Passport application
Request for issuance or exchange of a citizen passport of Ukraine
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Generated document
To [MIA service center]
REQUEST
for issuance (exchange) of a citizen passport of Ukraine
I, [Full name],
date of birth: [date of birth],
place of birth: [place of birth],
registered address: [registered address],
contact phone: [phone],
Tax ID: [Tax ID],
request the issuance (exchange) of a citizen passport of Ukraine.
Reason: [first issuance / reaching 25/45 years / name change / loss / damage / other]
I have been informed about the liability for providing false information.
Attachments:
1. Birth certificate (for first issuance).
2. Previous passport (for exchange).
3. Documents confirming data changes (if applicable).
4. Receipt of administrative fee payment.
5. Photos (if required).
4/12/2026 _______________
(signature)