Representative Vessel

FIRST TIME APPLICATION FOR A JAMAICAN PASSPORT

Consulate General of Jamaica – Miami, FL, USA

1. Last Name

First Name . Middle Name .

2. Present Address

City State Zip Code

3. Telephone Number

4. Education/Schools attended in Jamaica

Schools Address/Parish Year

5. Date Applicant Departed Jamaica 6. Date of Arrival in the USA 7. Name of Vessel traveled on 8. If you traveled on contracted agreement (Farm work, etc) Submit J-Card number

9. Documents used to enter the USA 10. Did you enter the USA on Parents Passport YES NO 11. If you answered YES to Question 10. Name Parents

12. Circumstances under which you departed Jamaica and Arrived in the USA

Signature of Applicant/ Authorized Representative Date of Application

FOR OFFICIAL USE ONLY – DO NOT WRITE BELOW THIS LINE Documents Submitted:-