Child Under 16 Travel Document Application - Canada

Previous Canadian Travel Document (see Instructions, section L)
6
Has a Canadian certificate of identity or Canadian refugee travel document been issued to the child and is still valid?
No
Yes (specify)
Number
Date of issue
Year
Month Day
If yes, include the travel document with your application.
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 A Canadian travel document, once reported lost or stolen, is no longer
valid.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 C).
Citizenship and Travel Documentation (see Instructions, section M)
7
Note: If insufficient space, use section 9, Additional Information, or attach a separate signed and dated sheet.
What is the child's original citizenship?
Has the child acquire any other citizenship?
No Yes
Indicate country
Does the child have any valid or expired travel document or passport from any country other than Canada?
No Yes
Enclose the document (original only). If no longer in your possession, explain why.
Has the child visited another country since his or her entry to Canada?
No
Yes (specify)
Date left
Year
Month
Day
Date returned
Year
Month Day
Country Reason
Date left
Year
Month Day
Date returned
Year
Month Day
Country Reason
Have you, since the child's date of entry to Canada, applied for a passport or travel document for the child (or renewal of such a document)
from his or her country of origin or citizenship?
No
Yes
Provide a detailed explanation of your reasons for not applying.
If the request was refused, enclose the letter of refusal. If unable to provide this letter, explain why. If no reply was received,
write all the steps you have taken.
Application for Canadian Citizenship (see Instructions, section N)
8
Note: If insufficient space, use section 9, Additional Information, or attach a separate signed and dated sheet.
Have you applied for Canadian citizenship for the child?
No
Yes
Explain why you have not applied.
Enclose the receipt confirming payment of fees (IMM 5401) or, if applicable, a copy of the letter of refusal.
Signature of applicant Date
Year
Month Day
- Page 3 of 10
PPTC 192 (2015-05) R1
Page 3/10
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Child Under 16 Travel Document Application - Canada PDF

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