Pptc 153 Form 2017

Read Instructions PROTECTED WHEN COMPLETED - B Adult General Passport Application for Canadians 16 years of age or over applying in Canada or from the USA Warning Any false or misleading statement with respect to this application and any supporting document including the concealment of any material fact may result in the refusal to issue a passport the revocation of a currently valid passport or the refusal of passport services and may be grounds for criminal prosecution. Your application will not be processed if you fail to complete all of the required sections of this form and/or refuse to consent to the exchange or disclosure of any personal information required for the delivery of passport services. I declare that I have read and understood the Warning at the top of this page and the Privacy Notice Statement see section M. I consent to the collection use and disclosure of my personal information by the Passport Program Immigration Refugees and Citizenship Canada other federal government institutions Government of Canada offices abroad and third party entities as outlined in the Privacy Notice Statement in the Instructions. Sign within border Signature see Instructions section H Date Signed at Declaration of Guarantor see Instructions section I Note You must complete and sign all three 3 pages of this application form before requesting that your guarantor complete and sign this section. Canadian passport number Date of issue Relationship to the applicant Date of expiry I have known personally for at least two 2 years. If you are submitting copies and are using form PPTC 132 Statutory Declaration in Lieu of Guarantor the same official who signs the Declaration must also sign and date the copies of the original document both sides to indicate that the original document has been seen. L may be requested to confirm your citizenship. Only official birth documents issued by the vital statistics office for the applicant s province or territory of birth in Canada are accepted. Certain exceptions may apply. More information is available online at Canada.ca/passport. Commemorative documents of citizenship are not accepted. If you require a certificate of Canadian citizenship contact Immigration Refugees and Citizenship Canada Website cic.gc.ca Toll-free in Canada 1-888-242-2100 TTY in Canada for people who are Deaf or hard of hearing M 1-888-576-8502 8 00 a.m. to 4 00 p.m. Eastern Time Privacy Notice Statement All personal information provided on this application form is collected by the Passport Program Immigration Refugees and Citizenship Canada IRCC for the purpose of determining entitlement of the applicant to a Canadian passport and to provide information to the Consular Operations Bureau of Global Affairs Canada in the event that the passport holder requires assistance while travelling abroad. In the performance of those services the personal information is collected used and disclosed under the authority of the Canadian Passport Order and in accordance with the Privacy Act and any other federal laws regulations and policies applicable to the protection of personal information as described in Personal Information Bank PPTC PPD 102 Regular and Official Travel Passports. In the context of the delivery of passport services IRCC and other federal government institutions or Government of Canada offices abroad assisting in the delivery of passport services may exchange personal information. In addition in determining current and ongoing entitlement and to maintain the integrity of the Passport Program all personal information collected is subject to verification and security queries to authenticate identity and citizenship as well as to identify the existence of grounds for refusal to issue a passport the revocation of a currently valid determine whether the individual meets the guarantor requirements. Copies are acceptable provided your guarantor has signed and dated a copy of each document both sides confirming that the original document has been seen. If you are submitting original documents they will be returned to you. If you are submitting copies and are using form PPTC 132 Statutory Declaration in Lieu of Guarantor the same official who signs the Declaration must also sign and date the copies of the original document both sides to indicate that the original document has been seen. L may be requested to confirm your citizenship. Only official birth documents issued by the vital statistics office for the applicant s province or territory of birth in Canada are accepted. Certain exceptions may apply. More information is available online at Canada.ca/passport. Commemorative documents of citizenship are not accepted. If you require a certificate of Canadian citizenship contact Immigration Refugees and Citizenship Canada Website cic.gc.ca Toll-free in Canada 1-888-242-2100 TTY in Canada for people who are Deaf or hard of hearing M 1-888-576-8502 8 00 a.m. to 4 00 p.m. Eastern Time Privacy Notice Statement All personal information provided on this application form is collected by the Passport Program Immigration Refugees and Citizenship Canada IRCC for the purpose of determining entitlement of the applicant to a Canadian passport and to provide information to the Consular Operations Bureau of Global Affairs Canada in the event that the passport holder requires assistance while travelling abroad. In the performance of those services the personal information is collected used and disclosed under the authority of the Canadian Passport Order and in accordance with the Privacy Act and any other federal laws regulations and policies applicable to the protection of personal information as described in Personal Information Bank PPTC PPD 102 Regular and Official Travel Passports. Your place of birth must be provided on the application form. If you do not wish the place of birth to appear in the passport complete and submit form PPTC 077 Request for a Canadian passport without place of birth available online at Canada.ca/passport. Signature You must sign your usual signature on all I A guarantor is a person other than yourself who confirms your identity. A family member or a person who resides at the same address as The guarantor must be a Canadian citizen 18 years of age or over hold a 5-year or a 10-year Canadian passport that is valid or has expired within twelve 12 months of the date the Passport Program receives this application have been 16 years of age or over when the application was submitted for the passport identified in section 2 of this application form have known you the applicant personally for at least two 2 years. If your proof of citizenship does not show a complete date of birth the specific year month and day of your birth will be entered as shown on your supporting identification. Provide original supporting identification showing that date of birth or copies signed and dated by your guarantor. Your place of birth must be provided on the application form. If you do not wish the place of birth to appear in the passport complete and submit form PPTC 077 Request for a Canadian passport without place of birth available online at Canada.ca/passport. Signature You must sign your usual signature on all I A guarantor is a person other than yourself who confirms your identity. Complete if different from the surname last name to appear in the passport for the Passport Program Immigration Refugees and Citizenship Canada information only it will not appear in the passport. If your proof of citizenship does not show a complete date of birth the specific year month and day of your birth will be entered as shown on your supporting identification. Provide original supporting identification showing that date of birth or copies signed and dated by your guarantor. Your place of birth must be provided on the application form. If you do not wish the place of birth to appear in the passport complete and submit form PPTC 077 Request for a Canadian passport without place of birth available online at Canada.ca/passport. B Requirements Checklist All three 3 pages of the application form completed and signed within the last twelve 12 months and certified by the guarantor Two 2 identical and unaltered passport photos taken within the last six 6 months one 1 certified by the guarantor Any valid Canadian travel document passport certificate of identity or refugee travel document issued to you The fee Note All documents submitted throughout the passport application process that are in a language other than English or French must be translated by a certified translator. Additional documents or information may be requested in support of this application. Fee and Period of Validity Where the application is made in Canada and the passport is to be Where the application is made from the USA or the passport is delivered in Canada to be delivered to the USA 5-year validity CAN 120 A CAN 25 consular services fee is included in the above-mentioned fee. Includes Bermuda American Samoa the Midway Islands Puerto Rico and the US Virgin Islands. There is a separate non-refundable CAN 45 administrative fee for the replacement of a valid lost or stolen Canadian travel document.