PPTC 153
PPTC 153
PPTC 153
Place of birth
Declaration—I solemnly declare that I am a Canadian citizen, that the photos enclosed are Sign within border
unaltered and a true likeness of me, that all of the statements made and the information
provided in this application, as well as any supporting documents, are true. I declare that
I have read and understood the Warning at the top of this page and the Privacy Notice
Statement (see section N). I consent to the collection, use and disclosure of my personal
information as outlined in the Privacy Notice Statement.
City Prov./Terr./State
Date of birth (YYYY-MM-DD) Canadian passport number Date of issue (YYYY-MM-DD) Date of expiry (YYYY-MM-DD)
Read Instructions
3 PREVIOUS CANADIAN TRAVEL DOCUMENT (SEE INSTRUCTIONS, SECTION K)
• Has a Canadian travel document (passport, certificate of identity or refugee travel document) been issued to you in your current name or any other name?
Number Date of issue (YYYY-MM-DD)
No Yes (specify)
If the Canadian travel document has not expired, you must include it with your application.
Any passport that is damaged or was ever reported as lost or stolen will not be returned and will be securely destroyed to protect your personal information.
• Would you like the previous passport to be cancelled and returned to you?
Yes, please return it to me. If this box is not checked, the passport will not be returned and will be securely destroyed.
Note: If a Canadian travel document has been reported lost, stolen, damaged or is inaccessible, and has not yet expired, complete form PPTC 203,
Declaration concerning lost, stolen, inaccessible, damaged or found Canadian travel document, available online at Canada.ca/passport. A Canadian travel
document is no longer valid if damaged or reported as lost, stolen, or inaccessible. There is an administrative fee for the replacement of a lost or stolen
Canadian travel document that has not yet expired.
2) To be completed if you were born outside of Canada between February 15, 1977 and April 16, 1981 inclusive (you do not need to complete this section
if you are presenting a certificate of Canadian citizenship issued after January 1, 2007).
a) Are you a naturalized Canadian, i.e. did you receive Canadian citizenship following immigration to Canada?
Yes, go to section 5 No, continue to question b)
b) Was one of your parents born in Canada?
No, complete and submit form PPTC 001, Proof of Canadian Citizenship—Additional Information, available online
Yes, go to section 5
at Canada.ca/passport.
Type of document Document number Date of expiry (If applicable) (YYYY-MM-DD) Your name as it appears on the document
Read Instructions
6 PERIOD OF VALIDITY (SEE INSTRUCTIONS, SECTION C)
Choose one (1) of the following periods of validity: 5-year or 10-year
Enter full details below for the last two (2) years:
Employer, school or other Address Telephone (primary) Field of employment or studies Date (from) Date (to)
8 REFERENCES
Provide the following information for two (2) persons who are neither your relatives nor your guarantor; are 18 years of age or over; and who have known
you for at least two (2) years. They must agree to have their contact information provided as they may be contacted to confirm your identity. Visit
Canada.ca/passport for more information on the Passport Program's definition of a relative.
1. Surname (last name) Given name(s) Relationship to the applicant
Address
Address
Complete Form
ADULT GENERAL PASSPORT APPLICATION
for Canadians 16 years of age or over applying in Canada or the USA
INSTRUCTIONS
A ENTITLEMENT TO A CANADIAN PASSPORT
Important notice: We recommend that you not finalize your travel plans until you receive the requested passport.
• A Canadian passport is the only reliable and universally accepted travel and identification document for Canadians who travel abroad.
• Canadian passports are issued to Canadian citizens only and reflect their identity, as determined by proof of citizenship and supporting documents.
• For Canadians under 16 years of age, use form PPTC 155, Child General Passport Application.
• Applicants who were previously issued a Canadian passport may be able to renew their passport using form PPTC 054, Adult Simplified Renewal Passport
Application. To find out if you are eligible, visit Canada.ca/passport.
B REQUIREMENTS CHECKLIST
All three (3) pages of the application form completed and signed within the last twelve (12) months, with page one (1) certified by the guarantor
Two (2) identical and unaltered passport photos taken within the last six (6) months, one (1) certified by the guarantor
Proof of Canadian citizenship (original only); the document will be returned to you
Document(s) to support identity (original or copies); copies must be signed and dated by your guarantor
Any valid Canadian travel document (passport, certificate of identity or refugee travel document) issued to you
The fee
Note: Additional documents or information may be requested in support of this application. If you are contacted by the Passport Program to provide information or
documentation, you must communicate with us as soon as possible. If the required information or documentation is not received within 30 calendar days, your file
may be closed. The Passport and Other Travel Document Services Fees Regulations do not allow for the refund of passport service fees whether or not you received
the service requested.
Name of applicant
For official use only
Complete Form
E APPLYING IN PERSON
If you cannot submit your passport application in person, an acceptable third party may submit the application on your behalf. For an urgent or express service
request you must apply in person yourself. For information on third party eligibility, visit Canada.ca/passport.
Canadians can submit an application in Canada at:
• a Passport Program regional office; or
• a participating Service Canada Centre.
For information on service locations, service standards and requirements for expedited services, visit Canada.ca/passport.
For Canadians submitting an application from the USA:
If you require a passport in exceptional circumstances, contact the nearest Government of Canada office. You can find a list of Government of Canada
offices in the USA online at travel.gc.ca or in your local telephone directory.
F APPLYING BY MAIL
Mailed-in applications are processed in Canada based on your current location. The original documents that you enclose with your application are
valuable. We recommend that you use a courier or mail service that allows you to track your package. If you applied by mail, we’ll return any original
documentation and your previous passport if it was requested. These documents may arrive in a separate package than your new passport.
By mail from British Columbia, By mail from New Brunswick, By mail from all other provinces and By courier
Yukon, Northwest Territories or Newfoundland and Labrador, Nova the United States Passport Program
Nunavut Scotia and Prince Edward Island Passport Program 22 de Varennes Street
Passport Program Passport Program Gatineau QC K1A 0G3 Gatineau QC J8T 8R1
PO Box 4000 STN LCD 3 PO Box 9325 RPO CSC Canada Canada
Mississauga ON L5K 0A9 Halifax NS B3K 0J1
Canada Canada
G CONTACT INFORMATION
General information is available 24 hours a day, 7 days a week. Agents are available Monday to Friday between 8:30 am and 5:00 pm your local time
(9:00 am to 5:30 pm in Newfoundland).
Complete Form
I PERSONAL INFORMATION
Surname (last name) and given name(s) requested to appear in passport
Write your name as you request that it appear in the passport. If you are requesting a passport in a name that is different from the name that appears
on the proof of citizenship or differs from a legal name change, please note the following:
• For a change of surname resulting from a relationship, you must provide a marriage or common-law relationship certificate, or a document demonstrating
termination of the relationship (indicating both previous and current surname).
• For a legal change of name, you must provide a Legal Name Change certificate, Court Order or Adoption Order displaying your old name and your
new name. If you have your name legally changed, you must apply for a new travel document that accurately reflects your new name.
Additional documentation will be required to verify your identity as well as the name to appear in the passport (see section L).
All former surnames
All former surname(s) that differ from the surname requested to appear in the passport, including your surname at birth must be declared. Please separate
your former surnames by a comma. These former surnames will not appear in the passport.
Mother's surname at birth
Indicate your mother's surname (last name) at birth.
Place of birth
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.
Date of birth
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 (see section 5).
Sex
If the sex or gender identifier requested to appear in the passport does not match the submitted proof of Canadian citizenship or your latest travel document,
complete and submit form PPTC 643, Request – sex or gender identifier on the travel document for an adult 16 years of age or older form (PPTC 643),
available online at Canada.ca/passport.
Current home address and Mailing address (if different from current home address)
Your passport will be delivered to the mailing address provided. If your mailing address changes within 30 days of submitting your application, you must notify
the Passport Program (see section G).
Email address
Include your email address on the form if you have one, so we can contact you if needed. Please note that information sent by email is not transmitted over
a secure connection.
Signature
You must sign your usual signature
on all three (3) pages.
J DECLARATION OF GUARANTOR
A guarantor is a person other than the applicant who can confirm their identity and may be called upon to confirm personal information. A guarantor
can be a relative or someone living at the applicant’s address, as long as they meet all the requirements listed below.
The guarantor must meet the following criteria:
• be able to communicate in English or French;
• 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 been expired for no more than 1 (year) on 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 on this application form;
• have known you (the applicant) personally for at least two (2) years. To know you personally means your guarantor is able to confirm aspects of your
personal attributes;
• know you well enough to be confident that the statements you have made on the application form are true;
• provide the requested information contained in the passport issued in their name by completing or validating the declaration of guarantor section
of the application form;
• be accessible to the Passport Program for verification.
A Canadian passport holder guarantor does not need to reside in the same country as the applicant.
You or your guarantor can complete this section, with the exception of the four fields in bold which must be completed by your guarantor.
The guarantor must perform the following three (3) tasks free of charge:
1. Complete or validate the information entered in section 2 - Declaration of Guarantor. The guarantor must complete the following four fields in bold:
A) I have known the applicant for (number of years), B) Signature of guarantor, C) Date, D) Signed at. Ensure you have completed and signed all
three (3) pages of the application before submitting it to your guarantor.
2. Write "I certify this to be a true likeness of (your name)" on the back of one (1) of your photos and sign it.
3. If applicable, sign and date a copy of each document to support your identity (see section L).
The Passport Program reserves the right to request a new guarantor.
Important: The applicant cannot help the guarantor in performing their duties. If the guarantor needs help they can contact the Passport Program
(see Section G).
If you have not known an eligible guarantor for at least two (2) years, complete form PPTC 132, Statutory Declaration in Lieu of Guarantor for Canadians
Applying for a Travel Document, available at any passport service location in Canada or any Government of Canada office abroad. The form must be
completed at your expense before a person who is authorized by law to administer an oath or solemn affirmation. This may delay the processing time
of the passport requested.
Complete Form
K PREVIOUS CANADIAN TRAVEL DOCUMENT
Enclose any Canadian travel document (passport, certificate of identity or refugee travel document) that is not expired and that is issued to you in your
current name or any other name. If the travel document’s expiry date is more than twelve (12) months from the date the application is submitted, provide a
written explanation as to why you are applying at this time. Should the Passport Program not be satisfied that you have an acceptable reason
for applying early, your application for a new passport may be refused.
Complete Form
O CANADIAN PASSPORT PHOTO INSTRUCTIONS
You must submit two (2) identical and unaltered photo prints with each passport application. Electronic photos are not acceptable.
More information is available at Canada.ca/passport.
The photos must:
• be taken in person by a commercial photographer;
• be professionally printed on plain, high quality photographic paper (photos printed
Photo Co. Ltd.
at home are not acceptable); 111 Any Street
Any Town, COUNTRY
• be clear, sharp and in focus; in colour or black and white;
36 mm (1 7/16 in.)
Minimum Face Height
• show a neutral facial expression (no smiling, mouth closed) and looking straight Photo taken
31 mm (1 1/4 in.)
at the camera, with eyes open and clearly visible; Date
• reflect natural skin tone and be taken against a plain white or light coloured
background with enough contrast between the background, facial features and
clothing, so that your features appear clearly against the background;
• be originals that have not been altered in any way and not taken from an Guarantor's Signature
• existing photo;
• be taken within the last six (6) months from the date the application is submitted
and reflect your current appearance; Frame Width 50 mm (2 in.)
• if you cannot meet these requirements for medical reasons, please provide Not actual size (refer to measurements above)
a written explanation.
The following must appear on the back of one photo
• The name and complete address of the photo studio (not a P.O. Box) and the date the photo was taken. The photographer may use a stamp or handwrite
this information (stick-on labels are not acceptable).
• The statement "I certify this to be a true likeness of (name of applicant, written by guarantor)".
• The guarantor's signature. Note: If you are using the PPTC 132, Statutory Declaration in Lieu of Guarantor for Canadians applying for a travel document
(see section J), the signing official must also sign the back of the photo.
Additional information
• Prescription glasses may be worn in photos as long as there is no glare and the eyes are clearly visible.
• The red-eye effect, tinted glasses and sunglasses make the photos unacceptable.
• Hats and head coverings must not be worn, except for religious beliefs or medical reasons. The head covering and hair must not cast shadows on the face
and the full face must be clearly visible.
P TRANSLATION
All documents submitted as part of the travel document application that are in a language other than English or French must be accompanied by a translation
completed by a certified professional or a non-certified professional translator.
If the document is not a court document or legally binding agreement made between two or more parties, then a third party translation is acceptable.
A translation produced by a certified professional, non-certified professional or third party translator must be accompanied by form PPTC 659, Statutory
Declaration for Translators.
Third party translator must have the Statutory Declaration notarized by an official (lawyer, notary, commissioner of oaths).
The Passport Program will not accept a translation completed by the applicant or a relative of the applicant. Visit Canada.ca/passport for more information
on the Passport Program’s definition of a relative.