Canadian International Driving Permit Application Form

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CANADIAN AUTOMOBILE ASSOCIATION
CANADIAN INTERNATIONAL DRIVING PERMIT APPLICATION FORM
IMPORTANT: International Driving Permits will be issued only to persons 18 years of age or over who hold full valid Canadian provincial driving licences. This excludes provisional or
learner’s licences, and licences under suspension. The IDP is valid for one year from date of issue and cannot be issued for any category of vehicle which is not at present covered by the
Canadian driving licence. The Canadian IDP is not valid in Canada. Attach two signed, full-face passport photographs, fee of $25.00 CAN and a copy of your Canadian driver’s licence.
IDP No.
-- Issued for Category A B C D E -- Date ____________________________________________________
1. Mr./Ms./Mrs./Miss:
Surname (IN BLOCK LETTERS)
Given Name
Initial
2. Place of Birth (if known) __________________________________________________________
__________________________________
__________________________________________
(Village / Town / City)
(Province / State)
(Country)
3. Date of Birth
(if exact date unknown approximate age) __________________________________________
Day
Month
YEAR
-
-
4. Home Address in Canada
_______________________________________________________
Tel.
(Residence No., Name of Street & Apt.)
______________________________________
_______________________________________________________
(Village / Town / City)
(Province)
(Postal Code)
GIVE PARTICULARS OF CANADIAN DRIVER’S LICENCE BELOW
5. Licence No.
Province _____________________________________
Expiry Date ____________
6. Class No. ___________________________________________________________________________________________________________________
7. List any restrictions noted on Canadian licence __________________________________________________________________________________
Which of the following vehicles are you permitted to drive in Canada?
A
Motorcycles / Scooters
B
Motor cars and/or light commercial vehicles not exceeding 3500 kg (7700 lbs.) gross weight
C
Heavy commercial vehicles exceeding 3500 kg (7700 lbs.)
D
Public transportation buses (please note any restrictions in 7 above)
E
Trailers exceeding gross weight of 750 kg (1650 lbs.)
9. Have you had an IDP before?
YES
NO
10. If YES, give date of issue and IDP number if available _____________________________________________________________________________
11. State vehicle(s) for which IDP is required _________________________________________________________________________________________
12. Departure date from Canada ____________________________________________________________________________________________________
13. I hereby certify that the information contained herein is true and that I am the holder and in possession of a currently valid (not under
suspension) Canadian driving licence issued by the province of ________________________________for the category of vehicles noted above.
14.
Signature of Applicant _______________________________________________________________
FOR OFFICE USE ONLY
Email address ______________________________________________________________________
I’d like to pay by credit card:
VISA
MC
Amount: $ ________________________
Card Number:
Expiry Date:
PHOTOGRAPH
Card Holder’s Signature: _________________________________________________________________
FOR OFFICE USE ONLY
Issued By
_________________________________________________
Date of Issue ______________________________________
(Name of Counsellor)
Issued At
________________________________________________________________________________________________________
(Name of City or Town)
® Registered Trade Mark of the Canadian Automobile Association

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