Signature must not touch box border lines. 1 FSM form 5001B-REVISED form 5001A FSM PASSPORT APPLICATION form Applicant must complete this form and forward it to the Division of Immigration & Labor, Department of Justice, FSM National Government, Palikir, Pohnpei FM 96941 PLEASE FOLLOW INSTRUCTIONS Type of PASSPORT: Ordinary Official Diplomatic Applicant Information Name: Last Name Middle Initial First Name. Height: _ Feet _Inches Hair Color_ Eye Color _ Birth Place: _ Home Address:_ Current Postal Address:_ Email Address _ Phone Number _ Have you ever been issued a foreign PASSPORT or FSM PASSPORT ? Yes No If yes, country of issuance, date issued and PASSPORT number_ Basis of FSM citizen: Birth Naturalization Other means (Provide prove) Father Information Last Name:_ First Name:_ Middle Name: _ Birthdate: _ Birthplace: _ Is your father FSM citizen? Yes No If no what nationality: _ Mother Information Last Name:_ First Name:_ Middle Name:_ Birthdate: _ Birthplace: _ Is your mother FSM citizen?ģ Yes No If no what nationality: _ Signature of Applicant Required (Do not sign in the box for infant and adult who cannot Sign) Please sign within the box. All FSM citizens applying for a visa must use the new form.1 FSM form 5001B-REVISED form 5001A FSM PASSPORT APPLICATION form Applicant must complete this form and forward it to the Division of Immigration & Labor, Department of Justice, FSM National Government, Palikir, Pohnpei FM 96941 PLEASE FOLLOW INSTRUCTIONS Type of PASSPORT : Ordinary Official Diplomatic Applicant Information Name: _ _ _ Last Name Middle Initial First Name Other Names You Have Used:_ Date of Birth: _ Gender Miss Mrs.Ģ Ms. Visa Fee (effective Apto March 31, 2016)ĭouble/Multiple Entry Visa $55 Transit Visa $6 The Japanese Visa Application has been modified and affective March 1st, 2012. Note: The Embassy reserves the right to request for additional documents for further clarification in any cases.

one official visa application form, available at the embassy or you may use application on next page. one 45mm x 45mm passport-type photo taken within previous six months

The following documents must be submitted whatever the purpose of the visit: DOCUMENTS TO BE SUBMITTED WITH VISA APPLICATION When applying for a visa, the applicant must apply in person at the Embassy. Transit Visa is for those who transit to another foreign country via Japan. Temporary Visitor VisaĪ Temporary Visitor Visa is for those who intend to stay in Japan for 90 days or less for such purposes as sightseeing, visiting relatives, friends, etc. Chuukese and Yapese are eligible to apply visa at the Japan Consulate in Guam, but copy of visa application and supporting documents must be submitted first to this Embassy for review prior to applying at the Consulate. The Visa Section of the Embassy of Japan in the Federated States of Micronesia takes care of the issuance of visas to enter Japan. Student Application Form (Please fill the Application Form for Erasmus Students.

Fsm passport application form