Child Passport Form - Canada
Previous Canadian Travel Document (see Instructions, section K)
3
Has a Canadian travel document (passport, certificate of identity or refugee travel document) been issued to the child?
No
Yes (specify)
Number
Date of issue
Year
Month Day
If the passport is still valid, include it with your application.
Would you like the previous passport returned to you? If not, it will be securely destroyed by Passport Program to protect the child's
personal information.
Yes, please return the previous passport to me.
Note: If a valid Canadian travel document has been lost, stolen, damaged or is inaccessible, complete form PPTC 203, Declaration,
available online at passportcanada.gc.ca. A Canadian travel document, once reported lost or stolen, is no longer valid. There is
an administrative fee for the replacement of a valid lost or stolen Canadian travel document (see section D).
Proof of Canadian Citizenship (see Instructions, sections J and L)
4
Provide one (1) of the documents listed below (original only):
(to be completed if the child was born in Canada)
Birth certificate in Canada
Certificate of Canadian citizenship
Registration number Date of issue
Certificate number Date of issue/Effective date of citizenship
Declaration of Applicant
5
Surname (last name) of applicant Given name(s) of applicant
Relationship to the child Surname (last name) of child Given name(s) of child
Declaration—I solemnly declare that the child named above is a Canadian citizen, that the photos enclosed are unaltered and a true likeness of the child, 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 on page 1 and the Privacy Notice Statement (see section P). I consent to the
collection, use and disclosure of my personal information and that of the child by Passport Program, Citizenship and Immigration Canada, other federal government institutions, Government of Canada offices
abroad and third party entities as outlined in the Privacy Notice Statement in the Instructions.
Signature of applicant Date
Year Month Day
Signed at
City Province/Territory/State
Declaration of Guarantor (see Instructions, section M)
The guarantor must know the applicant identified in section 5.
6
Surname (last name) in passport Given name(s)
Date of birth
Year Month Day
Canadian passport number Date of issue
Year Month Day
Date of expiry
Year Month Day
Relationship to applicant Telephone (daytime) Telephone (other)
Current home address
Number Street Apartment City Province/Territory/State Postal/ZIP code
Full name of applicant parent or legal guardian Full name of child
I have known
the applicant
(parent or legal
guardian) for
Number of years
Declaration—I solemnly declare that I have known the applicant identified above personally for at least two (2) years and have knowledge of the child. I have signed the back of one (1)
photo to certify that the image is a true likeness of the child. I declare that I have read and understood the Warning on page 1 and the Privacy Notice Statement (see section P). I consent
to the collection, use and disclosure of my personal information by Passport Program, Citizenship and Immigration Canada, other federal government institutions, Government of Canada
offices abroad and third party entities as outlined in the Privacy Notice Statement in the Instructions.
Signature of guarantor Date
Year Month Day
Signed at
City
Province/Territory/State
Emergency Contact Information (optional)
(see Instructions, section N)
7
Surname (last name) Given name(s)
Relationship to the child Telephone (daytime) Telephone (other) Cell number
Current home address
Number Street Apartment City
Province/Territory/State Postal/ZIP code
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