult First Time, 72.50

PLEASE PRINT OFF THIS DOCUMENT AT ACTUAL SIZE

Thank you for submitting your details and payment for a British passport.
To complete the application please follow the steps below.
If you dont send us the information we need it may delay the application.

1) Declaration Fill in the form on page 3.

For child applications the form must be signed by an adult with

parental responsibility for the child. For children aged 12-15 we need a signature from the child and the adult.

2) Countersignatory Ask a countersignatory to review the application summary in this pack. Ask them to fill
in and sign the countersignatory section on page 3.
3) Supporting Documents Review the document check list. Send us the documents listed. We only accept
original versions. If you were born in the UK we will only accept replacement documents issued by the General
Register Office for England and Wales or Scotland or Northern Ireland, or the local registration service. No
photocopies or laminated documents should be sent unless they are for change of name purposes or unless
stated below. You may need to send us additional documents in the following cases:

Children where a court order is in a place relating to their care

Children where they are looked after by social services
Children where you are not their natural or adoptive parents
Applicants who were adopted abroad
Applicants who were born abroad but adopted in the UK on or before 1 January 1983
Changing the gender on your passport
Applying for a British National (Overseas) passport (provide a colour copy of your Hong Kong permanent ID card)
Applying for a British Protected Person passport
Your claim to British nationality is based on your parents Crown or Community Service
The applicant is unable to sign
You want to have a title shown in your passport

If this applies to you, visit www.gov.uk and search for passports for more information. We may contact you to
request further information after considering your application.

4) Photographs Include two recent identical photos. One signed by your countersignatory where a countersigned
form is requested. Please read the guidance carefully on how your photos should be taken.
5) Post your documents You should only fold your declaration form once then put it with the photos and
supporting documents in an envelope to the following address:

Her Majesty's Passport Office (ONL - UK), PO Box 891, Newport, NP20 9NA

NS5EU

Page 1

of 8

Your Passport Application

What to do now
Continued from previous page
Document Checklist Check you have the following documents in your envelope before sending it to us:
Completed declaration form
Two recent identical photographs
Your full birth or adoption certificate
Any other uncancelled non-British passports relating to you

Evidence of one of your parents' claim to British nationality. Provide one of the following:
the parent's full birth certificate or
the parent's certificate of registration or naturalisation and
if this is your father, his marriage certificate to your mother and evidence of termination of any previous
marriage if applicable.
Evidence of one parents immigration status at the time of your birth
the parents passport at the time of your birth and
if this is your father, his marriage certificate to your mother and evidence of termination of any previous
marriage if applicable.
Change of name evidence. If the name on the documentation you provide is different to the name you want to
have shown on your passport, provide proof of every change of name. Provide at least one of the following for
each change:
Marriage certificate
Civil Partnership certificate
Gender Recognition certificate
Enrolled deed poll
Change of name deed
Certificate of naturalisation or registration
Statutory Declaration or Affidavit
Birth Certificate (upon re-registration)
Certificate from the Court of the Lord Lyon of Scotland
Form PD2 for those about to marry or form a civil partnership
If you are reverting back to your maiden or unmarried name, all of the following are required:
Your birth certificate and
A decree absolute showing both names and
A marriage certificate showing both names and
A signed statement saying that you now use your maiden name for all purposes
If changing the spelling of your name slightly (e.g. Bryan to Brian), changing the order in which your forenames
appear in your passport or dropping a forename, one of the following is also accepted:
Letter from a council or government department
Driving Licence
Bank Statement
Baptismal/Confirmation Certificate.
If the change of name relates to a child, you must provide evidence that everyone who has parental
responsibility for the child has given permission to change the childs name.

NS5EU

Page 2

of 8

Annaliese Lintilla
Spitzer
7b avenue road
Yo125ju
Date of Birth: 14/03/1991

2663291843

Adult First Time

Return this page to: Her Majesty's Passport Office (ONL - UK), PO Box 891

DCCL/01/05/01

Newport, NP20 9NA

Applicant to sign:

Declaration Form

Reminder: It is a criminal offence to make a false statement to get a passport. This covers the information provided
online in application number 2663291843 , on this form, in your supporting documents or any information
provided during the application process. If you are signing on behalf of someone who is unable to sign due to a
physical or mental impairment, you are making this declaration on their behalf and must complete the 'relationship'
boxes below. I declare that:

Date:

I am 16 years or over (or will be within two weeks).

To the best of my knowledge, all the information provided as part of 2663291843
submitted on 23/04/2014 at 12:31 is correct.
I am a British national and have not lost or given up my national status.

I do not owe any money to the UK Government for repatriation or any other form of similar relief.

I, and the intended holder of this passport (if different), am in the United Kingdom and this application does
not break the terms of any court order.
I understand that by voluntarily applying for a British passport, it may result in losing citizenship of another
country.
I understand that I may be required to provide additional information as part of this application for a passport
and that if I fail to meet such requests, this application may be treated as invalid.
Relationship of applicant to intended passport holder
I have read both the relevant guidance associated with this application and the reminder
above and fully understand the consequences of my actions in applying for this passport.

I have stated in my application if I was born of a surrogacy arrangement.

Name of applicant applying on their behalf

NOTE: PLEASE MAKE SURE YOUR SIGNATURE FITS INTO THE BOX.

Countersignature
This section must be completed by the person who is confirming the intended passport holder's identity after they have reviewed
the details submitted with the application.
By acting as a countersignatory, you are verifying that the information in application number 2663291843 is true to the best of
your knowledge. Check the information properly before signing this form.
In addition, you are declaring that the information included on this form about you is accurate and that you qualify to act as a
countersignatory. When we check the details submitted in this application, we also check your details are genuine. This may
include a check of passport records or information held by third parties. We may also contact you to confirm some aspects of
the application. It is a criminal offence to make a false statement to get or help somebody to get a passport. I hold a full current
British or Irish passport (delete as appropriate).

Fill in the following in CAPITAL LETTERS and in BLACK INK.

Mr

Mrs

Miss

Ms

Office Use Only

Nat Cert

SBC

MC

FBC

Photos

PPT

Block Application

or title

(insert your forenames)

Post Opener Number

(insert your surname)

Other Documents

Profession / professional qualifications / position or standing in the community

Your employers name and the address at which you work (or if not applicable, private address) including postcode

Postcode

Contact Telephone Number

Current UK or Irish passport number

Date
D

Years known
D

I confirm that I have read and understood

the reminder above. Countersignatory to
sign:

Page 3

of 8

Countersignature
1/3
Application 2663291843
Information for the Applicant
For this application, you will need to
get another person to confirm that
the information you have submitted is
true. The application summary [below]
lets them see the information you
have given us. The person will need to
fill in and sign the countersignature
part of the declaration form.
In order to act as a countersignatory,
the person must:
have known you personally for at least two years
be a professional person (including those who
are retired) for example bank or building society
officials, police officers, civil servants, ministers
of religion and people with professional
qualifications like teachers, accountants,
engineers, and solicitors.
Not be related to you by birth or by marriage
Not be in a personal relationship with you
(including a same-sex relationship)

Not live at your address

Not be a member of staff at the Her Majesty's
Passport Office.

If the applicant lives and is applying from the UK the

countersignatory must:
Iive in the UK
hold a British or Irish passport which has not run
out
If the applicant lives and is applying from outside
the UK the countersignatory must:
hold a UK, Irish or other EU, US or
Commonwealth passport (in order of preference)
which has not run out. We will be able to process
applications more quickly where the
countersignature has a UK or Irish passport.
not be a commercially employed agent helping
you to apply for a passport.
A full list of examples of those who hold a
professional job or are people of standing in the
community can be found at: www.gov.uk

Information for the Countersignatory

Thank you for agreeing to act as a
countersignatory for a passport
application. As a countersignatory, there
are three things you need to do:

CS1EU

1) Confirm the applicants identity: You must confim

that the information provided by the applicant as
part of application number 2663291843 is
true. The application summary shows the
information that has been provided to us, please
read it.

Page 4 of 8

Countersignature
2/3
Information for the Countersignatory
2) Certify a photograph: You must confirm that the
photograph being submitted with the application
is a true likeness of the applicant. You do this by
writing the following on the back of one
photograph only:
I certify that this is a true likeness of
[Mr, Mrs, Miss, Ms or other title followed
by full name]
Then you should sign the photo and include the
date that you signed it.
3) Complete the countersignature section:
When you have completed these steps, please
fill in and sign the countersignature section.
Put your initials next to any mistakes you make.

Application Summary

Getting started
What type of passport is needed?....................................................................................................................................................................................................................................
First British passport (or renewal of an Old Blue passport)
Where does the applicant live?.........................................................................................................................................................................................................................................
United Kingdom
What we do with your information....................................................................................................................................................................................................................................
I have read and understood the statement above.

Who is the passport for?

Title.....................................................................................................................................................................................................................................................................................
Miss
Other title............................................................................................................................................................................................................................................................................
Not supplied
Surname.............................................................................................................................................................................................................................................................................
Spitzer
First and middle name(s)..................................................................................................................................................................................................................................................
Annaliese Lintilla
Maiden or all previous names (surname first).................................................................................................................................................................................................................
Spitzer Tuesday Hazel Lintilla
Gender................................................................................................................................................................................................................................................................................
Female
Date of birth.......................................................................................................................................................................................................................................................................
14/Mar/1991
Town....................................................................................................................................................................................................................................................................................
Greenwich London
Country (e.g. United Kingdom)..........................................................................................................................................................................................................................................
United Kingdom
Was the applicant a British national at birth?.................................................................................................................................................................................................................
Yes

Annaliese Lintilla Spitzer - Contact details

Country................................................................................................................................................................................................................................................................................
United Kingdom
Postcode / ZIP....................................................................................................................................................................................................................................................................
Yo125ju
Address line 1.....................................................................................................................................................................................................................................................................
7b avenue road
Address line 2.....................................................................................................................................................................................................................................................................
Not supplied
Town/City............................................................................................................................................................................................................................................................................
Scarborough
Deliver the passport to an alternative address?..............................................................................................................................................................................................................
No
Mobile phone number.......................................................................................................................................................................................................................................................
01723350417
Not supplied
Alternative phone number.................................................................................................................................................................................................................................................
Annaliese666@gmail.com
E-mail address....................................................................................................................................................................................................................................................................

Annaliese Lintilla Spitzer - Previous passports

Yes
Has the applicant been included on ANY passport before? ..........................................................................................................................................................................................
None
How many uncancelled passports are you sending us?.................................................................................................................................................................................................
Not supplied
Passport 1..........................................................................................................................................................................................................................................................................
Not supplied
Passport 2..........................................................................................................................................................................................................................................................................
Not supplied
Passport 3..........................................................................................................................................................................................................................................................................

CS1EU

Page 5 of 8

Countersignature
3/3

Annaliese Lintilla Spitzer - Parents' details

Were your parents married?.............................................................................................................................................................................................................................................
Yes
Date of parent's marriage (if known / applicable)...........................................................................................................................................................................................................
Not supplied
Mother or Parent 1
Lewington Amanda
Full name (surname first)..................................................................................................................................................................................................................................................
Mother or Parent 1's place of birth
Middlesbrough
Town...................................................................................................................................................................................................................................................................................
United Kingdom
Country (e.g. United Kingdom)..........................................................................................................................................................................................................................................
26/Oct/1966
Mother or Parent 1's date of birth....................................................................................................................................................................................................................................
English
Mother or Parent 1's nationality at the time of your birth...............................................................................................................................................................................................
Not supplied
Mother or Parent 1's British passport (if known / applicable)........................................................................................................................................................................................
Not supplied
British passport date of issue (if known / applicable)....................................................................................................................................................................................................
Father or Parent 2
Spitzer Dominik
Full name (surname first)..................................................................................................................................................................................................................................................
Father or Parent 2's place of birth
Norwich
Town...................................................................................................................................................................................................................................................................................
United Kingdom
Country (e.g. United Kingdom)..........................................................................................................................................................................................................................................
13/Jun/1969
Father or Parent 2's date of birth.....................................................................................................................................................................................................................................
English
Father or Parent 2's nationality at the time of your birth................................................................................................................................................................................................
Not supplied
Father or Parent 2's British passport (if known / applicable).........................................................................................................................................................................................
Not supplied
British passport date of issue (if known / applicable)....................................................................................................................................................................................................

Annaliese Lintilla Spitzer - Additional information

Not supplied
Braille sticker.....................................................................................................................................................................................................................................................................
Not supplied
Additional information.......................................................................................................................................................................................................................................................

CS1EU

Page 6 of 8

Passport Photo Guidance

1/2
Passport photos are a vital part of your application. If the photos you supply are not
suitable, your passport will be delayed. Please follow the instructions below carefully so
you can get it right first time.

Photo style

Photo quality must

The photo must be of the applicant:

facing forward and looking straight at the camera

in close-up of their face, head and shoulders with
a recommended head height (the distance
between the bottom of the chin and the crown of
the head) of between 29 and 34 millimetres
with a neutral expression and with the mouth
closed (no smiling, frowning or raised eyebrows)
with their eyes open and clearly visible (no
sunglasses or tinted glasses and no hair across
the eyes)
free from reflection or glare on glasses, and
frames must not cover eyes (we recommend
that, if possible, glasses are removed for the
photo)
showing their full head, without any head covering,
unless they wear one for religious beliefs or
medical reasons
with no other objects or people in the photo (this
also applies to a photo of a baby or a young child
and babies should not have toys or a dummy in the
photo)
without shadows on the picture
without anything covering the face nothing
should cover the outline of the eyes, nose or
mouth, and
not showing any red-eye.

be taken against a plain cream or plain light-grey

background
be printed to a high quality, such as photos
printed by a booth or studio (photographs printed
at home are unlikely to be of high enough
quality)
be clear and in sharp focus
be taken within the last month
be in colour on plain white photographic paper
not be torn, creased, or marked, and
not have any writing on the front or back
except when one of the photos needs to be
certified.

Children
Children aged five and under do not need to have a
neutral expression or look directly at the camera.
Babies under one dont need to have their eyes
open. If the babys head needs to be supported, the
supporting hand must not be seen. All other
photograph standards must be met.

Tip: Place your photos in this guide to help

check they are the correct size before sending

Photo size must

be 45 millimetres high x 35 millimetres wide,

the standard size used in photo booths in the UK
(if you are outside the UK not all photo booths
use this standard size), and
not be trimmed or cut down from a larger
photograph to the size of a standard passport
photograph.

PH1EU

Page 7 of 8

Passport Photos
2/2

Approved

Dont look away

from camera

No fashion
hair covering

Approved

No dummies

1 person only
in photo

Approved

Avoid
covering face

Keep hair
off face

Approved

No glare
on glasses

Dont smile

PH1EU

Page 8 of 8