PAS310 25 May 2024
Application for a
New Zealand Passport
Uruwhenua Aotearoa
Adult
How to contact us
New Zealand: Freephone 0800 22 50 50
Phone +64 4 462 0650
Australia: Freephone 1300 559 535
Phone +61 2 9225 2300
United Kingdom: Phone +44 20 7968 2730
Website: passports.govt.nz
Please call our helpline if you need
any assistance to complete this form
New Zealand: Freephone 0800 22 50 50
Australia: Freephone 1300 559 535
United Kingdom: +44 20 7968 2730
If you have any queries about your application form,
phone the helpline and quote this application number:
TEAR OFF AND KEEP FOR YOUR REFERENCE
Our New Zealand passport
Our passport is valued and respected around the world for its integrity. We ask you to provide a range
of information so that we can maintain its integrity by confirming your identity and entitlement to a
New Zealand passport.
This icon is used when you need to take extra care. The instructions with this icon will help you to understand
whether you need to complete a particular section, or remind you not to miss out important details
.
What you need to complete this application
2 identical recent colour photos of yourself
Someone to act as a witness who is over 16 years of age and has a valid New Zealand passport
The correct application fee and courier cost
Sending original documents
Sometimes we may ask you to send us original documents. In most cases, we only need original documents
if they have been issued outside New Zealand.
We will make it clear by using this icon when you need to send us an original document.
GO ONLINE anytime to apply for a New Zealand passport:
renew an existing or out of date passport
replace a lost, stolen or damaged passport
change the name in your passport
renew a passport in a hurry
No paper, postage or visit to our oce.
The easiest and fastest way to renew your passport is online.
Paper applications take longer as they require extra processing.
USE THIS FORM if you do not have internet access and are 16 years or over and:
you are applying for your first New Zealand passport, OR
your name has changed since your last passport was issued, OR
you are replacing a lost, stolen, or damaged passport, OR
you are replacing your emergency travel document
Go to passports.govt.nz
PAS310 25 May 2024
How to complete this application form
Tear o this guide section to help you to fill in the form. The numbers in this guide will take you
through each step in the form.
READ ALL INSTRUCTIONS CAREFULLY
Fill in this form yourself. You must use your own handwriting. If you cannot fill in this form
yourself because you have a disability or a language diculty, someone else can fill in the form for you.
This person must complete the statutory declaration (in section
8
).
Check you have answered all the questions on this form that relate to you. We can only process
your application if you complete the form accurately. If you miss out any details we may need to
contact you and there may be a delay in processing your application.
This application form will be scanned and processed using computer software. We ask you to follow
the instructions below to improve the accuracy and eciency of our scanning and data capture.
Use a BLACK or BLUE ballpoint pen and complete in your own handwriting
Write in CAPITAL letters inside each box like this
A B C
1 2 3
, NOT like this
a
q
C 7 8 6
Put a line through mistakes like this
A B C
. DO NOT use correction fluid or correction paper.
GUIDE NOTES 1
1
Your personal details
Names
Write the name you want to appear in your passport.
This name must be a name that is ocially registered; for
example, a name by birth, marriage, civil union,
a name changed by statutory declaration or deed poll, or
the name on your citizenship certificate.
Do not use nicknames or names that you are “commonly
known as”.
• Surname or family name is also known as your last
name
• First and middle names are also known as given
names. These are any names you have apart from your
surname
• If you only have one name, write it in the space
provided for surname or family name
• If your name includes a diacritic please contact us for
advice.
Name endorsements
The Department is no longer able to include “also known
as” name endorsements into a passport. If your current
passport contains an also known as name, this will not be
included in your new passport.
If you already have your married name endorsed into
your current passport and want your new passport issued
in this name, then write this name in question 1.
Height and eye colour
Height and eye colour is important information. We can
not process your application without it.
•
Write your height in centimetres
•
Choose an eye colour that is closest to your own, such
as brown, blue, green, grey, hazel or black.
Gender diverse (X)
While New Zealand travel systems recognise “X” gender
passports, some international travel authorisation systems
and e-Gates may not, you may still be asked to provide
your gender information as either male or female when
travelling.
You may want to check with the embassy or high
commission of any country you wish to visit or transit
through to enquire about any entry requirements.
For more information, please visit our website,
passports.govt.nz/what-you-need-to-renew-or-apply-
for-a-passport/information/.
Changing your gender identity
If you would like your passport issued in a gender that
is dierent to your birth record, citizenship record
or previous passport, write your preferred gender in
the changing gender identity section of the passport
application form.
The Department of Internal Aairs reserves the right
to request the return of your previous passport for
cancellation.
2
Your entitlement to a New Zealand passport
Only New Zealand citizens are entitled to a New Zealand
passport. The information you give us will help us confirm
that you are a New Zealand citizen.
Born in New Zealand
If you were born in New Zealand tick this option to
indicate your entitlement.
Born in Niue, the Cook Islands or Tokelau
If you were born in Niue, the Cook Islands or Tokelau, you
are entitled to a New Zealand passport. You will need to
PAS310 25 May 2024
send us your original birth certificate if you are applying
for a passport for the first time.
New Zealand citizenship by grant or descent
If you were born outside New Zealand and have obtained
New Zealand citizenship either by grant or by descent, fill
in your name and citizenship certificate number in the
spaces provided.
If you believe you are entitled to citizenship but have
not obtained a citizenship certificate, you will need to
contact the Citizenship Oce (You must determine your
citizenship status through the New Zealand Citizenship
Oce before we can issue you with a New Zealand
passport. Visit citizenship.govt.nz for more information).
Entitlement for another reason
If you believe you are entitled to a New Zealand passport
for any other reason, please send us documents to
support your claim.
3
Names at birth
To confirm that you are entitled to a New Zealand
passport, we need to know your name at birth. We also
need to know your parents’ names that appear on your
birth certificate and your mother’s name at her birth.
If you were legally adopted, write the names of your
adoptive parents and the names you were given after
adoption.
This information should match what is written on your
birth record.
Your home address
This is the place where you are currently living. Do not
give a box or bag number, or a ‘care of’ (c/-) address.
Your contact details
We need your contact details in case we have questions
about your application or if we need to contact you
about your passport. Write in phone numbers and an
email address so we can contact you.
Example of how to write your phone number:
+
0
6 4
0 4
4 7 4 8 1 0 0
COUNTRY CODE AREA CODE PHONE NUMBER
Your delivery address
• If you want your passport delivered to a home address
in New Zealand, someone must be at home to sign for
it. If there is no one at home to sign for it, you will
need to organise a redelivery
• If you want your passport delivered to a business, write
the name and the address of the business
• If you want your passport delivered by international
courier you must provide a street address, not a
Post Box number.
5
Your previous New Zealand passport or other
New Zealand travel document
If you have ever had a New Zealand passport or other
New Zealand travel document, you must fill in this
section.
New Zealand passport
You are not required to send your previous New Zealand
passport in with your application.
WARNING: Once your passport application has
been received, your old passport will be cancelled
immediately and cannot be used for travel. Anyone
attempting to travel on a cancelled passport will be
refused travel.
Other New Zealand travel document
You are required to send us your previous New Zealand
refugee travel document, certificate of identity or
emergency travel document, with your application
whether it is expired or not. This travel document will be
cancelled and retained by the Passport Oce.
Emergency travel document
If you are applying for a replacement of your emergency
travel document, please complete this form in full
and send your emergency travel document with your
application.
If your travel document has been lost or stolen, fill in
section
9
.
The Department of Internal Aairs reserves the right
to request the return of any travel document from the
holder at any time.
6
Name change by marriage or civil union
If you have changed your name by marriage or civil
union and you want this name to appear in your
passport, you must fill in this section.
We need details of all your marriages or civil unions. Fill
in the form starting with the most recent. The form has
space for your two most recent marriages or civil unions.
If you have had more than two marriages or civil unions,
write the details on a separate piece
of paper and send it with this application form.
If any of these marriages or civil unions took place
outside New Zealand, send the original certificates
to us with this application form.
7
Name change by statutory declaration or
deed poll
If you have ever changed your name by statutory
declaration or deed poll, you must fill in this section.
Begin by filling in your most recent name change. If you
have changed your name more than twice, write the
details on a separate piece of paper and send it with this
application form.
For any name changes made outside New Zealand,
you need to send us the original documents with this
application form.
If you were born overseas, you need to send us original
name change documents for any name change registered
in New Zealand before 25 January 2009.
GUIDE NOTES 2
PAS310 25 May 2024
8
Statutory declaration
What is a statutory declaration?
A statutory declaration is a written statement
declaring something to be true in the presence
of an authorised witness.
Will I need to complete this section?
Filling this application in yourself
If you are filling in this application yourself, complete
the statutory declaration only if any of the following
apply to you:
• you are wearing a head covering or headband in your
passport photos for medical or religious reasons
• you wish to provide additional information, or an
explanation, about your application
Tick the declaration statement that applies to you.
Write your name, residential address and contact details.
Provide additional information as necessary.
You will need to find an authorised witness before you
sign and date the declaration.
Filling in this application for someone else
If you are filling in this application for someone else,
you need to complete the statutory declaration.
You will need to explain why the applicant cannot
complete the form themselves.
You can only fill in this form for someone else if
that person has a disability or a language diculty
preventing them from completing the form.
Tick the declaration statement “I have completed this
form for someone else aged 16 years or over because
they have a disability or language diculty”.
Tick any of the other declaration statements that
relate to the applicant:
• the applicant is wearing a head covering or
headband in their passport photos for medical
or religious reasons
• the applicant wishes to provide additional information,
or an explanation, about their application.
Write your name, residential address and contact
details in this section (not those of the person applying
for the passport).
You, the person filling in the form for the applicant,
will need to find an authorised witness before you sign
and date the declaration.
Who can be an authorised witness for a statutory
declaration?
The witness for a statutory declaration must be one of
the following:
• Justice of the Peace
• Member of Parliament
• Lawyer
• Registered Legal Executive (Fellow of NZILE)
• Government ocer authorised to take statutory
declarations.
When you have found a witness, you may need to make
an appointment with them and take your application
form with you.
You must sign and date the statutory declaration
section in front of the witness, and then the witness
must sign to confirm that you have signed the
declaration in front of them.
9
Declaration for a lost, stolen or damaged
passport, or other New Zealand travel document
Fill in this section only if your most recent passport
or other travel document has been lost, stolen or
damaged and you are applying for a replacement.
The declaration must include details of how, when and
where the passport was lost, stolen or damaged.
If your passport has been lost, stolen or damaged and
you do not wish to apply for a replacement passport
immediately, you must notify the New Zealand Passport
Oce as soon as possible so your passport can be
invalidated and cannot be used for travel. Please
contact your nearest New Zealand Passport Oce for
advice on how to do this.
If your passport has been lost, stolen or damaged
outside New Zealand, and you require assistance or
advice on how to obtain an emergency passport, please
contact the nearest New Zealand Passport Oce, New
Zealand Embassy or High Commission.
The loss or theft of a passport or travel document is a
serious matter. If your passport or travel document has
been lost or stolen, processing may take longer as we
may need to make further enquiries.
10
Your emergency contact
Give us the name and contact details of a person who
can be contacted in emergency situations.
If you have an accident, become sick, or are involved in
an incident while you are travelling overseas, someone
can be contacted on your behalf. We recommend that
you choose a person who is not likely to be travelling
with you.
11
Your applicant declaration
You must sign this declaration if:
•
you have filled in your application form yourself
•
you can sign your own name but someone else has
filled in the application form for you.
If you cannot sign your own name, then the person
who filled in the application form for you should
complete and sign the statutory declaration. In this
case, leave this section unsigned.
GUIDE NOTES 3
PAS310 25 May 2024
12
Witness section
Please get your witness to read this section of
the guide notes before they fill in section
12
.
Your witness
Your witness must fill in this section in their own
handwriting and write your name on the back of one
photo and sign and date the back of the photo.
Your witness must write in CAPITALS and cross out
any mistakes.
Who can be your witness?
Your witness must:
• have a valid New Zealand passport
• have known you for 1 year or more
• be 16 years of age or older
• not be related to you or part of your extended family
group
•
not be your spouse or partner
•
not live at the same address as you.
Your witness needs to provide their passport number,
name, date of birth and contact details, including a
day-time phone number.
Your witness writes on the back of one photo
Your witness must write your full name, their own
signature and the date on the back of one photo.
A business that takes passport photos will usually
supply one photo with a pre-printed label on the back.
Witness declaration
Your witness must sign the declaration and date it to
show they understand their obligations under the law.
Photos – getting passport quality photos
Provide 2 identical colour photos that are less than
6months old and send them with this application. Do
not staple or paperclip the photos to the application
as this will damage them and we may not be able to
use them in your passport.
New technology has been introduced to scan your
photos and ensure that they meet international travel
standards. We strongly recommend that you obtain
your photos from a business that provides a passport
photo service, as the business will help ensure that
your photos meet our requirements.
Photographs that do not meet our requirements will
NOT be accepted and this will delay the issue of your
new passport.
To help you avoid some of the most common problems
with photo quality, we have summarised the main
requirements below and provided some sample photos.
If you need more detailed information about photos,
visit our website passports.govt.nz or phone us
at the contact numbers listed on the front cover of
these guide notes.
Photographic image requirements
Photo age
• photos must be less than 6 months old.
Photo size
• standard size 35mm x 45mm.
Head size
• head, including hair, should fit within the oval
shown in the template below
• maximum size of head, including hair, must be
80% of photo
• head must be centred, with a clear gap around the
sides and top of the head, including hair.
GUIDE NOTES 4
35mm (width)
45mm
(height)
Actual photo size
35mm
(80%)
3mm Gap
EYES BETWEEN
28mm (80%)
Actual head size
(including hair)
PAS310 25 May 2024
GUIDE NOTES 5
Paper quality
• use high quality, high resolution photo paper
• you can also use colour film or low gloss coated
thermal papers as long as the printer is high
resolution
• DO NOT use matt paper, heavy-backed thermal paper
or an ink-jet printer.
Photo quality
• photo must be a true image, not altered in any way
• photo must be in focus, with no red-eye and no
reflected light on the face.
Background
• the background must be plain and light, but
not white
• there must be strong contrast between image and
background, with no shadows.
Pose
• face the camera straight on, with your head straight,
eyes open and mouth closed
• maintain a neutral expression, not smiling or
frowning
• ensure you have no hair across your face or eyes as
eyes must be clearly visible.
Glasses
• eyes must be clearly showing through glasses, with
no reflection
• remove glasses with heavy-rimmed frames
• do not wear sunglasses, or glasses with tinted lenses
that obscure your eyes.
Head covering or headband
• no head covering or headband should be worn in the
photo, unless you must wear either for religious or
medical reasons. In this case you must complete the
statutory declaration at section
8
of the form.
Photographic image requirements — examples
Please note that these example photos are not actual size.
Head size and facial expression
Acceptable
Unacceptable
Head too big Expression not
neutral
Glasses, head covering, scarves and hair
Acceptable
Frames too heavy Frames obscuring
eyes
Unacceptable
Acceptable
Light reflection
on lenses
Tinted lenses
obscuring eyes
Unacceptable
Acceptable
Scarf covering chin/
edges of face
Face partially
covered by
head covering
Unacceptable
Contrast and lighting
Acceptable
Shadows on
background
Contrast too dark
Unacceptable
PAS310 25 May 2024
GUIDE NOTES 6
14
Send your application to us
Send us your application.
We recommend you send your application to us by courier so you can track delivery.
NEW ZEALAND
Post to:
New Zealand Passport Oce
Department of Internal Aairs
PO Box 1568
Wellington 6140
New Zealand
Courier only to:
New Zealand Passport Oce
Department of Internal Aairs
Level 2, 7 Waterloo Quay
Pipitea
Wellington 6011
New Zealand
AUSTRALIA
Post to:
New Zealand Passport Oce
Department of Internal Aairs
GPO Box 365
Sydney NSW 2001
Australia
Courier to:
New Zealand Passport Oce
Department of Internal Aairs
Level 22, 20 Bond Street
Sydney NSW 2000
Australia
UNITED KINGDOM
Post or courier to:
New Zealand Passport Oce
Department of Internal Aairs
1 Pall Mall East
London SW1Y 5AU
United Kingdom
OTHER COUNTRIES
If you live outside New Zealand, Australia, or the United Kingdom, either post or courier your application to the New Zealand
Passport Oce nearest you.
Alternatively, contact your nearest New Zealand Embassy or High Commission to see if you can submit your application via
their oce for an additional fee. NB Not all oces provide this service.
To find the contact details of your nearest New Zealand High Commission or Embassy visit mfat.govt.nz.
Passports Act 1992, Section 4(3)(b)
Under the terms of the Passports Act 1992, the Minister may refuse to issue a New Zealand passport where:
• there is in force a warrant issued in New Zealand for the arrest of the applicant
• the applicant is on bail or is subject to a community-based sentence under subpart 2 of Part 2 of the Sentencing Act 2002; or
• a sentence of home detention under subpart 2A of Part 2 of the Sentencing Act 2002; or
• is released under subpart 2 of Part 1 of the Parole Act 2002; or
• the applicant is required by an order made by a New Zealand court to refrain from obtaining a passport or to surrender a
passport; or
• the applicant is subject to an order made by a New Zealand court that requires the applicant, or the eect of which requires
the applicant to remain in New Zealand; or
• the applicant is subject to a sentence imposed by a New Zealand court, the eect of which requires the applicant to remain
in New Zealand.
Privacy statement
The information we ask for as part of your New Zealand passport application is needed to confirm your identity and eligibility
to be issued a New Zealand passport. The information collected is required to process your application for a New Zealand
passport under the Passports Act 1992.
We may use information sharing agreements, authorised by law, to obtain information from other sources (such as the Citizenship
Oce and Births, Deaths and Marriages) to establish your identity and confirm your eligibility for a New Zealand passport.
Depending on where your New Zealand passport is being delivered, we will provide your email address and contact phone
number to our trusted courier providers. This will allow them to provide you with your tracking number and contact you if
there are any issues with delivery. You can find a current list of our courier providers at passports.govt.nz.
For delivery within the United Kingdom your email address and contact phone number will only be used if there are any issues
with delivery. You will not receive a tracking number.
The Department may, under a written agreement between the Secretary of Internal Aairs and the Chief Executive of the
organisation requesting the information, share information from your passport records with an organisation that requires
the information to facilitate the processing of passengers, verify the identity of a holder of a travel document, or determine
whether a person is a New Zealand citizen. This information sharing is authorised under the Passports Act 1992 and the Privacy
Act 2020. More information can be found at dia.govt.nz.
The information that may be shared includes, but is not limited to, the information recorded in your passport, the status of your
passport, the Department’s passport database key number, and other information relating to your passport that may be required.
You have a right to access and request a correction of any personal information collected under the Privacy Act 2020.
PAS310 25 May 2024
GUIDE NOTES 7
Checklist
Have you checked your application form and ensured it has been correctly completed?
Have you included the correct payment for your application?
Have you signed the declarations in sections
8
and
9
if applicable?
Have you signed the applicant declaration in section
11
of your application form?
Have you supplied 2 identical recent colour photos of yourself?
Has your witness completed section
12
and signed the back of one photo?
Have you supplied all required
documents
where asked?
Will you need to send any documents
with this application?
Please check the following table to see whether you need to send any original documents with your application form.
DO NOT send photocopies or certified photocopies. All original documents will be returned to you with your passport.
2
Your entitlement to a New Zealand passport
Born in New Zealand -
No document required
Born in Niue, the Cook Islands or Tokelau
Your original birth certificate
(showing place of birth and parents’ names)
New Zealand citizenship by grant or descent -
No document required
Entitlement for another reason
Any documentary evidence that supports your claim
5
Your previous New Zealand passport or other New Zealand travel document
If you hold a New Zealand passport -
No document required
If you hold a New Zealand refugee travel document,
certificate of identity or emergency travel document
Your New Zealand refugee travel document, certificate of
identity or emergency travel document
6
Name change by marriage or civil union
Marriage or civil union registered in New Zealand -
No document required
Marriage or civil union registered overseas
Your overseas marriage certificate or overseas
civil union certificate
7
Name change by statutory declaration or deed poll
Born in New Zealand and name changed in
New Zealand
-
No document required
Name changed overseas
Your original name change document
Born overseas, name changed in New Zealand
on or after 25/01/2009
-
No document required
Born overseas, name changed in New Zealand
before 25/01/2009
Your New Zealand name change by statutory declaration or
deed poll
Please note that in some circumstances where the table shows ‘No document required’ we may need to contact you for further
information or original documents if we are unable to verify your details by computer.
Detach the Guide Notes here
PAS310 25 May 2024
1
Your personal details
Write your full name
Surname or family name
First and middle names
Write your place of birth
City or town you were born in
Country you were born in
Write your date of birth / /
e.g.
2 9
/
0
9
/
1
9 6 8
Tick your gender Male Female Gender X See page 1 of the guide notes
Write your height (centimetres)
Write your eye colour
e.g. BROWN, BLUE, GREEN, GREY, HAZEL, BLACK
2
Your entitlement to a New Zealand passport
Tick only one of the boxes below
I was born in New Zealand
I was born in Niue, the Cook Islands or Tokelau
If you were born in Niue, the Cook Islands or Tokelau, you will need to
send your original birth certificate
with this application if you are applying for a New Zealand passport for the first time.
I have obtained New Zealand citizenship by grant or descent
Write
your Citizenship Certificate number
Write
all your names exactly as they are on your Citizenship Certificate
Surname or family name (if dierent from section
1
)
First and middle names (if dierent from section
1
)
I am claiming entitlement for another reason
Send us
evidence to support your claim.
Please use a BLACK or BLUE ballpoint pen and write in CAPITAL letters inside each box so that our
computer software can accurately capture your information.
Changing your gender?
Write your new gender here
Application for a
New Zealand Passport
Uruwhenua Aotearoa
Adult
Page 1 of 12
PAS310 25 May 2024
3
Names at birth
Write your mother’s name at your birth
Surname or family name
First and middle names
Write your mother’s name at her birth (maiden name)
Surname or family name
Write your father’s name at your birth
Surname or family name
First and middle names
Write your name at your birth
Surname or family name (if dierent from section
1
)
First and middle names (if dierent from section
1
)
4
Your contact and delivery details
Write your home address
Unit and/or house number Street name
Suburb
City or town Postcode
State Country
Write your contact details
Home
phone
+
Work
phone
+
COUNTRY CODE AREA CODE PHONE NUMBER COUNTRY CODE AREA CODE PHONE NUMBER
Mobile
phone
+
e.g.
+
0 6 4
0
2 1
1
2 3 4 5 6 7 8
COUNTRY CODE CARRIER CODE PHONE NUMBER
Please write your email address in CAPITAL letters so that our computer software can accurately capture your information.
Email
@
Page 2 of 12
PAS310 25 May 2024
Write the address you want your passport delivered to if dierent from your home address
If you want your passport delivered by international courier, you must provide a street
address, not a Post Box number.
Business name (if required)
Unit and/or house number Post Box number Post Box holder name
OR
Street name
Suburb
City or town Postcode
State Country
5
Your previous New Zealand passport or other New Zealand travel document
Fill in this section if you have ever had one of the following documents issued by the
New Zealand Department of Internal Aairs.
Tick the box below that applies to your most recent document
New Zealand passport
New Zealand refugee travel document
New Zealand certificate of identity
New Zealand emergency travel document
Write in the number and your names exactly as they appear in your most recent New Zealand
passport or other New Zealand travel document
Document number
Surname or family name
First and middle names
Send us
your most recent New Zealand refugee travel document, New Zealand certificate of identity or New Zealand
emergency travel document with this application. If your document has been lost or stolen fill in section
9
.
If your most recent document is a New Zealand passport, you do not need to send it to us.
WARNING
Once your application has been received your old passport will be cancelled
immediately
and cannot be used for
travel. Anyone attempting to travel on a cancelled passport will be refused travel.
Page 3 of 12
PAS310 25 May 2024
6
Name change by marriage or civil union
Fill in this section if the name you entered in section
1
as the name you want to appear in your
passport is a name that was acquired by marriage or civil union. Otherwise leave this page blank.
We need details of ALL your marriages or civil unions.
Details of your most recent marriage or civil union
Tick one box
Marriage Civil union
Write the details of this marriage or civil union
Surname or family name
before
this marriage or civil union
Date of marriage or civil union City or town
/ /
Country
Your spouse’s or partner’s surname
Your spouse’s or partner’s first names
Details of your second most recent marriage or civil union
Tick one box
Marriage Civil union
Write the details of this marriage or civil union
Surname or family name
before
this marriage or civil union
Date of marriage or civil union City or town
/ /
Country
Your spouse’s or partner’s surname
Your spouse’s or partner’s first names
Send us
the original marriage or civil union certificate
for each marriage or civil union
registered outside New Zealand
.
If you have had
more than two marriages or civil unions
, write the details (using the same format) on a separate piece
of paper and send it with this application form.
Page 4 of 12
PAS310 25 May 2024
7
Name change by statutory declaration or deed poll
Fill in this section only if you have ever changed your name by statutory declaration or deed poll.
Otherwise leave this page blank.
Write the details of your most recent name change by statutory declaration or deed poll
Name
changed
from
Surname or family name
before
this name change
First and middle names
before
this name change
Name
changed
to
Surname or family name
after
this name change
First and middle names
after
this name change
Date of name change City or town
/ /
Country
Write the details of your second most recent name change by statutory declaration or deed poll
Name
changed
from
Surname or family name
before
this name change
First and middle names
before
this name change
Name
changed
to
Surname or family name
after
this name change
First and middle names
after
this name change
Date of name change City or town
/ /
Country
Send us
the original name change document if your name change was
done outside New Zealand
.
Send us
the original name change document if you were
born overseas
and your name change was registered
in New Zealand before 25 January 2009
.
If you have had
more than two name changes by statutory declaration or deed poll
, write the details
(using the same format) on a separate piece of paper and send it with this application.
Page 5 of 12
PAS310 25 May 2024
8
Statutory declaration Read section
8
of the guide notes before you complete this section.
Fill in this section only if one of the following is applicable. Otherwise leave this page blank.
• you are completing this application on behalf of someone else aged 16 years or over
• you wear a head covering or headband in your passport photos for religious or medical reasons
• you wish to provide, or have been requested to provide, additional information.
This statutory declaration must be signed in the presence of either a Justice of the Peace, a lawyer, a Legal Executive
(fellow of NZILE), a Member of Parliament or a government ocer who has authority to take statutory declarations.
Statutory declaration
If you are completing this application on your own behalf, tick any boxes that apply.
I declare that
I wear a head covering or headband in the supplied photo for medical or religious reasons.
I wish to provide additional information to the Department of Internal Aairs
.
If you are completing this application for someone else, tick the first box below. Then tick any of the following boxes
if they apply to the person you are completing the form for.
I declare that
I have completed this application form for someone else aged 16 years or over because they have a disability
or language diculty.
The applicant wears a head covering or headband in the supplied photo for medical or religious reasons.
The applicant wishes to provide additional information to the Department of Internal Aairs.
Provide additional information or explanations for your selected declarations here
If you do not have enough space, write further details on a separate piece of paper and send it to us with this application.
Ensure that both you and your authorised witness sign each separate piece of paper.
Write your name and contact details here
Full name
Residential
address
Home
phone
+
Mobile
phone
+
COUNTRY CODE AREA CODE PHONE NUMBER COUNTRY CODE CARRIER CODE PHONE NUMBER
I make this declaration believing it to be true by virtue of the Oaths and Declarations Act 1957.
Sign your declaration
in front of an
authorised witness
Declared at Date signed
/
/
Authorised witness sign here
OFFICIAL STAMP
Please tick your title
Justice of the Peace
Legal Executive (NZILE) Lawyer
Member of Parliament Government ocer
WARNING: It is an oence to make
a statement which is false in any
particular for the purpose of gaining
a New Zealand passport. If a New
Zealand passport is obtained by fraud,
false representation or the concealment
of any material fact, it can be cancelled
and the person concerned can, by law,
be fined or imprisoned, or both.
Page 6 of 12
PAS310 25 May 2024
Declaration
I declare that the information above is correct.
I acknowledge that in notifying the loss, theft or damaged of my
passport or travel document to the Passport Oce or to a New
Zealand Embassy, High Commission or Consulate, that it will be
permanently cancelled and rendered unusable.
WARNING: Once you declare your passport lost, stolen or
damaged, it cannot be used for travel. It will be cancelled
immediately and Interpol and border authorities will be advised.
Anyone attempting to travel on a passport that has been lost,
stolen or damaged will be refused travel. It is an oence against
the Passports Act 1992 to knowingly or recklessly make a false
statement to obtain another passport. To do so may result in a
fine, imprisonment, or both.
Sign your declaration here
Date signed
/ /
8
Statutory declaration Read section
8
of the guide notes before you complete this section.
Fill in this section only if one of the following is applicable. Otherwise leave this page blank.
• you are completing this application on behalf of someone else aged 16 years or over
• you wear a head covering or headband in your passport photos for religious or medical reasons
• you wish to provide, or have been requested to provide, additional information.
This statutory declaration must be signed in the presence of either a Justice of the Peace, a lawyer, a Legal Executive
(fellow of NZILE), a Member of Parliament or a government ocer who has authority to take statutory declarations.
Statutory declaration
If you are completing this application on your own behalf, tick any boxes that apply.
I declare that
I wear a head covering or headband in the supplied photo for medical or religious reasons.
I wish to provide additional information to the Department of Internal Aairs
.
If you are completing this application for someone else, tick the first box below. Then tick any of the following boxes
if they apply to the person you are completing the form for.
I declare that
I have completed this application form for someone else aged 16 years or over because they have a disability
or language diculty.
The applicant wears a head covering or headband in the supplied photo for medical or religious reasons.
The applicant wishes to provide additional information to the Department of Internal Aairs.
Provide additional information or explanations for your selected declarations here
If you do not have enough space, write further details on a separate piece of paper and send it to us with this application.
Ensure that both you and your authorised witness sign each separate piece of paper.
Write your name and contact details here
Full name
Residential
address
Home
phone
+
Mobile
phone
+
COUNTRY CODE AREA CODE PHONE NUMBER COUNTRY CODE CARRIER CODE PHONE NUMBER
I make this declaration believing it to be true by virtue of the Oaths and Declarations Act 1957.
Sign your declaration
in front of an
authorised witness
Declared at Date signed
/
/
Authorised witness sign here
OFFICIAL STAMP
Please tick your title
Justice of the Peace
Legal Executive (NZILE) Lawyer
Member of Parliament Government ocer
9
Declaration for a lost, stolen or damaged passport or other travel document
Fill in this page only if your New Zealand passport or New Zealand travel document from section
5
has been lost, stolen or damaged. Otherwise leave this page blank.
Tick one box to show which document has been lost, stolen or damaged
Passport Refugee travel document Certificate of identity
Tick what happened to the document
Lost Stolen
Date lost or stolen?
/ /
Explain where and how the document was lost, stolen or damaged
Write in as many details as possible. Include the address where the loss, theft or damaged occurred.
Send us
a separate piece of paper with further details if you have run out of space to write on this page.
Write the passport or travel document number, and the place and date of issue, if you know these
Number Place it was issued
Date it was issued
/ /
Write your name and date of birth as they appeared in the passport or travel document
Surname or family name
First and middle names
Date of birth
/ /
Page 7 of 12
PAS310 25 May 2024
10
Your emergency contact
Write the name and contact details of a person who can be contacted in case of emergency
Surname or family name
First and middle names
Write their address and contact details
Unit and/or house number Street name
Suburb
City or town Postcode
State Country
Home
phone
+
Daytime
phone
+
COUNTRY CODE AREA CODE PHONE NUMBER COUNTRY CODE AREA CODE PHONE NUMBER
Email
@
11
Your applicant declaration
Tick one box
I have completed this application myself.
Someone else has filled in this application for me because I have a disability or language diculty.
If someone else has filled in this application for you but you are able to sign your own name, you must sign this section.
If you are unable to sign your own name, the signature in this section must be left blank. The person who filled in the
application form for you must not sign this section but must sign the statutory declaration in section
8
.
I declare that the information I have given in this application is, to the best of my knowledge, true, complete and correct.
I understand that if I have provided false information my passport can be cancelled and I can, by law, be fined or
imprisoned.
I confirm that I have read the section relating to Privacy in the guide notes for this application.
I agree that, for the purposes of this application, other government agencies may release personal information about
myself which will assist the Passport Oce in determining my entitlement to be issued with, or continue to hold, a
NewZealand passport.
I confirm that I have read the section relating to section 4(3)(b) of the Passports Act 1992 in
the guide notes, and I declare that I am not subject to any of the matters listed in that section,
that there is no court order, sentence, or other condition that may prevent the issue
of a passport to me under the Passports Act 1992.
I understand that if I use, or have possession of, a forged or false New Zealand
travel document, I may be liable on conviction to imprisonment for a term not
exceeding 10 years, a fine not exceeding NZ$250,000, or both.
WARNING: It is an
oence against the
Passports Act 1992 to
knowingly or recklessly
make a statement that
is false or misleading in
a material particular for
the purposes of gaining a
New Zealand passport.
Date signed
/ /
Sign your applicant declaration here
Page 8 of 12
12
Witness section
Before completing this section the witness must read section
12
of the Guide Notes. The
witness must fill in this section and complete the details on the back of one photo.
Tick this box to make sure you can be a witness
I hold a valid New Zealand passport AND the applicant is not related to me AND we do not live at the same
address
Write your New Zealand passport number
Write how many years you have known the applicant
years
Write your name
Surname or family name
First and middle names
Write your date of birth / /
Write your address and contact details
Unit and/or house number Street name
Suburb
City or town Postcode
State Country
Home
phone
+
Daytime
phone
+
COUNTRY CODE AREA CODE PHONE NUMBER COUNTRY CODE AREA CODE PHONE NUMBER
WARNING: It is an oence against the Passports Act 1992 to knowingly or recklessly make a false statement to help anyone get a passport.
Signature
of witness
Date signed
/ /
ATTACH
PASSPORT
PHOTOS
HERE
Ensure your photo
has been correctly
witnessed to avoid
delays in processing.
I declare that
I am 16 years of age or over.
I have known the applicant for more than 1 year.
The information I have given is in my own handwriting and
complete and correct to the best of my knowledge.
The person in this photo is the person named in section
1
.
I have written the full name of the applicant, signed my name and
written the date on the back of one photograph.
I understand that if I have provided false information, this passport
can be cancelled and I can, by law, be fined or imprisoned.
ATTACH
PASSPORT
PHOTOS
HERE
Do not staple, glue or
paperclip photos to the
application as this may
cause damage.
PAS310 25 May 2024
Page 9 of 12
PAS310 25 May 2024
OFFICE USE ONLY
13
Application fees and payment
You will be charged the following:
• application fee — based on the level of service you select below, plus
• courier cost — based on your delivery address.
To find out your application fee and courier cost, refer to the tables on pages 11 and 12 of this
application, visit passports.govt.nz or phone your nearest Passport Oce.
Tick the level of service you want
Standard — for current processing timeframes, visit passports.govt.nz/passport-timeframes
Urgent — up to 3 working days
Callout — by phone appointment only
Tick the method of payment you want
Credit, debit or prepaid card (for example, Prezzy card) Complete payment card details section on page 11.
EFTPOS (in person only)
Do not send cash, cheques, money orders or card.
14
Send your application to us
Send us your completed application form by courier or post.
Refer to the guide notes section
14
to find the New Zealand Passport Oce nearest to you.
Supporting Documents Previous Travel Documents Requested Passport Type
IN NPC NTW O/S IN EC BTA NTW DIP OFF ADD
BC
NZPPT
MC NZDIP
CUC NZOFF
Cit/Des RTD
IN DEP O/S
NCDoc
COI Cit
GDoc ETD BDM
POrd Foreign
Let C/use
Other
IN CA HC NOF TBI IC RBDB HFETDR
Photos x2
Date received:
Completed by:
Approved by:
Payment witnessed by:
Other Products
Page 10 of 12
PAS310 25 May 2024
Funds must be available in your account when your application arrives or it will be delayed.
Tick
card type
Visa MasterCard AMEX Debit card
Card number
- - -
Card expiry date
/
If you are making payment with a credit card at our UK oce
include the CSV number
(last 3 or 4 digit number of the reverse side of the card)
CSV Number
(Only needed when lodging application in the UK))
Name as it appears on card
Cardholder’s signature
I authorise the Department of Internal Aairs to charge the total amount across to my credit or debit card.
Payment card details
Application fees – eective from 25 May 2024
An Adult passport is valid for a maximum period of 10 years.
You will be charged the application fee based on the level of service you select in
section
13
.
Level of service
Lodged in
New Zealand
Lodged in
Australia
Lodged in the
United Kingdom
Standard service NZD $215.00 AUD $253.00 GBP £133.00
Urgent service (up to 3 working days) NZD $430.00 AUD $506.00 GBP £266.00
Callout service (by appointment only) NZD $871.00 AUD $972.00 GBP £510.00
Application fees must be paid in the currency of the location where you are lodging your application.
Application fees are regulated by the Passport (Fees) Regulations 2015.
As fees are all regulated in New Zealand dollars, from time to time the fees for lodging your application
in Australia or the UK are reviewed to reflect the current exchange rate. The latest review took eect from
25 May 2024.
If you reside outside of New Zealand, and are sending your application to New Zealand for processing,
we will exclude the GST amount from the above New Zealand application fees. Please note that courier
cost applies.
See over for courier costs
Page 11 of 12
PAS310 25 May 2024
Courier costs
You will be charged a courier cost based on the delivery address in
section
4
.
Delivery destination
Paper application
lodged in
NewZealand
Paper application
lodged in
Australia
Paper application
lodged in
theUnitedKingdom
New Zealand NZD $5.00
(including GST)
Lodge your
application online
or in NewZealand
Lodge your
application online
or in NewZealand
Australia NZD $13.00 AUD $12.00 Lodge your
application online
or in Australia
United Kingdom NZD $27.00 Lodge your
application
online or in the
UnitedKingdom
GBP £13.00
Asia Pacific countries NZD $22.00 AUD $20.00 Lodge your
application online
or in NewZealand
or Australia
United States NZD $32.00 AUD $30.00 GBP £16.00
European countries
(excluding the UK and countries
listed below)
NZD $43.00 AUD $40.00 GBP £21.00
Bulgaria, Bosnia and
Herzegovina, Cyprus, Croatia,
Greece, Macedonia, Malta,
Switzerland, Serbia, Libya,
Pakistan, Ukraine
NZD $51.00 AUD $47.00 GBP £25.00
Russia, Iran, Nepal, Belarus NZD $56.00 AUD $52.00 GBP £27.00
Rest of world NZD $45.00 AUD $42.00 GBP £22.00
NOTE:
• If your delivery address is in Libya, Pakistan or Ukraine — please lodge your application online or in the
UnitedKingdom.
• If your delivery address is in Russia, Iran, Nepal or Belarus your passport will need to be delivered to a
NewZealand Embassy or Consular.
• If your delivery address is in Morocco — please contact our London Oce prior to submitting your
application.
Please note that international deliveries may be subject to additional fees and charges, imposed for example
by the courier company and/or customs of the country where your new passport is being delivered to. These
fees and charges must be paid directly by the applicant in the country of delivery and cannot be paid in
advance to the Department.
Page 12 of 12